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Overnight Prior Authorization Representative Express Scripts Jobs in New York

Knowledge of healthcare insurance processes, prior authorizations, and medication access workflows. Work Environment: The work environment characteristics described here are representative of those ...

Knowledge of healthcare insurance processes, prior authorizations, and medication access workflows. Work Environment: The work environment characteristics described here are representative of those ...

Account Executive

New York, NY · On-site

$220K - $300K/yr

Prior authorization and pharmacy benefits are complex, and the reps who win can walk a practice through that complexity clearly. Responsibilities * Own the full sales cycle into specialty practices ...

Prior authorization and pharmacy benefits are complex, and the reps who win can walk a practice through that complexity clearly. Responsibilities * Own the full sales cycle into specialty practices ...

Account Executive

New York, NY · On-site

$220K - $300K/yr

Prior authorization and pharmacy benefits are complex, and the reps who win can walk a practice through that complexity clearly. Responsibilities * Own the full sales cycle into specialty practices ...

Account Executive

New York, NY · On-site

$220K - $300K/yr

Prior authorization and pharmacy benefits are complex, and the reps who win can walk a practice through that complexity clearly. Responsibilities * Own the full sales cycle into specialty practices ...

Account Executive

New York, NY · On-site

$220K - $300K/yr

Prior authorization and pharmacy benefits are complex, and the reps who win can walk a practice through that complexity clearly. Responsibilities * Own the full sales cycle into specialty practices ...

Account Executive

New York, NY · On-site

$220K - $300K/yr

Prior authorization and pharmacy benefits are complex, and the reps who win can walk a practice through that complexity clearly. Responsibilities * Own the full sales cycle into specialty practices ...

Account Executive

New York, NY · On-site

$220K - $300K/yr

Prior authorization and pharmacy benefits are complex, and the reps who win can walk a practice through that complexity clearly. Responsibilities * Own the full sales cycle into specialty practices ...

Account Executive

New York, NY · On-site

$220K - $300K/yr

Prior authorization and pharmacy benefits are complex, and the reps who win can walk a practice through that complexity clearly. Responsibilities * Own the full sales cycle into specialty practices ...

Account Executive

New York, NY · On-site

$220K - $300K/yr

Prior authorization and pharmacy benefits are complex, and the reps who win can walk a practice through that complexity clearly. Responsibilities * Own the full sales cycle into specialty practices ...

Account Executive

New York, NY · On-site

$220K - $300K/yr

Prior authorization and pharmacy benefits are complex, and the reps who win can walk a practice through that complexity clearly. Responsibilities * Own the full sales cycle into specialty practices ...

Account Executive

New York, NY · On-site

$220K - $300K/yr

Prior authorization and pharmacy benefits are complex, and the reps who win can walk a practice through that complexity clearly. Responsibilities * Own the full sales cycle into specialty practices ...

Account Executive

New York, NY · On-site

$220K - $300K/yr

Prior authorization and pharmacy benefits are complex, and the reps who win can walk a practice through that complexity clearly. Responsibilities * Own the full sales cycle into specialty practices ...

Support the facilitation of prior authorization and appeal processes by gathering necessary ... Demonstrate an understanding of business rules, work instructions, and program-approved scripts ...

Support the facilitation of prior authorization and appeal processes by gathering necessary ... Demonstrate an understanding of business rules, work instructions, and program-approved scripts ...

Showing results 21-40

Overnight Prior Authorization Representative Express Scripts information

What is an overnight prior authorization representative at Express Scripts?

An Overnight Prior Authorization Representative at Express Scripts is responsible for processing and evaluating prescription medication requests that require authorization from insurance providers, primarily during overnight shifts. This role involves reviewing clinical information, communicating with healthcare providers, and ensuring that medications meet insurance guidelines for approval. Representatives also provide customer service to patients, doctors, and pharmacists, helping to resolve issues and explain the prior authorization process. Working overnight means handling requests that come in outside of typical business hours, ensuring 24/7 support for patients and providers.

What are the key skills and qualifications needed to thrive as an overnight prior authorization representative at Express Scripts?

To thrive as an Overnight Prior Authorization Representative at Express Scripts, you need a solid understanding of pharmacy benefits, medical terminology, and prior authorization processes, often supported by a high school diploma or equivalent and relevant experience in healthcare or pharmacy. Familiarity with pharmacy management software, claims processing systems, and Microsoft Office Suite is typically required. Attention to detail, strong problem-solving skills, and effective communication are critical soft skills for success in this position. These competencies ensure accurate and timely authorization decisions, safeguard patient access to medications, and uphold compliance with regulatory standards during overnight shifts.

What are some common challenges faced by overnight prior authorization representatives at Express Scripts, and how can they be managed?

Overnight Prior Authorization Representatives at Express Scripts often face challenges such as managing high call volumes during off-peak hours, handling urgent medication requests, and working independently with limited on-site supervision. To manage these challenges, representatives should develop strong organizational skills, remain updated on the latest formulary guidelines, and leverage internal resources or escalation protocols for complex cases. Building effective communication with pharmacists, physicians, and other team members—even during overnight shifts—can also help ensure smooth case resolution and maintain high service quality.

What are the most commonly searched types of Prior Authorization Representative Express Scripts jobs in New York?

The most popular types of Prior Authorization Representative Express Scripts jobs in New York are:

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Infographic showing various Overnight Prior Authorization Representative Express Scripts job openings in New York as of June 2026, with employment types broken down into 71% Full Time, 27% Part Time, and 2% Temporary. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution.

Neurology Account Director - Northeast

Regeneron Pharmaceuticals, Inc

Manhattan, NY • On-site

$183.10 - $305.20/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 24 days ago


Regeneron rating

8.5

Company rating: 8.5 out of 10

Based on 44 frontline employees who took The Breakroom Quiz

19th of 86 rated pharmaceutical


Job description

Build our future together:

The Neurology Account Director (NAD) is a field‑based institutional key account role responsible for driving the launch and ongoing commercial performance of Regeneron’s C5 inhibitor for generalized myasthenia gravis (gMG) within approximately 10–12 assigned academic medical centers (AMCs) infusion centers and neuromuscular specialty centers. The account director serves as Regeneron's commercial point of contact within targeted institutions, responsible for formulary access, infusion suite education and pull‑through, and long‑term institutional partnership development. The AD combines deep MG clinical acumen, institutional navigation skills, financial acumen, and cross‑functional coordination to maximize patient access and revenue within their assigned territory.

When & Where:
  • Remote role
  • Location: Northeast (New York, Pennsylvania, Massachusetts, Vermont, New Hampshire, Maine)
  • Travel: Up to 60–70%, including overnight travel within assigned territory
Discover your role:

Institutional Account Management

  • Own and manage a portfolio of approximately 10–12 AMCs and neuromuscular specialty centers within an assigned U.S. region, serving as the institutional commercial lead.
  • Develop and execute comprehensive account plans for each institution, including formulary strategy, stakeholder mapping, competitive positioning, and patient access pathways.
  • Navigate complex institutional buying environments including P&T committees, pharmacy contracting, hospital administration, and infusion center operations.
  • Build and maintain deep, trust‑based relationships with neurology department heads, treating neurologists, clinical pharmacists, infusion nurses, and medical directors.

Formulary & Market Access Pull‑Through

  • Lead formulary and pathway submissions and P&T committee presentations at targeted institutions, positioning the C5 inhibitor for preferred or unrestricted formulary status.
  • Partner with Market Access National and Payer Account Directors to align institutional contracting with broader payer strategy and resolve prior authorization barriers.
  • Coordinate with specialty pharmacy partners and Patient Services hub to ensure seamless reimbursement workflows for buy‑and‑bill infusion products.
  • Track formulary status, pull‑through metrics, and access barriers across all assigned accounts; elevate systemic issues with data‑driven recommendations.

Stakeholder & KOL Engagement

  • Identify, develop, and maintain relationships with key opinion leaders (KOLs) in neuromuscular medicine within assigned territory, in coordination with Medical Affairs.
  • Represent Regeneron at national and regional neurology congresses (AAN, MGFA), medical education events, and institutional grand rounds as appropriate.

Analytics, Planning & Reporting

  • Maintain detailed CRM records and account intelligence; leverage IQVIA/Symphony Health data for prescriber‑level targeting and performance measurement.
  • Track and report on KPIs including accounts engaged, formulary inclusions achieved, patient switches, revenue per account, and competitive share of voice.
  • Prepare and present quarterly business reviews to the Executive Director, highlighting account progress, barriers, competitive dynamics, and resource needs.
  • Contribute to territory realignment recommendations and Year 2 expansion planning based on field‑level market intelligence.
This role requires:
  • Bachelor's degree required; PharmD, RN, or advanced degree in life sciences strongly preferred.
  • Minimum 10–12+ years institutional sales, market access, or account management experience in pharmaceutical/biotech.
  • Demonstrated experience with hospital/AMC formulary processes, P&T committee engagement, and institutional buy‑and‑bill contracting.
  • Track record of success in rare disease, neurology, or specialty biologic sales/account management, ideally including launch experience.
  • Strong clinical acumen with the ability to engage physicians, pharmacists, and medical directors in scientifically rigorous conversations.
  • Experience executing competitive switch or conversion strategies in institutional settings.
  • Proficiency with CRM systems and commercial analytics platforms (IQVIA, Symphony Health, specialty pharmacy data).
  • Ability to manage complex, multi‑stakeholder account relationships independently with minimal supervision.
  • Willingness to travel 60–70% within assigned territory, including overnight travel.
  • Candidates must reside within the assigned territory.
Preferred:
  • Experience in complement biology, neuromuscular disease, or C5/FcRn inhibitor markets.
  • Existing relationships with neurology KOLs or MGFA‑recognized center‑of‑excellence leadership.
  • Prior experience with infusion biologic launches in hospital/outpatient infusion settings.
  • Knowledge of specialty pharmacy hub operations, patient assistance programs, and prior authorization workflows.
  • Understanding of medical benefit (Part B) reimbursement, ASP pricing dynamics, and buy‑and‑bill economics.
Core Competencies:
  • Clinical Credibility – Translates C5 mechanism of action, dosing differentiation, and clinical evidence into compelling value propositions that resonate with treating physicians and institutional decision‑makers.
  • Institutional Account Navigation – Expertly engages across all levels of AMC hierarchies, from neurology fellows to C‑suite administrators, pharmacy directors to infusion center leadership.
  • Strategic Account Planning – Builds data‑driven, multi‑quarter account strategies that address formulary access, competitive positioning, and patient journey barriers.
  • Patient Journey Management – Coordinates cross‑functionally with Patient Services, specialty pharmacy, and market access to remove barriers and ensure seamless treatment initiation and continuation.
  • Relationship Building – Develops deep, trust‑based institutional partnerships that create long‑term competitive advantages in rare neuromuscular disease.
  • Results Orientation – Drives measurable outcomes through disciplined account planning, KPI tracking, and relentless follow‑through on formulary wins.

Regeneron is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion or belief (or lack thereof), sex, sexual orientation, gender identity or expression, gender reassignment, marital or civil partnership status, civil status, pregnancy or parental status, age, disability, nationality, citizenship status, ethnic or national origin, membership of the Traveler community, familial status, genetic information, military or veteran status, or any other characteristic protected under applicable law. Where required, we will provide reasonable accommodation to applicants with known disabilities or chronic illnesses during the recruitment process, unless such accommodation would impose undue hardship.

Regeneron offers a competitive and comprehensive total rewards package which may include, depending on country and role: annual bonuses or other incentive plans, equity awards, pension or retirement benefits, 401(k) company match, health and wellness programs, fitness centers, insurance benefits (medical, dental, vision, life and disability), paid time off, and family support benefits.

Salary Range (annually): $183,100.00 - $305,200.00

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