Pharmacy Technician – Prior Authorizations

CVS Health Careers

. Process prior authorization requests received by phone, fax, or electronically .

Posted 11/2/2026full-timeRemote • Arizona • United StatesJunior💰 $19 - $35 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Pharmacy Prior Authorization processing, including compliance with NCQA standards and effective communication with providers and pharmacies. Proficient in utilizing multiple computer resources and maintaining accurate documentation while balancing productivity and quality.

Highest-signal resume keywords

National Pharmacy Technician CertificationPharmacy Prior Authorization Processing ExperienceProficiency in Microsoft Excel, Word, and OutlookKnowledge of Pharmacy Practices and ProceduresAbility to Navigate Multiple Computer Resources

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Pharmacy Prior Authorization ProcessingMedical Terminology RecognitionDrug Name and Diagnosis PronunciationClinical Information ReadingDrug Dosage Forms KnowledgeGeneric and Brand Name Equivalents KnowledgeHigh-Level PC SkillsAS400 ExperienceDocumentation AccuracyCompliance with NCQA Standards

Soft Skills

Good Organization SkillsAbility to Multi-Task and Prioritize WorkGood Written and Verbal Communication SkillsAdaptability to Business NeedsAbility to Balance Productivity and Quality

Tools & Technologies

Computerized ResourcesMedication GuidelinesPrior Authorization WorkflowsSecure Workspace/OfficeHome Internet Access

Certifications & Qualifications

National Pharmacy Technician CertificationState Pharmacy Technician License

Industry Keywords

Managed Care ExperienceMedicaid ExperienceRetail Pharmacy ExperienceHospital Pharmacy ExperiencePrior Authorization Workflows

About the role

Key responsibilities & impact

Process prior authorization requests received by phone, fax, or electronically
Use computer resources, existing criteria, and medication guidelines to conduct clinical research supporting prior authorization reviews
Complete prior authorization approvals and denials that are due to expire
Maintain complete, timely, and accurate documentation
Review potential prior authorization denial language for NCQA compliance
Follow prior authorization workflows, policies, and procedures
Answer high-volume inquiry calls from provider offices, pharmacies, and internal partners
Communicate prior authorization status or decisions using computer resources
Balance productivity, quality, and timeliness
Participate in required training, continuing education, and team or departmental meetings

Requirements

What you’ll need

National Pharmacy Technician certification and applicable state Pharmacy Technician license, current and in good standing, are required and must be maintained
Between 1-5+ years of Pharmacy Prior Authorization processing experience
Ability to multi-task and prioritize work
Ability to adjust based on business or department needs
Good organization skills
High School diploma or G.E.D.
Proficiency in drug name and diagnosis pronunciation
Ability to recognize medical terminology
Ability to navigate multiple computer resources and screens
Good written and verbal communication skills
Ability to work 40 hours per week as scheduled, including weekends and holidays
Ability to work extended hours when necessary
Rotating weekend schedule may be required
Own home internet access with minimum speed of 100 Mbps download
Secure workspace/office in the home
High-level PC skills
Retail or Hospital experience
Managed Care or Medicaid experience
AS400 experience
Proficiency with computerized resources and software applications
Proficiency with Microsoft Excel, Word, and Outlook
Knowledge of pharmacy practices and procedures
Ability to read and understand clinical information
Working knowledge of drug dosage forms, drug strength, and generic and brand name equivalents

Benefits

Comp & perks

CVS Health bonus, commission or short-term incentive program
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being