Pharmacy Technician – Prior Authorizations

CVS Health

CVS Health pharmacy technician processing prior authorizations remotely for Aetna Pharmacy Prior Authorization. Reviewing clinical information, documenting decisions, and handling provider and pharmacy inquiries.

Posted 8/5/2026full-timeRemote • Arizona • 🇺🇸 United StatesJunior💰 $19 - $35 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Pharmacy Prior Authorization processing, ensuring compliance with NCQA standards while maintaining accurate documentation and effective communication with providers and pharmacies. Proficient in utilizing computerized resources and software applications to manage high-volume inquiries and documentation efficiently.

Highest-signal resume keywords

National Pharmacy Technician CertificationArizona Pharmacy Technician LicensePharmacy Prior Authorization Processing ExperienceProficiency with Microsoft Excel, Word, and OutlookKnowledge of Pharmacy Practices and Procedures

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Pharmacy Prior Authorization ProcessingClinical ResearchDocumentation ManagementDrug Dosage Forms KnowledgeClinical Information Comprehension

Soft Skills

MultitaskingOrganizational SkillsAdaptability

Tools & Technologies

Computerized ResourcesAS400

Certifications & Qualifications

National Pharmacy Technician CertificationArizona Pharmacy Technician License

Industry Keywords

NCQA ComplianceManaged CareMedicaidRetail Pharmacy ExperienceHospital Pharmacy Experience

About the role

Key responsibilities & impact

Process prior authorization requests received by phone, fax, or electronically
Use computer resources, existing criteria, and medication guidelines to perform clinical research supporting prior authorization reviews
Complete expiring prior authorization approvals and denials
Maintain complete, timely, and accurate documentation
Review potential prior authorization denial language for NCQA compliance
Follow prior authorization workflows, policies, and procedures
Answer high-volume inquiry calls from provider offices, pharmacies, and internal partners
Communicate prior authorization status or decisions using computer resources
Balance productivity, quality, and timeliness
Participate in required training, continuing education, and team or departmental meetings

Requirements

What you’ll need

National Pharmacy Technician certification required and must be maintained
Current, active Arizona or applicable state Pharmacy Technician license in good standing required and must be maintained
1–5+ years of Pharmacy Prior Authorization processing experience
Ability to multitask and prioritize work
Ability to adjust based on business or department needs
Good organizational skills
High-level PC skills, including navigating multiple systems and screens
Own home internet access with minimum 100 Mbps download speed
Secure workspace/office in the home
Ability to work 40 hours per week, including weekends and holidays as scheduled
Ability to work extended hours when necessary
Rotating weekend schedule may be required
Proficiency with computerized resources and software applications
Proficiency with Microsoft Excel, Word, and Outlook
Knowledge of pharmacy practices and procedures
Ability to read and understand clinical information
Working knowledge of drug dosage forms, drug strengths, and generic/brand equivalents
High school diploma or GED
Preferred: retail or hospital experience
Preferred: managed care or Medicaid experience
Preferred: AS400 experience

Benefits

Comp & perks

Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being
CVS Health bonus, commission or short-term incentive program eligibility