Pharmacy Prior Authorization Specialist

CVS Health; United States; Remote; USD 38,480 - 73,403; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings

Wellness programs

Job summary

CVS Health is seeking a Pharmacy Technician for Prior Authorization, handling requests by phone, fax, or electronically. You will use medication guidelines to support reviews and maintain accurate documentation.

You must have a national certification and state license, with 1–5+ years of prior authorization processing experience. The role features full-time hours, remote work options, and a comprehensive benefits package.

Qualifications

• Pharmacy Technician certification and license current and in good standing
• 1–5+ years of Pharmacy Prior Authorization processing experience
• Ability to multi-task and prioritize work
• Flexibility to adjust based on business needs
• Strong organizational skills

Responsibilities

• Process prior authorization requests via phone, fax, or electronic systems using guidelines
• Complete approvals/denials with timely, accurate documentation
• Review potential denial language to meet NCQA requirements
• Handle high volume calls from providers, pharmacies, and internal partners
• Maintain productivity, quality and timeliness while following workflows

Skills

Pharmacy Prior Authorization

Multi-tasking

Communication skills

Organization

PC navigation

Education

High School diploma

Tools

AS400

Microsoft Office (Excel/Word/Outlook)

Job description

CVS Health is seeking a Pharmacy Technician for Prior Authorization, handling requests by phone, fax, or electronically. You will use medication guidelines to support reviews and maintain accurate documentation.

You must have a national certification and state license, with 1–5+ years of prior authorization processing experience. The role features full-time hours, remote work options, and a comprehensive benefits package.