Pharmacy Technician - Prior Authorizations - Work From Home

CVS Health • Work At Home-Arizona, AZ

2d • $19 - $35 • Remote

About The Position

CVS Health is hiring a Pharmacy Technician to process pharmacy prior authorization requests remotely. The role involves researching requests using computer resources, established criteria, and medication guidelines; completing approvals and denials that are due to expire; ensuring denial language meets NCQA requirements; and keeping complete, timely, and accurate documentation. The technician follows prior authorization workflows, policies, and procedures and responds to potentially high volumes of inquiries from provider offices, pharmacies, and internal partners.

Technicians are expected to balance productivity, quality, and timeliness; participate in required training, continuing education, and team meetings; and maintain excellent attendance. The position requires proficiency with drug and diagnosis pronunciation, medical terminology, written and verbal communication, and navigation of multiple computer systems.

This is a work-from-home position. Candidates must have home internet access with a minimum download speed of 100 Mbps and a secure home workspace. Pharmacy technicians work scheduled eight-hour shifts within operating hours of 5:00 a.m. to 8:30 p.m., which may vary by time zone. Overnight shifts may be available but are not guaranteed. Schedules and hours may change based on company needs. Full-time employees are scheduled for 40 hours per week, including weekends and holidays; a rotating weekend schedule may be required, and extended hours may be necessary.

The role pays $18.50–$35.29 per hour. The position may also be eligible for a CVS Health bonus, commission, or short-term incentive program. The full-time benefits package includes medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, subject to eligibility.

Requirements

• Current national Pharmacy Technician certification and applicable state Pharmacy Technician license, in good standing, maintained throughout employment.
• Between 1 and 5+ years of Pharmacy Prior Authorization processing experience.
• Ability to multitask and prioritize work.
• Ability to adjust to business or department needs.
• Good organizational skills.
• High-level PC skills, including using a mouse and keyboard and accessing and navigating multiple systems and screens.
• Home internet access with a minimum download speed of 100 Mbps.
• A secure workspace or office in the home.
• Ability to work scheduled 40-hour weeks, including weekends and holidays, and extended hours when necessary.

Nice To Haves

• Retail or hospital experience.
• Managed care or Medicaid experience.
• AS400 experience.
• Proficiency with computerized resources and software applications.
• Proficiency with Microsoft Excel, Word, and Outlook.
• Knowledge of pharmacy practices and procedures and ability to read and understand clinical information.
• Working knowledge of drug dosage forms, drug strength, and generic and brand-name equivalents.

Responsibilities

• Process prior authorization requests received by phone, fax, or electronically, using computer resources, existing criteria, and medication guidelines to conduct research supporting reviews.
• Complete prior authorization approvals and denials that are due to expire.
• Maintain complete, timely, and accurate documentation.
• Review potential prior authorization denial language to ensure NCQA requirements are met.
• Follow prior authorization workflows, policies, and procedures.
• Answer potentially high volumes of inquiries from provider offices, pharmacies, and internal partners, and communicate authorization status or decisions using computer resources.
• Balance productivity, quality, and timeliness of work.
• Participate in required training, continuing education, and team or departmental meetings.
• Maintain excellent attendance.

Benefits

• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources, based on eligibility
• Potential eligibility for a CVS Health bonus, commission, or short-term incentive program

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED