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Director Prior Authorization Representative Express Scripts Jobs

Prior Authorization Rep

Saint Louis, MO · On-site

$17.75 - $25.56/hr

Prefer experience: EPIC, Insurance background, and Prior Authorization experience Overview ... The role represent BJC with the highest standard of customer service, compassion and perform all ...

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Director Prior Authorization Representative Express Scripts information

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How much do director prior authorization representative express scripts jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for director prior authorization representative express scripts in the United States is $21.21, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $23.08 per hour, depending on experience, location, and employer.
What cities are hiring for Director Prior Authorization Representative Express Scripts jobs? Cities with the most Director Prior Authorization Representative Express Scripts job openings:
What are the most commonly searched types of Prior Authorization Representative Express Scripts jobs? The most popular types of Prior Authorization Representative Express Scripts jobs are:
What states have the most Director Prior Authorization Representative Express Scripts jobs? States with the most job openings for Director Prior Authorization Representative Express Scripts jobs include:
Infographic showing various Director Prior Authorization Representative Express Scripts job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $44,113 per year, or $21.2 per hour.

Patient Care Specialist - Data Entry and Prior Authorization

Carepoint Healthcare LLC

Schaumburg, IL • On-site

$20 - $23/hr

Full-time

Posted 20 days ago


Job description

Qualifications:

Active Pharmacy Technician License required

Active Pharmacy Technician Certification required (PTCB, ExCPT or Grandfathered)

  1. Experience with ALL Major insurances (PBM)
  2. Aetna
  3. BCBS (Prime)
  4. United healthcare (optum)
  5. Caremark
  6. ESI (express scripts)

Able to read, understand and translate medical charts into the prior authorization format.

Understand Pharmacy Benefits and Deductibles.

Understands diagnosis codes: icd10 codes and how to better utilize them.

Can properly navigate through Cover My Meds to properly fill out forms with medical chart info or Patient medical history.

Able to read and translate Pharmacy scripts.

Must be employed at least 6 months with the organization.


Responsibilities

Calling patients and providers to obtain clinical information needed to complete prior authorization if none provided on script or original fax.

Effectively and efficiently fill out prior authorization forms without missing details.

Following up with insurance for outcomes of the prior authorizations based on submission date and ability to stay on task based on required. completion date.

Need to be detail oriented.

Replying to sales inquiries and inquiries from team members to provide updates or handling customer service calls based on status or doctors’ office calling to update or provide requirements.

Completing prior authorizations within a 14-day time frame or earlier based on supervisors’ expectations.

Must meet perfect attendance and able to rotate through shifts to allow a team member to always be available during hours of operation.