Join the CVS Health Team as a Pharmacy Technician - Prior Authorization and Take Your Career to the Next Level
CVS Health is seeking a highly skilled and detail-oriented Pharmacy Technician - Prior Authorization to join our team in Oklahoma! As a Pharmacy Technician - Prior Authorization, you will play a critical role in supporting comprehensive coordination of Medicaid and/or Medicare pharmacy services, including intake and processing of pharmacy authorization requests. This is a unique opportunity to work in a hybrid role, balancing your time between our remote office and home, and take advantage of a competitive salary and comprehensive benefits package.
About CVS Health
At CVS Health, we believe in bringing our heart to every moment of your health. Our purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient, and affordable.
Our Culture and Values
Our Heart At Work Behaviors support our purpose and guide our actions. We strive to create a culture that is inclusive, collaborative, and focused on delivering exceptional results. Our values include:
- Putting the customer at the center of everything we do
- Embracing diversity, equity, and inclusion
- Fostering a culture of innovation and continuous learning
- Building strong relationships with our colleagues, customers, and partners
Job Summary
As a Pharmacy Technician - Prior Authorization, you will be responsible for:
- Supporting comprehensive coordination of Medicaid and/or Medicare pharmacy services, including intake and processing of pharmacy authorization requests
- Evaluating, authorizing approval, and communicating decisions for pharmacy requests according to clinical guidelines
- Determining appropriateness for medications and communicating decisions to physicians, physician's office staff, medical management staff, members, and/or pharmacists
- Performing non-medical research, including eligibility verification, COB, and benefits verification
- Maintaining accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements
- Processing requests in compliance with various laws and CMS regulations and company policies and procedures
- Escalating requests to Pharmacist when request requires extensive clinical review or denial
Key Responsibilities
Clinical Responsibilities
- Evaluate and authorize approval of pharmacy requests received by telephone, facsimile, and/or other means using client clinical criteria
- Determine appropriateness for medications and communicate decisions to physicians, physician's office staff, medical management staff, members, and/or pharmacists
- Perform clinical research to support requests
Administrative Responsibilities
- Perform non-medical research, including eligibility verification, COB, and benefits verification
- Maintain accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements
- Process requests in compliance with various laws and CMS regulations and company policies and procedures
Requirements
Essential Qualifications
- National Pharmacy Technician certification (PTCB or ExCPT) current and in good standing
- Proficiency in computerized pharmacy systems and software applications
- Excellent verbal and written communication skills
- Experience with Windows-based software applications
- Utilizes various proprietary systems to build, research, process, and enter requests
- Protects the confidentiality of member information and adheres to company policies regarding confidentiality
Preferred Qualifications
- Experience in a high-volume call center and production unit
- Experience in retail, hospital, facility, or call center
Education
- High School diploma or G.E.D.
Compensation and Benefits
The typical pay range for this role is:
- $18.50 - $31.72 per hour
In addition to your competitive salary, you will enjoy a comprehensive benefits package, including:
- Medical, dental, and vision benefits
- 401(k) retirement savings plan and Employee Stock Purchase Plan
- Fully-paid term life insurance plan
- Short-term and long-term disability benefits
- Paid Time Off (PTO) and paid holidays
- Education assistance and free development courses
- CVS store discount and discount programs with participating partners
Why Join CVS Health?
At CVS Health, we offer:
- A competitive salary and comprehensive benefits package
- A hybrid work arrangement, allowing you to balance your time between our remote office and home
- Opportunities for career growth and professional development
- A culture that values diversity, equity, and inclusion
- A commitment to delivering exceptional results and making a positive impact on our customers and communities
How to Apply
If you are a motivated and detail-oriented Pharmacy Technician looking for a new challenge, we encourage you to apply for this exciting opportunity. Please submit your application by August 12, 2024.
Conclusion
CVS Health is a leading health care company that is committed to delivering exceptional results and making a positive impact on our customers and communities. We are seeking a highly skilled and detail-oriented Pharmacy Technician - Prior Authorization to join our team in Oklahoma. If you are a motivated and detail-oriented individual looking for a new challenge, we encourage you to apply for this exciting opportunity.
Apply Now