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Express Scripts Prior Authorization Jobs (NOW HIRING)

Cigna

$15.50 - $21/hr

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 ...

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

As of Jul 28, 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 skills are needed for Express Scripts careers?

Candidates for Express Scripts positions typically need strong communication, problem-solving, and customer service skills. Knowledge of healthcare or pharmacy operations, attention to detail, and proficiency with computer systems or pharmacy management software are also important. Certifications such as pharmacy technician licensure may be required for certain roles.

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 the lawsuit against Express Scripts?

There have been lawsuits filed against Express Scripts related to allegations of antitrust violations and unfair business practices. These legal actions typically involve claims from competitors or healthcare providers and are handled through the judicial system. Job seekers should stay informed about ongoing legal issues that could impact company operations or reputation.

Does Express Scripts do prior authorization?

Express Scripts, as a pharmacy benefit manager, often requires prior authorization for certain medications to ensure appropriate use and coverage. The process involves healthcare providers submitting documentation for approval before dispensing specific drugs. Job roles related to prior authorization typically involve reviewing medical information and coordinating with healthcare providers to process these requests.

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.

What are the typical Express Scripts salaries?

Salaries for roles at Express Scripts vary depending on the position, experience, and location. Entry-level positions such as pharmacy technicians typically earn around $15 to $20 per hour, while more experienced roles like pharmacy managers or data analysts can earn between $60,000 and $100,000 annually. Benefits often include health insurance, retirement plans, and opportunities for professional development.
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:
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Express Scripts Prior Authorization jobs near you
Infographic showing various Express Scripts Prior Authorization job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 87% Full Time, 10% Part Time, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $91,208 per year, or $43.9 per hour.
Pharmacy Operations Lead Representative - Express Scripts

Pharmacy Operations Lead Representative - Express Scripts

Cigna

Saint Louis, MO • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 23 days ago

Cigna Healthcare rating

8.4

Company rating: 8.4 out of 10

Based on 237 frontline employees who took The Breakroom Quiz

27th of 890 rated healthcare providers

Job description

As a Pharmacy Operations Lead Representative you will be responsible for the distribution of workload and monitoring of workflow for members of their assigned area to ensure assigned work is completed timely and accurately. Serves as a resource to supervisor and back up to cell owners and team members.
**Required Shift: Sunday- Wednesday 5:00am - 3:30pm
ESSENTIAL FUNCTIONS
  • Ensure appropriate distribution of workload and workflow for assigned area including scheduling, shifting resources and back filling as needed.
  • Serve as the first line resource for questions/issues from team and cell owners, in coordination with supervisor; demonstrates leadership qualities consistent with the Express Way values.
  • Effectively manages issues impacting productivity of team members; including offering solutions, collaborating with others, communicating status and escalating as needed.
  • Assist Supervisor in ensuring that established policies and standard operating procedures are being followed and that individual and team goals for productivity and quality are met/exceeded.
  • Assist in the development, documentation and updating of policies and procedures for Coordinators, including specific training and validation material; Assist in training and validating Automation staff regarding procedures, including one on one training and/or to group sessions as needed, ensure that all team members are cross trained to cover production functions.
  • Other duties as assigned.

QUALIFICATIONS
  • High School diploma or equivalent is required.
  • Ability to obtain Missouri State Pharmacy Technician license.
  • 3+ yrs relevant working experience in a pharmacy dispensing setting preferred.
  • 1+ yr leadership or team development experience preferred.
  • General PC knowledge: Microsoft Word, Excel, PowerPoint, and email skills, preferred.
  • Knowledge of standard concepts, practices, and procedures within dispensing pharmacy
  • Experience troubleshooting problems in a pharmacy dispensing environment is preferred.
  • Strong attention to detail with good organizational skills
  • Good verbal and written communication skills
  • Willingness to work a flexible schedule when needed and ability to stand for the full shift.
  • Ability to adapt in a dynamic work environment, learn quickly, troubleshoot problems, and make decisions.

WHAT WE OFFER:
  • Health coverage effective day 1 (including Medical, Dental and vision
  • 401(k) plan with company match
  • Holiday Pay and Paid time off
  • Education/Certification Program (Grow to Thrive)
  • Career Growth and advancement opportunities

PHYSICAL REQUIREMENTS:
  • Stand for lengthy periods.
  • Lift up to 50 lbs. occasionally and 30 lbs. frequently.
  • Perform repetitive motion with fingers, hands, and arms.
  • Work may be in confined areas close to machinery.
  • Work may be in performed in an environment with varying noise levels.

Please note: This position is fully on-site and does not permit remote work. Any references to home-based internet requirements do not apply to this role.
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.
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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