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Remote Prior Authorization Representative Express Scripts Jobs in Clarksville, TN

MMC Group LP

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Remote Bilingual Human Resources Customer Service Representative

Nashville, TN · Remote

$17 - $18/hr

Remote, Nashville, TN Area Work From Home Opportunity Pay: Competitive Hourly Pay Are you ... Company Equipment Provided Company equipment will be shipped prior to your start date and includes:

Five Rings OKC

Financial Representative

Nashville, TN · On-site +1

Nashville, TN (Hybrid Remote) Job Type: Full-time or Part-time About the Role We are seeking a ... Prior experience is NOT required. Training is provided whether experienced or new to the industry.

Symmetry

Remote Work Sales Agent

Nashville, TN · On-site +1

$180K/yr

Remote Work Sales Agent Must be authorized to work in the US, no work visas offered at this time ... Our growth-focused culture allows representatives to truly help clients without high pressure or ...

Symmetry

Remote Work Sales Agent

Nashville, TN · Remote

$180K/yr

Remote Work Sales Agent Must be authorized to work in the US, no work visas offered at this time ... Our growth-focused culture allows representatives to truly help clients without high pressure or ...

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All JobsPrior Authorization Representative Express Scripts JobsRemote Prior Authorization Representative Express Scripts JobsRemote Prior Authorization Representative Express Scripts Jobs in Clarksville, TN

Remote Prior Authorization Representative Express Scripts information

See Clarksville, TN salary details

$22.6K

$42.1K

$63.5K

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

As of Aug 31, 2026, the average yearly pay for remote prior authorization representative express scripts in Clarksville, TN is $42,087.00, according to ZipRecruiter salary data. Most workers in this role earn between $34,800.00 and $47,800.00 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 popular job titles related to Remote Prior Authorization Representative Express Scripts jobs in Clarksville, TN?

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

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

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

Remote Prior Authorization Representative Express Scripts jobs near you
Infographic showing various Remote Prior Authorization Representative Express Scripts job openings in Clarksville, TN as of June 2026, with employment types broken down into 85% Full Time, and 15% Part Time. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $42,087 per year, or $20.2 per hour.

Patient Support Supervisor - Certified Pharmacy Technician, Prior Authorizations

Shields Health Solutions

Nashville, TN • Remote

$17.50 - $21.25/hr

Full-time

PTO

Re-posted 9 days ago

Shields Health Solutions rating

8.4

Company rating: 8.4 out of 10

Based on 41 frontline employees who took The Breakroom Quiz

10th of 113 rated pharmacies

Job description

???? Patient Support Supervisor (Specialty Pharmacy)

???? Location: Remote – supporting Northeast (EST Zone)

???? About the Role

Shields Health Solutions is seeking a Patient Support Supervisor to lead a high-performing team within our Patient Support Center. This is an ideal opportunity for a motivated, service-oriented leader with a background in pharmacy or healthcare operations who thrives in a fast-paced, growth-focused environment.

The ideal candidate is a results-driven self-starter who is passionate about patient care, team development, and operational excellence, with proven experience managing front-line employees and driving performance.

 

???? Position Summary

The Patient Support Supervisor is a key leadership role responsible for overseeing daily operations of a Patient Support team and ensuring patients receive medications efficiently, accurately, and on time.

This role partners closely with internal teams and hospital stakeholders to:

  • Meet service level agreements (SLAs)
  • Ensure adoption of best practices
  • Drive team performance, engagement, and development

 

???? Key Responsibilities

???? Team Leadership & Operations

  • Lead, coach, and manage a team of Patient Support Associates to ensure medication adherence, prior authorization completion, and financial assistance support
  • Provide ongoing performance management, training, and mentorship
  • Manage staffing, scheduling, PTO, and time reporting (ADP)
  • Step in to support workload during peak or short-staffed periods

???? Patient & Partner Coordination

  • Ensure patients receive medications on time and without barriers
  • Partner with hospital/clinic stakeholders through regular meetings and collaboration calls
  • Maintain strong working relationships with pharmacy and clinical teams

???? Workflow & Performance Management

  • Monitor and ensure achievement of service level metrics and quality standards
  • Conduct audits, oversee system workflows, and manage responsiveness to incoming requests
  • Establish and optimize workflows between Patient Support, liaison teams, and clinical integration teams

???? Process Improvement & Support

  • Identify and implement operational improvements and best practices
  • Support data, analytics, contracting, and special projects
  • Provide troubleshooting, guidance, and issue resolution for team members and partners

⚙️ Administrative & Coordination

  • Assist with hiring, onboarding, training coordination, and system access setup
  • Maintain confidentiality of sensitive patient and business data

 

✅ Qualifications

???? Licensure & Experience

  • Active Pharmacy Technician license/registration (state-specific)
  • National certification (CPhT) required
  • 3+ years pharmacy technician experience (specialty pharmacy preferred)
  • Prior leadership experience (formal or informal) strongly preferred

???? Education

  • High School Diploma or GED (required)
  • Bachelor's degree (preferred or in progress)
  • Leadership/management training (preferred)

???? Skills & Competencies

  • Strong leadership, communication, and team development skills
  • Ability to influence, collaborate, and drive results across teams
  • Solid operational and analytical skills; ability to identify trends and improve performance
  • Proficiency in Microsoft Excel and Word (data analysis, reporting)
  • Experience with pharmacy/EMR systems (Willow, QS1, RX30 preferred)
  • Highly organized, detail-oriented, and patient-focused
  • Ability to manage multiple priorities and maintain confidentiality

???? Additional Requirements

  • Ability to lead both remote and on-site teams
  • Willingness to travel up to 20% (if outside core locations)

 

???? Why Join Shields?
  • ???? Fast-growing leader in specialty pharmacy
  • ❤️ Mission-driven, patient-first culture
  • ???? Strong career growth and leadership development opportunities
  • ???? Collaborative and supportive environment

 

???? SEO Keywords

Patient Support Supervisor, Pharmacy Supervisor, Specialty Pharmacy, Pharmacy Technician Supervisor, Healthcare Operations, Patient Access, Prior Authorization, Medication Adherence, Care Coordination, Patient Support Center, Pharmacy Team Lead

California residents employed by or applying for work at Shields have certain privacy rights. Please review our: California Workforce Privacy Notice and Privacy Policy.  

By providing your mobile number, you agree to receive text messages from Shields Health Solutions related to job opportunities, interview scheduling, and recruiting updates. Message and data rates may apply. You may opt out at any time by replying 'STOP.' Consent is not a condition of employment.

Solid computer skills are required, including proficiency in Microsoft Office tools (Outlook, Teams, Word, Excel, and PowerPoint) for communication, documentation, and data management, as well as, navigating the internet and web-based platforms. Data entry and computer skills will be evaluated through an assessment as part of the pre-employment process.

Shields Health Solutions provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Shields Health Solutions is committed to providing an inclusive hiring experience; if you need assistance or accommodation during the application or interview process, please email talentacquisition@shieldsrx.com.

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