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Express Scripts Prior Authorization Jobs in California

Learn Ducky's at Chevron Carwash Service Menu and Unlimited Scripts prior to working your first ... Express Wash locations. CSI offers competitive compensation and benefits programs which include ...

Learn Ducky's at Chevron Carwash Service Menu and Unlimited Scripts prior to working your first ... Express Wash locations. CSI offers competitive compensation and benefits programs which include ...

Epic Willow Analyst

San Mateo, CA ยท Remote

$85 - $95/hr

Configure routing rules for e-prescribing, prior authorizations, specialty pharmacy, and retail ... Develop and execute build validation and integrated testing scripts. * Support user acceptance ...

Epic Willow Analyst

San Mateo, CA ยท Remote

$85 - $95/hr

Configure routing rules for e-prescribing, prior authorizations, specialty pharmacy, and retail ... Develop and execute build validation and integrated testing scripts. * Support user acceptance ...

Referral to prior authorization now takes about 10 minutes instead of days. Teams are seeing 5x productivity gains, 80 to 90 percent of scripts moving touchless, and real revenue lift for the health ...

New

Epic Willow Analyst

San Mateo, CA ยท On-site

$140K - $160K/yr

Configure routing rules for e-prescribing, prior authorizations, specialty pharmacy, and retail ... Develop and execute build validation and integrated testing scripts. * Support user acceptance ...

Epic Willow Analyst

San Mateo, CA ยท Remote

$140K - $160K/yr

Configure routing rules for e-prescribing, prior authorizations, specialty pharmacy, and retail ... Develop and execute build validation and integrated testing scripts. * Support user acceptance ...

Assistant Manager

Culver City, CA ยท On-site

$21.20 - $31.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

About Express Express is a multichannel apparel brand dedicated to a design philosophy rooted in ... Applicants must be currently authorized to work full-time in the United States. PHOENIX does not ...

Assistant Manager

Culver City, CA ยท On-site

$21.20 - $31.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

About Express Express is a multichannel apparel brand dedicated to a design philosophy rooted in ... Prior sales management experience BENEFITS AND COMPENSATION PHOENIX offers a range of benefits to ...

Assistant Manager

Camarillo, CA ยท On-site

$19.20 - $28.40/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

About Express Express is a multichannel apparel brand dedicated to a design philosophy rooted in ... Applicants must be currently authorized to work full-time in the United States. PHOENIX does not ...

Assistant Manager

Gilroy, CA ยท On-site

$21.20 - $31.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

About Express Express is a multichannel apparel brand dedicated to a design philosophy rooted in ... Prior sales management experience BENEFITS AND COMPENSATION PHOENIX offers a range of benefits to ...

Assistant Manager

Camarillo, CA ยท On-site

$19.20 - $28.40/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

About Express Express is a multichannel apparel brand dedicated to a design philosophy rooted in ... Prior sales management experience BENEFITS AND COMPENSATION PHOENIX offers a range of benefits to ...

Assistant Manager

Gilroy, CA ยท On-site

$21.20 - $31.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

About Express Express is a multichannel apparel brand dedicated to a design philosophy rooted in ... Applicants must be currently authorized to work full-time in the United States. PHOENIX does not ...

Showing results 21-40

Express Scripts Prior Authorization information

See California salary details

$11

$43

$53

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

As of Aug 13, 2026, the average hourly pay for express scripts prior authorization in California is $43.28, according to ZipRecruiter salary data. Most workers in this role earn between $39.86 and $51.01 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed for an Express Scripts Prior Authorization specialist?

To thrive as an Express Scripts Prior Authorization specialist, you typically need a background in pharmacy or healthcare, knowledge of prescription drug protocols, and experience with insurance processes. Familiarity with pharmacy benefit management (PBM) software, electronic health records (EHRs), and prior authorization platforms is important, as are any relevant pharmacy technician certifications. Strong attention to detail, excellent customer service abilities, and effective communication set top performers apart in this position. These skills ensure accurate and timely authorization processing, minimize errors, and support both patient care and pharmacy operations.

What does an Express Scripts Prior Authorization specialist do?

An Express Scripts Prior Authorization specialist is responsible for reviewing prescription requests, evaluating clinical information, and coordinating with prescribers, patients, and insurance providers to determine coverage eligibility. This role involves managing a high volume of cases, using proprietary systems to document and process authorizations, and frequently communicating via phone and electronic correspondence. Specialists must balance accuracy and efficiency while navigating complex healthcare regulations and helping resolve any issues that arise for patients facing prescription coverage barriers. The position often requires collaboration with pharmacists, physicians, and customer service teams to ensure seamless patient care.

What is an Express Scripts Prior Authorization?

An Express Scripts Prior Authorization job involves reviewing medication requests to ensure they meet insurance plan requirements before approval. Employees in this role assess prescriptions, follow clinical guidelines, and collaborate with healthcare providers to determine coverage eligibility. The job requires attention to detail, knowledge of pharmacy benefits, and strong communication skills. It helps ensure patients receive the most appropriate and cost-effective medications.

What are popular job titles related to Express Scripts Prior Authorization jobs in California? For Express Scripts Prior Authorization jobs in California, the most frequently searched job titles are:
What job categories do people searching Express Scripts Prior Authorization jobs in California look for? The top searched job categories for Express Scripts Prior Authorization jobs in California are:
What cities in California are hiring for Express Scripts Prior Authorization jobs? Cities in California with the most Express Scripts Prior Authorization job openings:
Infographic showing various Express Scripts Prior Authorization job openings in California as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, 2% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $90,014 per year, or $43.3 per hour.

Insurance Eligibility

Alliance Health Services, Inc.

Montrose, CA โ€ข On-site

$21 - $25/hr

Full-time

Medical, Dental, Vision, Retirement

Re-posted 9 days ago


Job description

Job Type: Full-time

Pay: From $21.00 - 25.00 per hour

Work Location: In person

Job Description

Alliance Health Services is dedicated to providing innovative, quality, and cost-effective home health services to patients in their homes involving families that require skilled nursing, rehabilitative, and support services.

Responsibilities

The position will entail the timely submission of authorization requests to assigned payers. Submission of requests will be completed using paper forms, printed documentation, fax, payer portals, or other means. Complete follow-up on requests to ensure timely turnaround and approval. Understand payer requirements to ensure approval is granted. Escalate problem accounts and ensure resolution. Regular contact with patients, insurance plans, physician offices, respiratory therapists, and other personnel is necessary.

Duties

  • Obtain authorization for patient care (initial authorization, reauthorization, follow-up on prior authorization, etc.)
  • Verify insurance eligibility; contact patients and departments with any negative outcomes
  • Assist billing with claims issues due to insurance authorization denials
  • Work closely with the clinical teams and referral sources regarding current and future authorization needs
  • Maintain progress/tracking reports on outstanding authorization to ensure timely request, receipt, and processing of authorization
  • Collect, review, discuss, and document demographic, insurance, and financial information with patients and payers
  • Follow approved guidelines and policies regarding routine patient and payer interactions
  • Negotiate payment reimbursement from a patient and third-party payers
  • Other duties as assigned

Benefits:

  • 401(k)
  • Health insurance
  • Dental
  • Vision
  • Holiday

Requirements:

  • Minimum of 1 year of experience in an insurance benefits coordinator role; preferably in a home health setting.
  • Communicate clearly and concisely, both orally and in writing, including the ability to follow a written script, submit comprehensive summary reports and other written materials.
  • Organize and maintain extensive records, research and compile information, and have the ability to multi-task in a fast-paced environment.
  • Strong technical aptitude to not only operate standard office equipment but also relevant software such as Microsoft Word, Excel, Outlook, EMR & Practice Management Systems and other applications.
  • Plan, organize, prioritize, and perform duties in accordance with department policy and procedure as assigned with minimal supervision.
  • Establish and maintain effective working relationships with our patients and all levels of staff
  • Minimum of 1 year of experience using EMR softwares
  • Medical billing: 1 year (Required)

Education:

High school or equivalent (Required)