Remote Prior Authorization (P.A.) Pharmacy Technician
Company: CVS Health
Location: United States
Employment Type: FULL_TIME, PART_TIME
Date Posted: 2025-11-07
Valid Through: 2026-11-07
Job Summary
CVS Health is seeking a dedicated and detail-oriented Remote Prior Authorization Pharmacy Technician to join our expanding virtual pharmacy team. In this role, you will play a vital part in facilitating the medication approval process by working closely with healthcare providers, patients, and insurance companies. Your primary goal will be to ensure timely and accurate completion of prior authorization requests, supporting patients in accessing the medications they need. This remote position is ideal for experienced pharmacy technicians who thrive in a fast-paced, patient-centered environment and are passionate about delivering exceptional service from the comfort of their own home.
Key Responsibilities
Review, verify, and process prior authorization (P.A.) requests in accordance with company and regulatory guidelines.
Communicate effectively with prescribers, healthcare professionals, and insurance representatives to obtain necessary information for P.A. determinations.
Accurately document all interactions and decisions in the pharmacy management system.
Provide updates to patients and providers regarding the status of prior authorizations.
Identify and resolve coverage issues and coordinate alternative solutions where necessary.
Ensure compliance with HIPAA regulations and CVS Healths policies for confidentiality and patient safety.
Support team members in maintaining workflow efficiency and achieving departmental goals.
Participate in ongoing training sessions and process improvement initiatives.
Required Skills and Qualifications
Active Pharmacy Technician Certification (CPhT) through PTCB or equivalent state licensing.
High school diploma or GED required; associate degree in a related field preferred.
Strong knowledge of pharmacy benefit management (PBM) and insurance authorization processes.
Excellent communication and customer service skills, both written and verbal.
Proficient computer skills and familiarity with pharmacy systems (e.g., ScriptPro, Epic, or similar).
Ability to multitask and manage a high volume of requests in a remote environment.
Strong attention to detail and accuracy in documentation.
Must have a secure home office setup with reliable internet connectivity.
Experience
Minimum 1–3 years of experience working as a Pharmacy Technician in a retail, clinical, or PBM environment.
Prior experience in prior authorization, call center, or insurance claim processing is highly preferred.
Remote work experience is a plus.
Working Hours
Full-time position with flexible scheduling options.
Typical shifts fall between 8:00 AM and 8:00 PM (local time), Monday through Friday.
Occasional weekend or holiday coverage may be required based on business needs.
Overtime opportunities available during peak workflow periods.
Knowledge, Skills, and Abilities
In-depth understanding of pharmacy operations and prescription insurance coverage.
Ability to navigate complex systems and multitask in a high-volume work environment.
Strong problem-solving and decision-making skills under minimal supervision.
Excellent organizational and time management abilities.
Compassionate, patient-focused approach to communication and service delivery.
Self-motivated, dependable, and committed to professional ethics and confidentiality.
Benefits
Competitive hourly pay with performance-based incentives.
Comprehensive health, dental, and vision insurance.
Paid time off, holidays, and wellness programs.
401(k) retirement plan with company match.
Opportunities for professional development and certification reimbursement.
Employee discounts on CVS products and pharmacy services.
Work-from-home flexibility with all necessary tools and support provided.
Why Join CVS Health
At CVS Health, you will be part of a purpose-driven organization that is transforming healthcare delivery nationwide. We value innovation, compassion, and integrity—and we empower our employees to make a meaningful impact every day. As a Remote Prior Authorization Pharmacy Technician, you will help improve patients access to essential medications, ensuring they receive the care they deserve. Join us and be part of a collaborative culture where your expertise, empathy, and dedication are truly valued.
How to Apply
Interested candidates can apply directly through the CVS Health Careers Portal. Submit your updated resume along with your Pharmacy Technician certification details and a brief cover letter highlighting your experience with prior authorization or insurance processing.
