Pharmacy Technician - Prior Authorization - Work From Home

Hispanic Alliance for Career Enhancement; Remote; EUR 20.000 - 40.000; Vollzeit

Zusammenfassung

A leading health solutions provider in Germany is seeking a Pharmacy Technician to manage prior authorization requests and documentation. The successful candidate will have National Pharmacy Technician certification, excellent multi-tasking skills, and the ability to communicate effectively. This full-time position offers competitive hourly pay between $18.50 and $35.29, along with comprehensive benefits. Ideal applicants will have retail or hospital experience, and the ability to work as part of a dedicated team.

Leistungen

401(k) with matching contributions

Tuition assistance

Wellness programs

Qualifikationen

• National Pharmacy Technician certification and state license required.
• 0–5+ years of Pharmacy Technician experience.
• Ability to prioritize work and adjust to needs.

Aufgaben

• Process prior authorization requests and maintain documentation.
• Answer high volume of prior authorization inquiry calls.
• Complete timely prior authorization approvals and denials.

Kenntnisse

Multi-tasking

Good organization skills

Verbal communication

Written communication

Ausbildung

High School diploma or G.E.D.

Tools

Microsoft applications (Excel, Word, Outlook)

AS400

Jobbeschreibung

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. Position Summary
We are the nation’s leading health solutions company, reaching millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues, caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. & we do it all with heart, each and every day.

Position Summary

• Processes prior authorization requests received by phone, fax or electronically, and utilizes various computer resources, existing criteria and medication guidelines to perform clinical research to support prior authorization reviews.
• Proactively completes prior authorization approvals and denials that are due to expire and maintains complete, timely, and accurate documentation.
• Reviews potential prior authorization denial language to ensure NCQA requirements are met.
• Follows prior authorization workflow, policies, and procedures during the workday.
• Answers a potentially high volume of prior authorization inquiry calls from provider offices, pharmacies, members and internal partners, and uses various computer resources to communicate prior authorization status or decisions.
• Maintains a balance of productivity, quality and timeliness of work.
• Participates in training and continuing education as required.
• Participates in team or departmental meetings as required.
• Excellent attendance is a must.
• Successful pharmacy technicians will be proficient in drug name and diagnosis pronunciation, recognizing medical terminology, and navigating multiple computer resources to document conversations and prior authorization decisions.
• Successful pharmacy technicians will possess good written and verbal communication skills.

Job Details

• Hours of operation for Aetna Pharmacy Prior Authorization are between 5:00 a.m. and 7:00 p.m. (may vary by time zone). Pharmacy Technicians work eight‑hour shifts that may fall in between these hours of operations. Overnight shifts may also be available, but not guaranteed. Work schedule is approximate; hours and days may change based on company needs. All full‑time employees are required to complete forty (40) hours per week as scheduled, including weekends and holidays. Part‑time positions are not available. Position requires the ability to work extended hours when necessary.
• Rotating weekend schedule may be required.
• Candidate must have their own home internet access with a minimum speed of 100 Mbps download (internet should be hard‑wired with Ethernet cord).
• Candidate must have a secure workspace or office in their home.
• Candidate must have high level skill with working with a PC (e.g., using mouse and keyboard, accessing and navigating through multiple systems and screens).

Required Qualifications

• National Pharmacy Technician certification and state license or applicable state Pharmacy Technician license, current and in good standing, are required and must be maintained.
• Between 0–5+ years of Pharmacy Technician experience.
• Ability to multi‑task and prioritize work.
• Ability to adjust based on business or department needs.
• Good organization skills.

Preferred Qualifications

• Retail or hospital experience.
• Prior Authorization processing experience.
• Claims processing experience.
• Managed Care, Medicare and/or Medicaid experience.
• AS400 experience.
• Proficiency in using computerized resources and software applications.
• Proficiency with Microsoft applications (Excel, Word, Outlook).
• Knowledge in pharmacy practices, procedures, and ability to read and understand clinical information.
• Working knowledge of drug dosage forms, drug strength, generic and brand name equivalents.

Education

High School diploma or G.E.D.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is: $18.50 – $35.29 per hour. This pays range represents the base hourly rate or base annual full‑time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short‑term incentive program in addition to the base pay range listed above.

Great Benefits for Great People

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional, and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, 401(k) plan (including matching company contributions) and an employee stock purchase plan.
• No‑cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 12/27/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.