Pharmacy Technician - Prior Authorization - Work From Home Arizona

We’re building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

• 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 hour 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).

• 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

• Retail or Hospital experience
• Managed Care or Medicaid experience
• AS400 experience
• Proficiency in using computerized resources and software applications
• Proficiency with Microsoft applications (Excel, Word, and Outlook)
• Knowledge in pharmacy practices, procedures, and ability to read and understand clinical information
• Working knowledge of drug dosage forms, drug strength, generic and brand name equivalent.

• High School diploma, G.E.D.

• 40

• Full time

• $18.50 - $35.29

• Medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

• We anticipate the application window for this opening will close on: 09/19/2026

• Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

• Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people.
• Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.