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Express Scripts Prior Authorization Jobs (NOW HIRING)

$104K/yr

Understand all aspects of the functionality of Access Express concerning prior authorization and the denials * Complete assigned tasks accurately and within specified time limits * Maintain smooth ...

Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including ... Refer or assist with enrollment any patients who express financial necessity to manufacturer copay ...

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

As of Jun 10, 2026, the average hourly pay for express scripts prior authorization in the United States is $43.85, according to ZipRecruiter salary data. Most workers in this role earn between $40.38 and $51.68 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Express Scripts Prior Authorization position, and why are they important?

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 are the main responsibilities of an Express Scripts Prior Authorization specialist on a daily basis?

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 job?

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.

More about Express Scripts Prior Authorization jobs
What cities are hiring for Express Scripts Prior Authorization jobs? Cities with the most Express Scripts Prior Authorization job openings:
What states have the most Express Scripts Prior Authorization jobs? States with the most job openings for Express Scripts Prior Authorization jobs include:
What job categories do people searching Express Scripts Prior Authorization jobs look for? The top searched job categories for Express Scripts Prior Authorization jobs are:
Infographic showing various Express Scripts Prior Authorization job openings in the United States as of June 2026, with employment types broken down into 75% Full Time, and 25% Part Time. Highlights an 83% In-person, and 17% Remote job distribution, with an average salary of $91,208 per year, or $43.9 per hour.
Sr. Account Executive, Employer and Employer Coalition - Express Scripts - Hybrid

Sr. Account Executive, Employer and Employer Coalition - Express Scripts - Hybrid

Cigna

Bloomfield, CT • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago


Cigna Healthcare rating

8.4

Company rating: 8.4 out of 10

Based on 216 frontline employees who took The Breakroom Quiz

34th of 870 rated healthcare providers


Job description

*This job can be filled to align with any Cigna/Evernorth multifunction office location*

The Sr. Account Executive manages the relationship with existing commercial clients. This position is the owner of the client relationship, development of long term account strategy and lead in meeting client immediate needs. The Sr. Account Executive is responsible for identifying up sell and expansion opportunities, and incorporating into annual strategic plan as well as client retention, achieving corporate strategic goals relative to client base and overall customer satisfaction. The Sr. Account Executive should have strong relationship building skills, a drive to exceed solution sales targets, an ability to deliver results in a fast paced environment, and a passion for serving clients and their members.
Essential Functions

  • Manage and strengthen client relationships and ensure satisfaction levels are met.

  • Responsible for client renewals, up sells and expansions and for meeting client retention targets.

  • Direct activities of internal Account Management team and extended team members as related to client strategic objectives and escalated service issues.

  • Special projects and task forces as assigned.

Qualifications

  • Bachelor's degree in related field or 14+ years of experience or Master's degree with 6+ years relevant experience

  • Experience working with consultants

  • Accountable for development of client-specific strategic plan, and ongoing monitoring of plan with adjustments made as necessary

  • Delivery of recurring business reviews with client (annually, quarterly)

  • Serve as account strategist for assigned accounts both internally and externally

  • Determine opportunities for up sells, expansions and maximizing opportunities for revenue growth

  • Interface directly with assigned clients and groups on a quarterly basis or more frequently as needed

  • Serves as the face of Express Scripts with ongoing communication to the client as necessary to maintain and grow relationship thereby, ensuring client retention

  • Strong PC skills including Microsoft Word, Excel, and PowerPoint; Working knowledge of financials.

  • Strong Project management skills

  • Superior verbal and written communication and presentation skills

  • Ability to negotiate, lead others, organize, analyze and interpret information

  • Ability to travel as needed to meet goals (approximately 25%)

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

This role is also anticipated to be eligible to participate in an incentive compensation plan.

At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.


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