Technician I, Prior Authorizations OPS
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At a glance
Job overview
The Technician I Prior Authorizations handles inbound calls and faxes, provides courteous assistance, processes prior authorizations, documents reviews, and escalates clinical issues while supporting additional duties such as outbound calls and mailbox monitoring.
Skills & qualifications
Skills
Qualifications
Benefits
Full job description
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.
Position Summary
The Technician I Prior Authorizations takes in-bound calls/inbound faxes 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.
Required Qualifications
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Able to apply basic computer skills. Knowledge of Microsoft Office Suite: Excel and Wordrequired; Access, Outlook, PowerPoint, Visio preferable. Keyboard skillsessential.
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Must be able to multitask andutilizemultiplesystemapplications simultaneously.
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Basic pharmaceutical knowledgepertaining toterminology,calculations,and protocols.
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Must be able toutilizeavailable resources independently and providehigh qualitywork.
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Must be able to absorb presented information, display motivation, seek development and problem solve.
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Ability to adapt andchange withworkflow andshiftingpriorities.
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Mustpossessexcellent written, verbal, grammar, and listening communication skills.
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Must be able to deal with a diverse customer base (internal and external) in a friendly and confident manner.
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Ability tomaintainconfidentiality of PHI (Protected Healthcare Information).
Preferred Qualifications
- AssociateDegreeorBachelor’sDegree:
Education
High School Diploma or equivalent GED
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$17.00 - $31.30
This 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.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments (https://learn.bswift.com/cvshealth-mainland) .
We anticipate the application window for this opening will close on: 09/09/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran — committed to diversity in the workplace.
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