Remote Pharmacy Prior Authorization Technician

CVS Health; Phoenix (AZ); 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 seeking a Pharmacy Technician for Prior Authorization to support NCQA guidelines and manage high-volume calls from provider offices, pharmacies and internal partners. This is a full-time role with 40 hours weekly, requiring national certification and Arizona licensure.

The typical pay range is $18.50–$35.29 per hour. Benefits include medical, dental and vision coverage, paid time off, retirement savings options and wellness programs.

Qualifications

• National Pharmacy Technician certification and Arizona State Pharmacy Technician license, current and in good standing, are required and must be maintained
• Between 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

• Processes prior authorization requests received by phone, fax, or electronically and utilizes various computer resources, existing criteria, and medication guidelines to perform clinical research to support prior authorization reviews
• Proactively completes prior authorization approvals and denials that are due to expire and maintains complete, timely, and accurate documentation
• Reviews potential prior authorization denial language to ensure NCQA requirements are met
• Follows prior authorization workflow, policies, and procedures during the course of the workday
• Answers a potentially high volume of prior authorization inquiry calls from provider's offices, pharmacies, and internal partners and uses various computer resources to communicate prior authorization status or decisions
• Maintains a balance of productivity, quality and timeliness of work
• Participates in training and continuing education as required
• Participates in team/departmental meetings as required
• Excellent attendance is a must
• Successful pharmacy technicians will be proficient in drug name and diagnosis pronunciation, recognizing medical terminology, and navigating multiple computer resources to document conversations and prior authorization decisions
• Successful pharmacy technicians will possess good written and verbal communication skills
• Hours of operation for Aetna Pharmacy Prior Authorization are between 5:00am to 7:00pm (may vary by time zone). Pharmacy Technicians work 8 hours shifts that may fall in between these hours of operations. Overnight shifts may also be available, but not guaranteed. Work schedule is approximate, and hours/days may change based on company needs. All full-time employees are required to complete forty (40) hours per week as scheduled, including on weekends and holidays. Part time positions are not available. Position requires the ability to work extended hours when necessary.
• Rotating weekend schedule may be required
• Candidate must have their own home internet access with minimum speed of 100mbps download (internet can be hard wired with Ethernet cord)
• Candidate must also have a secure workspace/office in their home
• Candidate must have high level skill with working with PC (ex. using mouse and keyboard, accessing and navigating through multiple systems and screens)

Skills

Multitask

Organization skills

Communication skills

PC navigation

Education

High School diploma or GED

Arizona Pharmacy Technician license

National Pharmacy Technician certification

Tools

AS400

Microsoft Excel

Microsoft Word

Microsoft Outlook

Job description

CVS Health is seeking a Pharmacy Technician for Prior Authorization to support NCQA guidelines and manage high-volume calls from provider offices, pharmacies and internal partners. This is a full-time role with 40 hours weekly, requiring national certification and Arizona licensure.

The typical pay range is $18.50–$35.29 per hour. Benefits include medical, dental and vision coverage, paid time off, retirement savings options and wellness programs.