Pharmacy Technician – Prior Authorizations

CVS Health

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

Posted 10/6/2026full-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 computer systems and maintain accurate documentation. Proficient in clinical research and communication of prior authorization decisions while adhering to NCQA requirements.

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 AccuracyDrug Dosage Forms KnowledgeMedical Terminology Understanding

Soft Skills

Good Organization SkillsAbility to Adjust Based on Business Needs

Tools & Technologies

AS400Computerized ResourcesMicrosoft ExcelMicrosoft WordMicrosoft Outlook

Certifications & Qualifications

National Pharmacy Technician CertificationState 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 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
Recognize drug names and diagnoses, medical terminology, and navigate multiple computer resources to document conversations and decisions

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
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, generic and brand name equivalent 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 as scheduled, including weekends and holidays
Ability to work extended hours when necessary
Rotating weekend schedule may be required

Benefits

Comp & perks

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