CVS Health is seeking a dedicated and detail-oriented Pharmacy Technician to join our Prior Authorization team in a fully remote capacity. In this role, you will be responsible for handling and processing prior authorization requests for medications, ensuring that our customers receive timely and accurate service. You will work closely with healthcare providers, insurance companies, and patients to facilitate the approval process for prescribed medications. This is an excellent opportunity for a motivated individual with a strong background in pharmacy operations to contribute to a leading healthcare company from the comfort of their home.

Key Responsibilities

• Process Prior Authorizations: Review and process prior authorization requests for medications, ensuring compliance with insurance guidelines and company policies.
• Customer Service: Provide exceptional customer service to patients, healthcare providers, and insurance representatives by answering inquiries and resolving issues related to prior authorizations.
• Documentation: Accurately document all interactions, decisions, and actions in the appropriate systems, maintaining confidentiality and security of patient information.
• Collaboration: Work closely with pharmacists, healthcare providers, and insurance companies to obtain the necessary information and approvals for medication coverage.
• Compliance: Adhere to all state and federal regulations, as well as company policies and procedures, to ensure the highest standards of patient care and safety.
• Continuous Improvement: Participate in ongoing training and professional development to stay current with industry trends, regulations, and company practices.

Required Skills and Qualifications

• Education: High school diploma or equivalent; completion of a Pharmacy Technician certification program preferred.
• Certification: Active and unrestricted Pharmacy Technician license in your state of residence.
• Experience: Minimum of 1-2 years of experience in a pharmacy setting, with prior experience in processing prior authorizations highly desirable.
• Technical Skills: Proficiency in pharmacy management software, electronic health records (EHR) systems, and Microsoft Office Suite.
• Communication: Excellent verbal and written communication skills, with the ability to effectively interact with healthcare professionals, insurance representatives, and patients.
• Detail-Oriented: Strong attention to detail, with the ability to accurately process and document information in a fast-paced environment.
• Problem-Solving: Ability to identify issues and implement solutions efficiently and effectively.
• Time Management: Strong organizational skills, with the ability to manage multiple tasks and prioritize work to meet deadlines.

Experience

• Minimum of 1-2 years of experience in a pharmacy or healthcare setting.
• Prior experience in processing prior authorizations is highly preferred.
• Experience working in a remote environment is a plus.

Working Hours

• Full-time or part-time positions available.
• Flexible scheduling with shifts typically ranging from 8:00 AM to 8:00 PM EST.
• Occasional weekend or evening shifts may be required based on business needs.

Knowledge, Skills, and Abilities

• In-depth knowledge of pharmacy operations and prior authorization processes.
• Understanding of healthcare insurance policies and coverage.
• Ability to work independently and as part of a team in a remote environment.
• Strong analytical skills with the ability to interpret and apply healthcare regulations.
• Commitment to maintaining patient confidentiality and adhering to HIPAA guidelines.

Benefits

• Competitive salary with opportunities for performance-based bonuses.
• Comprehensive benefits package including health, dental, and vision insurance.
• Paid time off, including holidays, vacation, and sick leave.
• 401(k) plan with company match.
• Opportunities for career growth and professional development.
• Access to CVS Health Employee Assistance Program (EAP) and wellness resources.

Why Join CVS Health?

At CVS Health, we are committed to helping people on their path to better health. As a Pharmacy Technician in our Prior Authorization team, you will play a crucial role in ensuring patients receive the medications they need while working in a supportive and inclusive environment. We value our employees and offer a range of benefits and opportunities for growth, making this an ideal position for those looking to advance their careers in healthcare.

How to Apply

Interested candidates are encouraged to apply through the CVS Health careers portal by submitting their resume and a cover letter outlining their relevant experience and qualifications. Please ensure that your application is complete and up to date.