Pharmacy Technician – Prior Authorization

CVS Health

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

Posted 10/21/2026full-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, ensuring compliance with NCQA requirements while maintaining accurate documentation and effective communication with providers and pharmacies. Proficient in navigating multiple computer systems and applications to balance productivity and quality in a high-volume environment.

Highest-signal resume keywords

National Pharmacy Technician CertificationPharmacy Prior Authorization Processing ExperienceProficiency in Microsoft ApplicationsKnowledge of Pharmacy Practices and ProceduresAbility to Multi-task and Prioritize Work

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Pharmacy Prior Authorization ProcessingClinical ResearchDocumentation ManagementMedication GuidelinesDrug Dosage Forms KnowledgeDrug Strength KnowledgeGeneric and Brand Name Equivalents KnowledgeAS400 ExperienceComputerized Resources ProficiencyHigh School Diploma or G.E.D.

Soft Skills

Good Organization SkillsExcellent AttendanceAbility to Adjust Based on Business Needs

Tools & Technologies

PC NavigationMicrosoft ExcelMicrosoft WordMicrosoft OutlookHome Internet Access

Certifications & Qualifications

National Pharmacy Technician CertificationArizona Pharmacy Technician License

Industry Keywords

NCQA RequirementsManaged Care ExperienceMedicaid ExperiencePrior Authorization WorkflowsHigh-Volume Inquiry Calls

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
Participate in required training, continuing education, and team or departmental meetings

Requirements

What you’ll need

National Pharmacy Technician certification and Arizona or 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
Own home internet access with minimum speed of 100mbps download
Secure workspace/office in the home
High level skill working with a PC and navigating multiple systems and screens
Excellent attendance
Ability to work 40 hours per week, including weekends and holidays
Ability to work extended hours when necessary
Ability to work a rotating weekend schedule if required
High School diploma or G.E.D.
Preferred: Retail or Hospital experience
Preferred: Managed Care or Medicaid experience
Preferred: AS400 experience
Preferred: Proficiency in 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

Benefits

Comp & perks

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