Pharmacy Technician – Prior Authorization

CVS Health

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

Posted 9/21/2026full-timeRemote • Arizona • United StatesJunior💰 $19 - $35 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Pharmacy Prior Authorization processing, including the ability to navigate multiple systems and maintain accurate documentation. Proficient in using Microsoft applications and knowledgeable in pharmacy practices and clinical information.

Highest-signal resume keywords

National Pharmacy Technician CertificationArizona State Pharmacy Technician LicensePharmacy Prior Authorization Processing ExperienceProficiency in Microsoft ApplicationsKnowledge of Pharmacy Practices and Procedures

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Pharmacy Prior Authorization ProcessingClinical ResearchDocumentation AccuracyDrug Dosage Forms KnowledgeMedical Terminology Recognition

Soft Skills

Multi-taskingOrganization SkillsVerbal Communication SkillsWritten Communication SkillsAbility to Prioritize Work

Tools & Technologies

AS400Computerized ResourcesMicrosoft ExcelMicrosoft WordMicrosoft Outlook

Certifications & Qualifications

National Pharmacy Technician CertificationArizona State Pharmacy Technician License

Industry Keywords

Managed CareMedicaidNCQA RequirementsRetail Pharmacy ExperienceHospital Pharmacy Experience

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 perform 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 to ensure NCQA requirements are met
Follow prior authorization workflows, policies, and procedures
Answer high-volume prior authorization inquiry calls from provider offices, pharmacies, and internal partners
Communicate prior authorization status or decisions using multiple computer resources
Balance productivity, quality, and timeliness of work
Participate in required training, continuing education, and team or departmental meetings

Requirements

What you’ll need

National Pharmacy Technician certification and Arizona 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
Retail or Hospital experience preferred
Managed Care or Medicaid experience preferred
AS400 experience preferred
Proficiency in using computerized resources and software applications preferred
Proficiency with Microsoft applications (Excel, Word, and Outlook) preferred
Knowledge in pharmacy practices and procedures, and ability to read and understand clinical information preferred
Working knowledge of drug dosage forms, drug strength, and generic and brand name equivalents preferred
High School diploma or G.E.D.
Own home internet access with minimum speed of 100 Mbps download
Secure workspace/office in the home
High-level skill working with a PC and navigating multiple systems and screens
Ability to work 40 hours per week, including weekends and holidays
Ability to work extended hours when necessary
Rotating weekend schedule may be required
Excellent attendance
Good written and verbal communication skills
Proficiency in drug name and diagnosis pronunciation and recognition of medical terminology

Benefits

Comp & perks

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