Pharmacy Prior Authorization Specialist

Florida Pharmacy Association, Inc.; Florida; Hybrid; USD 25,000 - 49,000; Full time

Benefits offered by this job

Medical

Dental

Vision

Paid time off

Retirement savings

Wellness programs

Job summary

CVS Health is seeking a Pharmacy Technician for Prior Authorization to support clinical research and documentation. Responsibilities include processing requests via phone, fax, or electronic means, and ensuring timely approvals and denials while maintaining NCQA standards.

Candidates should have national certification and 1–5+ years of POA experience. Role requires strong multitasking, organizational skills, and proficiency with pharmacy systems.

Qualifications

• National Pharmacy Technician certification and applicable state license, current and in good standing.
• Between 1-5+ years of Pharmacy Prior Authorization processing experience.
• Ability to multi-task and prioritize work.
• Good organization skills.

Responsibilities

• Process prior authorization requests by phone, fax, or electronically using computer resources and medication criteria.
• Proactively complete prior authorization approvals and denials with timely and accurate documentation.
• Review denial language to ensure NCQA requirements are met.
• Follow prior authorization workflow, policies, and procedures.
• Answer high volume inquiry calls from provider offices, pharmacies, and internal partners and communicate status or decisions.
• Maintain a balance of productivity, quality and timeliness of work.
• Participate in training and meetings.

Skills

Multitasking

Organization

Communication

Education

High School diploma or GED

Tools

AS400

Microsoft Excel

Microsoft Word

Microsoft Outlook

Job description

CVS Health is seeking a Pharmacy Technician for Prior Authorization to support clinical research and documentation. Responsibilities include processing requests via phone, fax, or electronic means, and ensuring timely approvals and denials while maintaining NCQA standards.

Candidates should have national certification and 1–5+ years of POA experience. Role requires strong multitasking, organizational skills, and proficiency with pharmacy systems.