Pharmacy Technician - Prior Authorization - Work From Home

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<p style="text-align:left">At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.</p><p style="text-align:inherit"></p><p style="text-align:left">As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.</p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p>Position Summary</p><p><span>- 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.<br>- Proactively completes prior authorization approvals and denials that are due to expire and maintains complete, timely, and accurate documentation.<br>- Reviews potential prior authorization denial language to ensure NCQA requirements are met.<br>- Follows prior authorization workflow, policies,  and procedures during the course of the workday.<br>- 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.<br>- Maintains a balance of productivity, quality and timeliness of work.<br>- Participates in training and continuing education as required.<br>- Participates in team/departmental meetings as required.<br>- Excellent attendance is a must.<br>- 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.<br>- Successful pharmacy technicians will possess good written and verbal communication skills.</span></p><p><span>- 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.<br>- Rotating weekend schedule may be required.</span><br><br>- <span> Candidate must have their own home internet access with minimum speed of 100mbps download (internet can be hard wired with Ethernet cord).<br>- Candidate must also have a secure workspace/office in their home.<br>- Candidate must have high level skill with working with PC (ex. using mouse and keyboard, accessing and   navigating through multiple systems and screens).</span><br><br>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.<span>  </span>Position requires the ability to work extended hours when necessary.<br><br>Physical Demands: Frequent speaking and listening using a headset, sitting for long periods of time working at a computer, use of hands and fingers across keyboard or mouse, using computer monitors for up to 3 hours without a break.<br><br>The physical demands and work environment characteristics described herein are representative of those that must be met by an employee to successfully perform the essential functions of this job.<span>  </span>Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</p><p></p><p><br><b>Required Qualifications</b></p><p>- National Pharmacy Technician certification and applicable state Pharmacy Technician license, current and in good standing, are required and must be maintained.<br>- Between 1-5+ years of Pharmacy Prior Authorization processing experience.<br>- Ability to Multi-task and prioritize work.<br>- Ability to adjust based on business or department needs.<br>- Good organization skills</p><p><br><b>Preferred Qualifications</b></p><p>- Retail or Hospital experience<br>- Managed Care or Medicaid experience<br>- AS400 experience<br>- Proficiency in using computerized resources and software applications<br>- Proficiency with Microsoft applications (Excel, Word, and Outlook)<br>- Knowledge in pharmacy practices, procedures, and ability to read and understand clinical information<br>- Working knowledge of drug dosage forms, drug strength, generic and brand name equivalent.</p><p><br><b>Education</b></p><p>- High School diploma, G.E.D.</p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:left"><b><span>Anticipated Weekly Hours</span></b></p>40<p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:left"><b>Time Type</b></p>Full time<p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:left"><b>Pay Range</b></p><p style="text-align:left">The typical pay range for this role is:</p><p style="text-align:inherit"></p>$18.50 - $35.29<p style="text-align:inherit"></p><p style="text-align:left">This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. <br> </p><p style="text-align:left">Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.</p><p style="text-align:inherit"></p><p style="text-align:left"><b>Great benefits for great people</b></p><p style="text-align:inherit"></p><p style="text-align:left">We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:</p><ul><li><p style="text-align:left"><b>Affordable medical plan options,</b> a <b>401(k) plan </b>(including matching company contributions), and an <b>employee stock purchase plan</b>.</p></li><li><p style="text-align:left"><b>No-cost programs for all colleagues </b>including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</p></li><li><p style="text-align:left"><b>Benefit solutions that address the different needs and preferences of our colleagues</b> including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</p></li></ul><p style="text-align:inherit"></p><p style="text-align:left">For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank" rel="noopener noreferrer"><span class="WJQ0"><span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">https://jobs.cvshealth.com/us/en/benefits</span></span></a></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p>We anticipate the application window for this opening will close on: 10/24/2025<p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:left">Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</p>

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

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When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

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Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

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Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

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This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

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