Pharmacy Prior Authorization Specialist — Impact & Growth

4004 Aetna Medicaid Administrators; Arizona; Hybrid; USD 53,010,000 - 101,120,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health in Arizona seeks a Pharmacy Technician to process prior authorization requests and support clinical reviews. You will handle approvals/denials, ensure accurate documentation, and communicate PA status to providers, pharmacies and internal teams.

The role emphasizes meeting NCQA requirements, maintaining productivity and quality, and participating in ongoing training. Full-time, with a 40-hour weekly schedule, may include weekends and variable shifts.

Qualifications

• National Pharmacy Technician certification and applicable state Pharmacy Technician 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 received by phone, fax, or electronically.
• Complete approvals and denials with timely, accurate documentation.
• Review denial language to meet NCQA requirements.
• Answer high volume of PA inquiry calls and communicate status or decisions.
• Maintain balance of productivity, quality and timeliness.

Skills

Multitasking

Organization

Communication skills

Microsoft Office proficiency

Education

High School diploma

Tools

AS400

Microsoft Excel

Microsoft Word

Microsoft Outlook

Job description

CVS Health in Arizona seeks a Pharmacy Technician to process prior authorization requests and support clinical reviews. You will handle approvals/denials, ensure accurate documentation, and communicate PA status to providers, pharmacies and internal teams.

The role emphasizes meeting NCQA requirements, maintaining productivity and quality, and participating in ongoing training. Full-time, with a 40-hour weekly schedule, may include weekends and variable shifts.