Texas, United States · Remote Solely
$17/hr–$28/hr
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…
Skills: Prior authorization, Customer service, Pharmacy terminology, Data entry, Microsoft Office
Webster, New York, United States · On-site
$18/hr–$28/hr
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…
Skills: Pharmacy operations, Prescription fulfillment, Customer service, Immunization administration, Inventory management
Illinois, United States · Remote OK
$79k–$159k/yr
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…
Skills: Java, Spring Boot, REST APIs, Microservices, Angular
Philipsburg, Pennsylvania, United States · On-site
$15/hr–$18/hr
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…
Skills: Customer service, Cashiering, Inventory management, Communication, Attention to detail
Fountain Hills, Arizona, United States · On-site
$17/hr–$26/hr
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…
Skills: Supervision, Customer service, Deductive reasoning, Analytical skills, Computer skills
Charlotte, North Carolina, United States · On-site
$16/hr–$24/hr
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…
Skills: Leadership, Customer service, Deductive reasoning, Analytical skills, Computer skills
Scottsdale, Arizona, United States · Hybrid
$240k–$300k/yr
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…
Skills: Strategic leadership, Clinical operations, Operational excellence, Change management, Financial stewardship
Cherry Hill, New Jersey, United States · On-site
$15/hr–$22/hr
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…
Skills: Customer service, Cashiering, Inventory management, Restocking, Communication
Hartford, Connecticut, United States · Hybrid
$100k–$232k/yr
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…
Skills: Strategic planning, Management consulting, Financial analysis, Project management, Stakeholder management
Plainville, Massachusetts, United States · On-site
$16/hr–$25/hr
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…
Skills: Pharmacy operations, Prescription fulfillment, Customer service, Active listening, Mathematical reasoning
Laurel, Maryland, United States · On-site
$17/hr–$26/hr
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…
Skills: Leadership, Customer service, Deductive reasoning, Analytical skills, Computer skills
San Diego, California, United States · On-site
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…
Skills: Pharmacy operations, Prescription fulfillment, Customer service, Immunization support, Inventory management
Villa Rica, Georgia, United States · On-site
$19/hr–$29/hr
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…
Skills: Store management, Leadership, Customer service, Inventory management, Staffing
East Harwich, Massachusetts, United States · On-site
$17/hr–$27/hr
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…
Skills: Pharmacy operations, Prescription fulfillment, Customer service, Active listening, Mathematical reasoning
San Diego, California, United States · On-site
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…
Skills: Pharmacy operations, Customer service, Mathematical reasoning, Problem resolution, Communication skills
Saint Peters, Missouri, United States · On-site
$60/hr–$76/hr
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…
Skills: Pharmacist licensure, Immunization, Pharmacy workflow management, Patient counseling, Inventory management
Key Largo, Florida, United States · On-site
$17/hr–$27/hr
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…
Skills: Pharmacy operations, Prescription fulfillment, Customer service, Active listening, Mathematical reasoning
Orlando, Florida, United States · On-site
$18/hr–$28/hr
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…
Skills: Store management, Leadership, Inventory management, Customer service, Staffing
Haverhill, Massachusetts, United States · On-site
$17/hr–$27/hr
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…
Skills: Pharmacy operations, Customer service, Mathematical reasoning, Problem resolution, Attention to detail
Houston, Texas, United States · On-site
$16/hr–$24/hr
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…
Skills: Leadership, Customer service, Store management, Merchandising, Inventory management
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The technician manages inbound calls, faxes, and electronic prior authorization requests while maintaining accurate documentation. They also identify and escalate clinical inquiries to the pharmacist team and ensure compliance with all departmental and regulatory standards.
Candidates must have at least 6 months of customer service or pharmacy technician experience and a high school diploma or GED. Proficiency in Microsoft Office and the ability to multitask in a remote, secure environment are required.
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.
The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team.
The Tech I will also assist with other duties as needed to include but not limited to: outbound calls, reviewing and processing Prior Auth’s received via fax and ePA, monitoring and responding to inquiries via department mailboxes and other duties as assigned by the leadership team.
Effectively manage work volume by handling inbound calls/fax/ePA requests utilizing appropriate courteous and professional behavior based upon established standards. 40%
Comply with departmental, company, state, and federal requirements when processing all information to ensure accuracy of information being provided to internal and external customers. 40%
Communication with other internal groups regarding determination status and results (seniors, pharmacists, appeals, etc). 10%
Identify and elevate clinical inquiries to the pharmacist team as appropriate. 5%
Other duties assigned, for example faxes, sorting, email boxes, CAS maintenance, etc. 5%
- Able to apply basic computer skills. Knowledge of Microsoft Office Suite: Excel and Word required; Access, Outlook, PowerPoint, Visio preferable. Keyboard skills essential.
- Must be able to multitask and utilize multiple system applications simultaneously.
- Basic pharmaceutical knowledge pertaining to terminology, calculations, and protocols.
- Must be able to utilize available resources independently and provide high quality work.
- Must be able to absorb presented information, display motivation, seek development and problem solve.
- Ability to adapt and change with workflow and shifting priorities.
- Must possess excellent written, verbal, grammar, and listening communication skills.
- Must be able to deal with a diverse customer base (internal and external) in a friendly and confident manner.
- Ability to maintain confidentiality of PHI (Protected Healthcare Information).
High School Diploma or equivalent GED
1. Long periods of sitting (up to 100%)
2. Talking on the phone for extended periods of time (90-100%)
3. Reading a computer screen for extended periods of time (100%)
WORK ENVIRONMENT (Home Office):
Employee has a workspace that ensures compliance with CVS Health privacy and security policies and procedures. Information on computer screen must not be accessible or viewable by others. Telephone conversations involving confidential information must not be audible to others present in the home. Any CVS equipment or documents may not be accessible by others inside or outside of business hours. When a computer is not in use, it should remain locked or off, so confidential information is secure.
Anticipated Weekly Hours
40The typical pay range for this role is:
$17.00 - $28.46This 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.
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.
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Simplifying health care one person, one family and one community at a time
CVS Health is the leading health solutions company, delivering care like no one else can. We reach more people and improve the health of communities across America through our local presence, digital channels and over 300,000 dedicated colleagues. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by simplifying health care one person, one family and one community at a time. Follow @CVSHealth on social media.
Offices: 1 CVS Drive, Woonsocket, RI 02895, US · 9501 E. Shea Blvd, Scottsdale, AZ 85260, US · 2211 Sanders Road, Northbrook, IL 60062, US · 750 West John Carpenter Freeway, Ste 1200, Irving, TX 75039, US · 620 Epsilon Dr, Pittsburgh, PA 15238, US
Simplifying health care one person, one family and one community at a time
CVS Health is the leading health solutions company, delivering care like no one else can. We reach more people and improve the health of communities across America through our local presence, digital channels and over 300,000 dedicated colleagues. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by simplifying health care one person, one family and one community at a time. Follow @CVSHealth on social media.
Offices: 1 CVS Drive, Woonsocket, RI 02895, US · 9501 E. Shea Blvd, Scottsdale, AZ 85260, US · 2211 Sanders Road, Northbrook, IL 60062, US · 750 West John Carpenter Freeway, Ste 1200, Irving, TX 75039, US · 620 Epsilon Dr, Pittsburgh, PA 15238, US
