Prior Authorization Pharmacy Tech — Growth & Impact

CVS Health; United States; Remote; USD 25,000 - 49,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is hiring a Pharmacy Technician to support prior authorization processes. You will handle PA requests via phone, fax, or electronic submission, ensuring accurate documentation and adherence to clinical guidelines.

The role requires certification and state licensure, with multi-year PA experience and strong communication skills. Responsibilities include approvals/denials, meeting NCQA requirements, and coordinating with providers.

Qualifications

• Must hold National Pharmacy Technician certification and an active Arizona or applicable state license.
• 1–5+ years of Pharmacy Prior Authorization processing experience.
• Strong multitasking and prioritization skills.
• Excellent organization and ability to adapt to business needs.

Responsibilities

• Process prior authorization requests received by phone, fax, or electronically using guidelines to support reviews.
• Complete approvals and denials with timely, accurate documentation.
• Review denial language to meet NCQA requirements.
• Answer high volumes of inquiries from providers and internal partners; communicate PA status clearly.
• Maintain productivity, quality, and timeliness; participate in training and meetings.

Skills

Multitasking

Prioritization

Organization

Written and verbal communication

Education

National Pharmacy Technician certification

State Pharmacy Technician license

Tools

AS400

Microsoft Excel/Word/Outlook

Job description

CVS Health is hiring a Pharmacy Technician to support prior authorization processes. You will handle PA requests via phone, fax, or electronic submission, ensuring accurate documentation and adherence to clinical guidelines.

The role requires certification and state licensure, with multi-year PA experience and strong communication skills. Responsibilities include approvals/denials, meeting NCQA requirements, and coordinating with providers.