Pharmacy Technician – Prior Authorizations

CVS Health

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

Posted 9/22/2026full-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 the ability to utilize clinical guidelines and medication criteria effectively. Proficient in maintaining accurate documentation and communicating authorization decisions while balancing productivity and quality.

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

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Pharmacy Prior Authorization ProcessingClinical ResearchDocumentation MaintenanceDrug Dosage Forms KnowledgeMedication Guidelines Application

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 RequirementsPrior Authorization WorkflowsRetail 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 computer resources
Balance productivity, quality, and timeliness of work
Participate in required training, continuing education, and team or departmental meetings
Work scheduled 8-hour shifts within operating hours of 5:00 a.m. to 8:30 p.m.; overnight shifts may be available
Complete 40 hours per week, including weekends and holidays when scheduled
Work extended hours when necessary and participate in a rotating weekend schedule

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.
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
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

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