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Remote Prior Authorization Representative Express Scripts Jobs in Connecticut

InsuraTec

Sales Representative (Remote)

Ansonia, CT · Remote

We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...

InsuraTec

Sales Representative (Remote)

Norwich, CT · Remote

We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...

InsuraTec

Sales Representative (Remote)

Milford, CT · Remote

We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...

InsuraTec

Sales Representative (Remote)

Bristol, CT · Remote

We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...

InsuraTec

Sales Representative (Remote)

Derby, CT · Remote

We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...

InsuraTec

Sales Representative (Remote)

New Haven, CT · Remote

We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...

InsuraTec

Sales Representative (Remote)

Naugatuck, CT · Remote

We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...

InsuraTec

Sales Representative (Remote)

Hartford, CT · Remote

We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...

InsuraTec

Sales Representative (Remote)

Danbury, CT · Remote

We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...

InsuraTec

Sales Representative (Remote)

Shelton, CT · Remote

We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...

InsuraTec

Sales Representative (Remote)

Storrs, CT · Remote

We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...

InsuraTec

Sales Representative (Remote)

Middletown, CT · Remote

We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...

InsuraTec

Sales Representative (Remote)

Stamford, CT · Remote

We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...

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All JobsPrior Authorization Representative Express Scripts JobsRemote Prior Authorization Representative Express Scripts JobsRemote Prior Authorization Representative Express Scripts Jobs in Connecticut

Remote Prior Authorization Representative Express Scripts information

What is the difference between Remote Prior Authorization Representative Express Scripts vs Remote Claims Processor?

AspectRemote Prior Authorization Representative Express ScriptsRemote Claims Processor
CredentialsHigh school diploma, healthcare certifications often preferredHigh school diploma, healthcare or insurance certifications
Work EnvironmentRemote, healthcare insurance settingRemote, insurance claims processing environment
Employer & IndustryExpress Scripts, healthcare/pharmacy industryVarious insurance companies, healthcare industry
Primary ResponsibilitiesReview and approve prior authorization requestsReview and process insurance claims

The Remote Prior Authorization Representative at Express Scripts focuses on evaluating and approving prior authorization requests for medications, ensuring timely patient access. In contrast, a Remote Claims Processor handles the review and processing of insurance claims after services are rendered. While both roles require healthcare knowledge and remote work skills, their core functions differ in the stages of the insurance process they manage.

What are popular job titles related to Remote Prior Authorization Representative Express Scripts jobs in Connecticut?

For Remote Prior Authorization Representative Express Scripts jobs in Connecticut, the most frequently searched job titles are:

What job categories do people searching Remote Prior Authorization Representative Express Scripts jobs in Connecticut look for?

The top searched job categories for Remote Prior Authorization Representative Express Scripts jobs in Connecticut are:

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Cities in Connecticut with the most Remote Prior Authorization Representative Express Scripts job openings:

Remote Prior Authorization Representative Express Scripts jobs near you
Infographic showing various Remote Prior Authorization Representative Express Scripts job openings in Connecticut as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, 2% Temporary, and 2% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution.

Senior Manager - Medicaid/Marketplace Client Strategy - Express Scripts - Hybrid

Bloomfield, CT • On-site, Remote

Cigna
Health Care and Social Assistance • 10K+ employees

8.3

Company rating: 8.3 out of 10

Based on 240 frontline employees who took The Breakroom Quiz

40th of 893 rated healthcare providers

People enjoy working here

Good employer

Recommended by students

Learn more about Cignaexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago

Job description

Senior Manager, Medicaid & Marketplace Client StrategyHelp Shape Strategy in a Changing Healthcare Landscape

Are you passionate about helping clients navigate complexity and drive meaningful results? As the Senior Manager, Medicaid & Marketplace Client Strategy, you will lead a team of healthcare strategists who turn evolving policy, regulatory, quality, affordability, and market developments into actionable business strategies.

In this highly visible leadership role, you will serve as a trusted advisor to health plan and PBM clients, helping executives make informed decisions, anticipate change, and achieve their business goals. This is an opportunity to combine strategic thinking, industry expertise, and people leadership while developing talent and creating lasting client impact.

ResponsibilitiesLead Strategic Client Partnerships
  • Serve as a trusted advisor to Medicaid and Marketplace clients, delivering strategic guidance that helps them navigate industry change and achieve business objectives.
  • Translate complex healthcare policy, regulatory, quality, affordability, and market developments into clear recommendations and actionable strategies.
  • Facilitate executive-level discussions that support informed decision making and drive client success.
  • Anticipate emerging trends, opportunities, and risks and proactively advise clients on business implications.
Drive Market Intelligence and Business Insights
  • Monitor and interpret federal and state policy, legislative, and regulatory developments affecting Medicaid, Marketplace, and related healthcare markets.
  • Deliver concise, decision-ready insights that help clients and internal partners respond strategically to industry changes.
  • Contribute to organizational perspectives and recommendations that strengthen client outcomes and market positioning.
Support Client Growth and Organizational Success
  • Partner with Account Management and cross-functional teams to deliver solutions that create measurable value for clients.
  • Strengthen client relationships through strategic consultation, thought leadership, and collaborative problem solving.
  • Represent the organization in client meetings, executive presentations, and industry engagements.
Develop Talent and Build High-Performing Teams
  • Lead, coach, and develop a team of strategists while fostering a culture of accountability, collaboration, innovation, and continuous growth.
  • Strengthen team capabilities in strategic thinking, executive communication, consulting, and problem solving.
  • Create an environment where curiosity, learning, and knowledge sharing are encouraged and rewarded.
Influence Across the Organization
  • Build strong partnerships across business functions to advance strategic priorities.
  • Influence stakeholders and drive alignment in complex and evolving environments.
  • Balance competing priorities while maintaining focus on client and business outcomes.
QualificationsRequired
  • 7+ years of experience in healthcare strategy, healthcare consulting, Medicaid, Marketplace, Medicare, PBM, healthcare policy, regulatory affairs, government affairs, or a related healthcare environment.
  • Experience leading, coaching, and developing teams.
  • Experience working directly with clients, senior leaders, or executive stakeholders.
  • Strong strategic thinking, analytical, and problem-solving skills.
  • Ability to synthesize complex information into clear, actionable recommendations.
  • Excellent verbal, written, and presentation communication skills.
  • Demonstrated ability to influence cross-functional stakeholders and build strong partnerships.
  • Strong business acumen and understanding of healthcare market dynamics.
  • Ability to navigate ambiguity and adapt in a fast-changing environment.
  • Willingness to travel up to 25%.
Preferred
  • Bachelor's degree or advanced degree in a related field.
  • Health plan experience supporting Medicaid, Marketplace, or Medicare lines of business.
  • PBM experience.
  • Healthcare strategy consulting experience.
  • Experience in public policy, legislative affairs, regulatory affairs, or government relations.
  • Experience developing executive-level presentations, recommendations, and strategic business cases.
  • Experience using data, market intelligence, and industry insights to guide strategic decisions.

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.For this position, we anticipate offering an annual salary of 140,300 - 233,800 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus 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, paid holidays, and leaves of absence. 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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About Cigna

Sourced by ZipRecruiter

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Bloomfield, CT, US

Social media

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