Pharmacy Prior Authorization Specialist

CVS Health; Arizona; Hybrid; USD 25,000 - 49,000; Full time

Job summary

CVS Health is hiring a Pharmacy Prior Authorization Technician to support AC and AZ regions. The role involves processing prior authorization requests received by phone, fax, or electronically, researching criteria, and ensuring accurate documentation.

Excellent communication and NCQA-compliant language are required. The position is full-time and remote, with a typical 40-hour week, including possible weekend shifts and extended hours as needed.

Qualifications

• 1–5+ years of Pharmacy Prior Authorization processing experience.
• National Pharmacy Technician certification and Arizona license in good standing.
• Ability to multi-task and prioritize work.
• Strong organizational skills and attention to detail.
• Good written and verbal communication abilities.

Responsibilities

• Process prior authorization requests received by phone, fax, or electronic channels.
• Research criteria and guidelines to support reviews and approvals/denials.
• Ensure timely documentation and NCQA compliant denial language.
• Communicate status or decisions to providers, pharmacies, and partners.
• Balance productivity with quality and timeliness; participate in trainings.

Skills

Multi-tasking

Prioritization

Organization

Communication skills

PC navigation

Education

National Pharmacy Technician certification and Arizona license

High School diploma

Tools

AS400

Microsoft Excel

Microsoft Word

Microsoft Outlook

Job description

CVS Health is hiring a Pharmacy Prior Authorization Technician to support AC and AZ regions. The role involves processing prior authorization requests received by phone, fax, or electronically, researching criteria, and ensuring accurate documentation.

Excellent communication and NCQA-compliant language are required. The position is full-time and remote, with a typical 40-hour week, including possible weekend shifts and extended hours as needed.