Technician I, Prior Authorizations - Operations

CVS Health

. Take inbound calls from providers, pharmacies, members, and other callers .

Posted 9/28/2026full-timeRemote • United StatesMid-LevelSenior💰 $17 - $34 per hourWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates proficiency in handling inbound and outbound calls while providing professional assistance in the prior authorization process. Exhibits strong communication skills and the ability to manage multiple tasks and systems effectively.

Highest-signal resume keywords

Prior Authorization ProcessMicrosoft Office SuiteBasic Pharmaceutical KnowledgeExcellent Communication SkillsConfidentiality of PHI

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Basic Computer SkillsKeyboard SkillsPrior Authorization ProcessingDocumentation MaintenancePharmaceutical Terminology

Soft Skills

MultitaskingProblem SolvingAdaptabilityCustomer ServiceMotivation

Tools & Technologies

Microsoft ExcelMicrosoft WordMicrosoft AccessMicrosoft OutlookMicrosoft PowerPointMicrosoft Visio

Industry Keywords

Protected Healthcare InformationClinical QuestionsEscalationsJudgment CallsDiverse Customer Base

About the role

Key responsibilities & impact

Take inbound calls from providers, pharmacies, members, and other callers
Provide professional and courteous phone assistance through the criteria-based prior authorization process
Maintain complete, timely, and accurate documentation of reviews
Transfer clinical questions, escalations, and judgment calls to the pharmacist team
Make outbound calls as needed
Review and process prior authorizations received via fax and ePA
Monitor and respond to inquiries via department mailboxes
Perform other duties assigned by the leadership team

Requirements

What you’ll need

High School Diploma or equivalent GED
Basic computer skills
Microsoft Office Suite knowledge: Excel and Word required; Access, Outlook, PowerPoint, Visio preferable
Essential keyboard skills
Ability to multitask and utilize multiple system applications simultaneously
Basic pharmaceutical knowledge pertaining to terminology, calculations, and protocols
Ability to utilize available resources independently and provide high quality work
Ability to absorb presented information, display motivation, seek development and problem solve
Ability to adapt and change with workflow and shifting priorities
Excellent written, verbal, grammar, and listening communication skills
Ability to deal with a diverse customer base in a friendly and confident manner
Ability to maintain confidentiality of PHI (Protected Healthcare Information)
Associate Degree or Bachelor’s Degree preferred; equivalent years of work experience if neither degree is held

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