Pharmacy Prior Authorization Specialist

CVS Health; Phoenix (AZ); On-site; USD 25,000 - 49,000; Full time

Job summary

CVS Health is seeking a Pharmacy Technician for Prior Authorization in a full-time role. You will process PA requests, document decisions, and ensure NCQA-compliant communications.

The position requires national license and certification, plus 1–5+ years of PA experience, with strong multitasking and organizational skills. Hours are full-time with 40 hours weekly; shift times may vary, including potential weekends.

Qualifications

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

Responsibilities

• Process prior authorization requests by phone, fax, or electronic submission using criteria and guidelines.
• Proactively complete approvals and denials approaching expiration with complete documentation.
• Review potential denial language to meet NCQA requirements.
• Follow established prior authorization workflow, policies, and procedures.
• Answer high volumes of provider and pharmacy inquiries and document decisions.
• Maintain productivity, quality, and timeliness; participate in training and meetings.

Skills

Prior Authorization experience

Multi-tasking

Organization skills

Verbal and written communication

PC proficiency

Education

National Pharmacy Technician certification

State Pharmacy Technician license

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 in a full-time role. You will process PA requests, document decisions, and ensure NCQA-compliant communications.

The position requires national license and certification, plus 1–5+ years of PA experience, with strong multitasking and organizational skills. Hours are full-time with 40 hours weekly; shift times may vary, including potential weekends.