Pharmacy Technician – Prior Authorization

This is a fully remote position, open to applicants in Florida.

📋 Description

• Respond to inbound calls from healthcare providers, pharmacies, members, and other callers.

• Deliver professional and courteous phone support throughout the criteria-based prior authorization process.

• Ensure comprehensive, timely, and precise documentation of reviews.

• Refer clinical queries, escalations, and judgment calls to the pharmacist team.

• Initiate outbound calls as required.

• Evaluate and process prior authorizations submitted via fax and ePA.

• Monitor and address inquiries received through department mailboxes.

• Liaise with internal teams regarding determination status and outcomes.

• Recognize and escalate clinical inquiries to the pharmacist team.

• Execute other assigned tasks, including handling faxes, sorting, managing email boxes, and maintaining CAS.

⛳️ Requirements

• A minimum of 6 months experience in Customer Service or as a Pharmacy Technician.

• Consistent and reliable attendance.

• Willingness to work mandatory overtime or extended work weeks as required.

• Willingness to travel when necessary.

• Fundamental computer skills.

• Proficiency in Microsoft Office Suite, including Excel and Word; knowledge of Access, Outlook, PowerPoint, and Visio is preferable.

• Essential keyboard skills.

• Capacity to multitask and utilize multiple system applications concurrently.

• Basic understanding of pharmaceutical terminology, calculations, and protocols.

• Ability to independently leverage available resources and deliver high-quality work.

• Capacity to assimilate presented information, exhibit motivation, pursue development, and resolve problems.

• Flexibility to adapt to changing workflows and shifting priorities.

• Exceptional written, verbal, grammar, and listening communication skills.

• Ability to interact with a diverse customer base in a friendly and confident manner.

• Capability to maintain the confidentiality of PHI (Protected Healthcare Information).

• Compliance with departmental, company, state, and federal regulations.

• Proficiency in managing work volume by handling inbound calls and fax requests using established protocols.

🏝️ Benefits

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources supporting physical, emotional, and financial well-being.

• Eligibility for CVS Health bonus, commission, or short-term incentive programs.