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Remote Prior Authorization Representative Express Scripts Jobs in Georgia

PainPoint

Prior Authorization Coordinator

Atlanta, GA · On-site +1

$19 - $21/hr

Prior Authorization Coordinator Full-Time | $19-21/hour | Monday-Friday | 8:00 AM-4:30 PM CST ... Remote About DxTx Pain & Spine At DxTx Pain & Spine, we're redefining how pain and spine practices ...

US Tech Solutions

Licensed Vocational Nurse

Atlanta, GA · Remote

$25 - $27/hr

$25-$27 per hour remote, GA Contract This is a remote position and requires the ability to ... prior authorization. * Train and mentor representatives on the PA team. * Complete other PA ...

Symmetry

Remote Sales Representative

Atlanta, GA · Remote

$75K - $180K/yr

Remote Sales Representative Must be authorized to work in the US, no work visas offered at this ... No prior sales or insurance experience is necessary. We are looking for motivated and ambitious ...

VortexWorks

Remote Customer Service Representative

Macon, GA · Remote

$15.25 - $20.75/hr

Follow detailed scripts and procedures. * Resolve customer issues using empathy, accuracy, and ... Previous remote or performance-based work experience * Tech-savvy, reliable, and eager to learn ...

OncoHealth

Case Review Specialist - Atlanta

Atlanta, GA · On-site +1

... Prior Authorization requests received via mail from Providers and Members About the Location OncoHealth is committed to remote, hybrid or in office work options. The majority of the team will be ...

OncoHealth

Case Review Specialist - Atlanta

Atlanta, GA · On-site +1

... Prior Authorization requests received via mail from Providers and Members About the Location OncoHealth is committed to remote, hybrid or in office work options. The majority of the team will be ...

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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.

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Remote Prior Authorization Representative Express Scripts jobs near you

Remote Prior Authorization Pharmacist

Pharmacy Careers

Atlanta, GA • Remote

$56 - $67.25/hr

Other

Posted 9 days ago

Job description

Remote Prior Authorization Pharmacist - Work From Home in Managed Care
A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe and effective therapies. This work-from-home position is ideal for pharmacists who want to transition out of retail or hospital settings while building expertise in managed care.
Key Responsibilities

  • Review prior authorization requests for accuracy, appropriateness, and clinical necessity.
  • Apply plan criteria, evidence-based guidelines, and regulatory standards to determinations.
  • Communicate approval/denial decisions clearly to providers and patients.
  • Collaborate with physicians, nurses, and medical directors on complex cases.
  • Document outcomes in compliance with health plan policies and CMS/state regulations.
  • Support process improvements to streamline workflow and turnaround times.


What You'll Bring

  • Education: Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree.
  • Licensure: Active and unrestricted pharmacist license in the U.S.
  • Experience: Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply.
  • Skills: Excellent clinical review, documentation, and communication skills.

Why This Role?

  • Flexibility: 100% remote work from home with flexible scheduling options.
  • Impact: Directly influence patient access to safe and cost-effective medications.
  • Growth: Build specialized skills in utilization management and managed care.
  • Rewards: Competitive compensation, benefits, and career advancement opportunities.


About Us
We are a confidential healthcare partner working with health plans and PBMs across the U.S.. Our pharmacists ensure patients receive the right therapy at the right time while maintaining compliance with all regulations.
Apply Today
Take the next step in your career with our Remote Prior Authorization Pharmacist opportunity - and enjoy the benefits of working from home while shaping the future of managed care.

Apply