ZipRecruiter

Log In

2

Remote Prior Authorization Representative Express Scripts Jobs in Chicago, IL

Onco360

Pharmacy Prior Authorization Specialist

Woodridge, IL · On-site +1

$20.25 - $26.25/hr

Remote work possible after initial on-site training. Why Join Us? * A career with purpose: Help ... Manage prior authorization requests and appeals with insurance carriers. * Collaborate with ...

Symmetry

Remote Sales Representative

Chicago, IL · 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 ...

AO Globe Life

Be Seen First

Remote Sales & Customer Support Representative

Aurora, IL · Remote

$60K - $80K/yr

No prior industry experience is required. We provide comprehensive training, mentorship, and ... Must be legally authorized to work in the United States or Canada * Reliable internet connection

Adecco

Pharmacist Pipeline Aurora IL

Aurora, IL · On-site +1

$56 - $58.91/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 Chicago IL

Chicago, IL · On-site +1

$56 - $58.91/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

Chicago, IL · On-site +1

$59.25 - $71/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

Chicago, IL · On-site +1

$60 - $72.25/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 ...

next page

Showing results 1-20

All JobsRemote Prior Authorization Representative Express Scripts JobsRemote Prior Authorization Representative Express Scripts Jobs in Chicago, IL

Remote Prior Authorization Representative Express Scripts information

See Chicago, IL salary details

$26.8K

$49.9K

$75.2K

How much do remote prior authorization representative express scripts jobs pay per year?

As of Jun 15, 2026, the average yearly pay for remote prior authorization representative express scripts in Chicago, IL is $49,868.00, according to ZipRecruiter salary data. Most workers in this role earn between $41,200.00 and $56,700.00 per year, depending on experience, location, and employer.

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 the most commonly searched types of Prior Authorization Representative Express Scripts jobs in Chicago, IL? The most popular types of Prior Authorization Representative Express Scripts jobs in Chicago, IL are:
What are popular job titles related to Remote Prior Authorization Representative Express Scripts jobs in Chicago, IL? For Remote Prior Authorization Representative Express Scripts jobs in Chicago, IL, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization Representative Express Scripts jobs in Chicago, IL look for? The top searched job categories for Remote Prior Authorization Representative Express Scripts jobs in Chicago, IL are:
What cities near Chicago, IL are hiring for Remote Prior Authorization Representative Express Scripts jobs? Cities near Chicago, IL with the most Remote Prior Authorization Representative Express Scripts job openings:
Remote Prior Authorization Representative Express Scripts jobs near you

Remote Prior Authorization Pharmacist

Pharmacy Careers

Chicago, IL • Remote

$60 - $72.25/hr

Other

Posted 22 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