Full-Time

Senior Pharmacy Technician

Call Center

Confirmed live in the last 24 hours

CVS Health

CVS Health

10,001+ employees

Comprehensive pharmacy and healthcare services

Healthcare
Consumer Goods

Compensation Overview

$18.5 - $31.72Hourly

+ Bonus + Commission + Short-term Incentive Program

Junior, Mid, Senior

Company Historically Provides H1B Sponsorship

Remote in USA

Applicants must reside in the state of Oklahoma.

Category
Customer Success & Support
Medical, Clinical & Veterinary
Requirements
  • National Pharmacy Technician certification(PTCB, NHA/ExCPT) current and in good standing is required and must be maintained.
  • Between 1-5+ years of Pharmacy Prior Authorization processing experience (retail or hospital experience may be considered in lieu of prior authorization experience)
  • Ability to multi-task and prioritize work
  • Ability to adjust based on business or department needs
  • Good organization skills
Responsibilities
  • Processes prior authorization requests received by phone, fax, or electronically and utilizes various computer resources, existing criteria, and medication guidelines to perform clinical research to support prior authorization reviews
  • Proactively completes prior authorization approvals and denials that are due to expire and maintains complete, timely, and accurate documentation
  • Reviews potential prior authorization denial language to ensure NCQA requirements are met
  • Follows prior authorization workflow, policies, and procedures during the course of the workday
  • Answers a potentially high volume of prior authorization inquiry calls from provider's offices, pharmacies, and internal partners and uses various computer resources to communicate prior authorization status or decisions
  • Maintains a balance of productivity, quality and timeliness of work
  • Participates in training and continuing education as required
  • Participates in team/departmental meetings as required
  • Excellent attendance is a must
Desired Qualifications
  • Retail or Hospital experience
  • Managed Care or Medicaid experience
  • AS400 experience
  • Proficiency in using computerized resources and software applications
  • Proficiency with Microsoft applications (Excel, Word, and Outlook)
  • Knowledge in pharmacy practices, procedures, and ability to read and understand clinical information
  • Working knowledge of drug dosage forms, drug strength, generic and brand name equivalent

CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access comprehensive health management solutions. The company's goal is to enhance access to quality care and support people in achieving better health.

Company Stage

Debt Financing

Total Funding

N/A

Headquarters

Woonsocket, Rhode Island

Founded

1963

Simplify Jobs

Simplify's Take

What believers are saying

  • Expansion of telehealth services allows CVS to reach more patients remotely.
  • Increased consumer interest in wellness boosts demand for CVS's health-related products.
  • The trend towards value-based care aligns with CVS's integrated healthcare approach.

What critics are saying

  • Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.
  • The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.
  • The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.

What makes CVS Health unique

  • CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.
  • The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.
  • CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Retirement Plan

Company Equity

Wellness Program

Professional Development Budget

Paid Vacation

Paid Holidays