Pharmacy Prior-Authorization Specialist

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

Benefits offered by this job

Health benefits

Dental & Vision coverage

Retirement plan

Wellness programs

Job summary

CVS Health is seeking a Pharmacy Technician focused on Prior Authorization processing to support clinical review. The role involves handling requests by phone, fax, or electronic channels and documenting decisions across multiple systems.

You will ensure NCQA-compliant language and adherence to workflows while maintaining high attendance and professionalism. The position offers full-time hours, weekend coverage as needed, and a comprehensive benefits package, including medical, dental, and

Qualifications

• National Pharmacy Technician certification and Arizona State Pharmacy Technician license, current and in good standing.
• 1-5+ years of Pharmacy Prior Authorization processing experience
• Ability to Multi-task and prioritize work
• Ability to adjust based on business or department needs
• Good organization skills

Responsibilities

• Process prior authorization requests received by phone, fax or electronically using criteria and guidelines.
• Complete prior authorization approvals and denials with timely documentation.
• Review potential denial language to meet NCQA requirements.
• Follow the prior authorization workflow, policies and procedures.
• Answer high volumes of inquiry calls from providers, pharmacies and internal partners.
• Maintain productivity, quality and timeliness of work and participate in required training.

Skills

Multi-tasking

Organizational skills

Adaptability

Education

High School diploma or GED

Tools

AS400

Microsoft Excel

Microsoft Word

Microsoft Outlook

Job description

CVS Health is seeking a Pharmacy Technician focused on Prior Authorization processing to support clinical review. The role involves handling requests by phone, fax, or electronic channels and documenting decisions across multiple systems.

You will ensure NCQA-compliant language and adherence to workflows while maintaining high attendance and professionalism. The position offers full-time hours, weekend coverage as needed, and a comprehensive benefits package, including medical, dental, and