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Remote Prior Authorization Representative Express Scripts Jobs in Irving, TX

Janus Health

Business Analyst

Dallas, TX · On-site +1

Responsibilities * Analyze prior authorization and claim status datasets to identify trends ... Physical Demands This job is operated in a professional remote or in-office environment. This job ...

ReminderMedia

Remote Account Executive Opportunity

Dallas, TX · Remote

$65K - $125K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

As an Inside Sales Representative (Closer), you will play a pivotal role in driving new business ... Following a proven sales process and scripts to qualify prospects, handle objections, and secure ...

ReminderMedia

Remote Account Executive Opportunity

Dallas, TX · Remote

$65K - $125K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

As an Inside Sales Representative (Closer), you will play a pivotal role in driving new business ... Following a proven sales process and scripts to qualify prospects, handle objections, and secure ...

AO Globe Life

Remote Work From Home Representative

Dallas, TX · On-site +1

$15.75 - $21.50/hr

Remote Work From Home Representative 100% Remote | Entry-Level Friendly | Full Training Provided ... Authorized to work in the United States * Reliable internet connection and basic computer skills

FHR

M-12.10-Oracle Apex developer (788519)

Dallas, TX · Remote

* 100% Remote. Our client in Richmond, VA is seeking Oracle Apex developer (788519) For a contract ... Required 10 Years Experience in developing scripts in SQL, PLSQL for data conversion, data ...

Pierre Strand

Remote Sales Representative

Dallas, TX · On-site +1

Responsibilities of a Sales Representative: * Proactively identifying and engaging potential ... No prior sales experience is required; we offer comprehensive training to ensure you are fully ...

BizTech Fusion

ServiceNow Developer

Dallas, TX · Remote

$55.25 - $76/hr

Remote Employment Type: Contract Experience: 5+ Years Job Summary We are seeking an experienced ... Develop Business Rules, Script Includes, Client Scripts, UI Policies, UI Actions, and ACLs. * Build ...

InsuraTec

Sales Representative (Remote)

Rowlett, TX · 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)

Sachse, TX · 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)

Forney, TX · 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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Showing results 21-40

All JobsPrior Authorization Representative Express Scripts JobsRemote Prior Authorization Representative Express Scripts JobsRemote Prior Authorization Representative Express Scripts Jobs in Irving, TX

Remote Prior Authorization Representative Express Scripts information

See Irving, TX salary details

$25K

$46.5K

$70.1K

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

As of Aug 19, 2026, the average yearly pay for remote prior authorization representative express scripts in Irving, TX is $46,485.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,400.00 and $52,800.00 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.

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

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Remote Prior Authorization Representative Express Scripts jobs near you
Infographic showing various Remote Prior Authorization Representative Express Scripts job openings in Irving, TX as of August 2026, with employment types broken down into 76% Full Time, 10% Part Time, and 14% Contract. Highlights an 100% Remote job distribution, with an average salary of $46,485 per year, or $22.3 per hour.

Senior Data Analyst - Medicaid Exp Must - W2

CLOUDSCOUTS SOFTWARE SOLUTIONS LLC

Frisco, TX • Remote

$88K - $111K/yr

Full-time

Re-posted 26 days ago

Job description

Job Title: Senior Data Analyst – Medicaid Exp Must
Experience : 10+ Years
Key Responsibilities:
 • Analyze large volumes of Medicaid healthcare data, including claims, enrollment, provider, eligibility, encounter, and pharmacy data. 
 • Gather, analyze, and document business and data requirements from Medicaid business stakeholders. 
 • Develop and maintain complex SQL queries, stored procedures, and data validation scripts for data extraction and analysis. 
 • Perform detailed analysis of Medicaid claims adjudication, member eligibility, provider networks, and reimbursement processes. 
 • Design, develop, and maintain dashboards, scorecards, and reports using BI tools such as Tableau, Power BI, or Cognos. 
 • Conduct data profiling, data quality assessments, and root cause analysis to ensure accuracy and completeness of Medicaid data. 
 • Collaborate with business teams to support Medicaid regulatory reporting, including CMS, state-specific mandates, and quality measures. 
 • Analyze healthcare KPIs, utilization trends, cost containment opportunities, and operational metrics. 
 • Support Medicaid programs such as Managed Care, Fee-for-Service (FFS), Dual Eligible, LTSS, and Value-Based Care initiatives. 
 • Work closely with ETL and data engineering teams to validate source-to-target mappings and data transformations. 
 • Perform impact analysis for system enhancements, regulatory changes, and Medicaid policy updates. 
 • Create functional specifications, business requirement documents (BRDs), and data mapping documents. 
 • Participate in Agile ceremonies including sprint planning, backlog grooming, daily stand-ups, and retrospectives. 
 • Ensure compliance with HIPAA regulations and healthcare data security standards. 
 • Provide mentorship and guidance to junior analysts and team members. 
Required Skills:
Healthcare/Medicaid Domain:
 • Strong experience in Medicaid programs and healthcare payer systems. 
 • Deep understanding of Medicaid claims processing lifecycle. 
 • Experience with: 
 ○ Member Eligibility and Enrollment 
 ○ Claims Adjudication 
 ○ Provider Management 
 ○ Encounters and Capitation 
 ○ Prior Authorization 
 ○ Care Management 
 ○ Pharmacy and PBM data 
 ○ ICD-10, CPT, HCPCS, DRG, NDC coding systems 
 ○ CMS and State Medicaid reporting

This is a remote position.