ZipRecruiter

Log In

2

Remote Prior Authorization Representative Express Scripts Jobs in Minnesota

Adecco

Pharmacist Pipeline Minneapolis MN

Minneapolis, MN · On-site +1

$57 - $59.50/hr

Adecco Healthcare & Life Sciences is hiring remote pharmacists! For this role you must reside ... reviewing prior authorizations and receiving phone calls from prior authorization pharmacy ...

Adecco

Pharmacist Pipeline Minnetonka MN

Minnetonka, MN · On-site +1

$57 - $59.50/hr

Adecco Healthcare & Life Sciences is hiring remote pharmacists! For this role you must reside ... reviewing prior authorizations and receiving phone calls from prior authorization pharmacy ...

Pharmacy Careers

MTM Pharmacist

Saint Paul, MN · On-site +1

$59 - $70.75/hr

Many MTM pharmacist positions offer remote or hybrid work. * Impact: Directly improve patient ... Competitive pay, benefits, and opportunities to expand into roles like prior authorization ...

Pharmacy Careers

MTM Pharmacist

Minneapolis, MN · On-site +1

$58 - $69.50/hr

Many MTM pharmacist positions offer remote or hybrid work. * Impact: Directly improve patient ... Competitive pay, benefits, and opportunities to expand into roles like prior authorization ...

Actalent

Pharmacist

Saint Paul, MN · Remote

$55/hr

Utilize client-specific criteria to determine approval or denial of prior authorizations. * Conduct ... remote position. Application Deadline This position is anticipated to close on Jun 18, 2026. About ...

Mayo Clinic

Solution Architect-Rev Cycle-Remote

Rochester, MN · On-site +1

$61.50 - $81/hr

... Prior Authorization (EMPA), and Real-Time Eligibility (RTE). In addition to core front-end ... This position is a 100% remote work. Individual may live anywhere in the US. **This vacancy is not ...

InsuraTec

Sales Representative (Remote)

Stillwater, MN · 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)

Bemidji, MN · 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)

Saint Paul, MN · 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)

Savage, MN · 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)

Ramsey, MN · 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 ...

next page

Showing results 1-20

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

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 Minnesota? For Remote Prior Authorization Representative Express Scripts jobs in Minnesota, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization Representative Express Scripts jobs in Minnesota look for? The top searched job categories for Remote Prior Authorization Representative Express Scripts jobs in Minnesota are:
What cities in Minnesota are hiring for Remote Prior Authorization Representative Express Scripts jobs? Cities in Minnesota 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 Minnesota as of May 2026, with employment types broken down into 79% Full Time, and 21% Part Time. Highlights an 100% Remote job distribution.

Case Management Pharmacist (Remote)

Pharmacy Careers

Saint Paul, MN • On-site, Remote

Other

Posted 16 days ago

Job description

Case Management Pharmacist - Coordinate Care and Improve Patient Outcomes
A confidential managed care organization is hiring a detail-oriented Case Management Pharmacist to support patients with complex medication needs. This role focuses on coordinating care, preventing medication-related issues, and ensuring members receive the most appropriate therapy at the right time.
Key Responsibilities

  • Collaborate with physicians, nurses, and care coordinators to manage high-risk or complex patients.
  • Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential drug interactions.
  • Support prior authorization and appeals processes when needed.
  • Educate patients and caregivers on medication regimens and disease state management.
  • Document case activities and outcomes in compliance with health plan and regulatory standards.
  • Participate in quality improvement initiatives to reduce hospitalizations and improve health outcomes.


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: Case management, MTM, or managed care experience preferred - retail and hospital pharmacists with strong patient counseling backgrounds are encouraged to apply.
  • Skills: Strong communication, problem-solving, and care coordination skills.


Why This Role?

  • Impact: Make a meaningful difference in patients' lives by ensuring safe and effective medication use.
  • Growth: Develop expertise in case management and managed care pharmacy.
  • Flexibility: Many organizations offer hybrid or fully remote work options.
  • Rewards: Competitive pay, benefits, and career advancement opportunities.

About Us
We are a confidential healthcare partner serving health plans and provider networks nationwide. Our case management pharmacists play a vital role in improving outcomes, reducing readmissions, and supporting patients across the continuum of care.
Apply Today
Apply now for our Case Management Pharmacist opportunity and join a team dedicated to patient-centered, coordinated care.

Apply