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Remote Prior Authorization Representative Express Scripts Jobs in Princeton, NJ

Alpaca Health

Prior Authorization Manager

New York, NY · On-site +1

This role is full-time, remote, and based in the United States Role: Prior Authorizations Manager Responsibilities: * Work with our Prior Authorizations vendor to resolve complex authorization issues ...

Thesis

Clinical Expert, Care Team Operations

New York, NY · On-site +1

$100 - $150K/hr

Review prior authorizations, appeals, and other clinical-administrative tasks that require human ... Build the clinical protocols, scripts, and decision-support content that power Thesis AI agents ...

Astera

Patient Access Coordinator

East Brunswick, NJ · On-site +1

$22/hr

Knowledge of healthcare insurance processes, prior authorizations, and medication access workflows. Work Environment: The work environment characteristics described here are representative of those ...

RemX

Be Seen First

Remote Helpdesk Support Representative (Temporary)

New York, NY · Remote

$18/hr

Remote Helpdesk Support Representative (Temporary) Pay Rate: $18.00 per hour Location: Remote (Must ... Prior customer service, help desk, technical support, or call center experience preferred. * Strong ...

Mercor

Pharmacy Access Specialist - Expert

New York, NY · Remote

$75/hr

Pharmacy Prior Authorization & Specialty-Medication Access Specialist Type: Contract Compensation: $75/hour Location: Remote Role Responsibilities * Process and manage prior authorisation requests ...

InsuraTec

Sales Representative (Remote)

Iselin, NJ · 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)

Manville, NJ · 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)

Levittown, PA · 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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All JobsPrior Authorization Representative Express Scripts JobsRemote Prior Authorization Representative Express Scripts JobsRemote Prior Authorization Representative Express Scripts Jobs in Princeton, NJ

Remote Prior Authorization Representative Express Scripts information

See Princeton, NJ salary details

$27.3K

$50.7K

$76.5K

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

As of Jul 20, 2026, the average yearly pay for remote prior authorization representative express scripts in Princeton, NJ is $50,746.00, according to ZipRecruiter salary data. Most workers in this role earn between $41,900.00 and $57,700.00 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 job categories do people searching Remote Prior Authorization Representative Express Scripts jobs in Princeton, NJ look for? The top searched job categories for Remote Prior Authorization Representative Express Scripts jobs in Princeton, NJ are:
Remote Prior Authorization Representative Express Scripts jobs near you

Prior Authorization Manager

Alpaca Health

New York, NY • On-site, Remote

Full-time

Posted 7 days ago

Job description

About Alpaca Health
Alpaca Health enables clinicians to become entrepreneurs, starting in autism care.
We help clinicians launch and scale their own clinics by providing AI-powered software, payer contracting, and full back-office infrastructure. Our goal is simple: shift power in healthcare away from large consolidated entities and back to clinicians.
We've raised over $14M in funding from early-stage investors like Core Innovation Capital, Adverb Ventures, and South Park Commons, and are building for long-term category leadership. More importantly, we're serving thousands of patients, while growing 30% - 50% MoM.
This role is full-time, remote, and based in the United States
Role: Prior Authorizations Manager
Responsibilities:
  • Work with our Prior Authorizations vendor to resolve complex authorization issues including coordinating with our providers, patients and payors
  • Be the inhouse expert for all prior authorizations and pre-certification requests and requirements for a region or set of payors
  • Support the team in chasing down documentation, resolving auth rejections, and navigating payer requirements
  • Work with the operations team to identify bottlenecks, inefficiencies, and opportunities across the intake workflow
  • Develop processes and training materials for offshore team members to resolve day-to-day prior authorization issues
  • Own Prior Authorization outcomes and KPIs for your region / payors

Who You Are
  • [REQUIRED] 5+ years of experience in ABA intake with a specific focus on Prior Authorizations or Insurance Certification
  • [REQUIRED] Strong understanding of the ABA pre-certification process for Tricare East, Medicaid MCOs, BCBS State plans, Aetna, and/or Cigna
  • You are highly organized and relentless about follow-through, nothing falls through the cracks on your watch
  • Extreme detail orientation and ability to read complex clinical documents, payor feedback, and EHR data with regards to prior authorization workflows
  • You communicate clearly and confidently with everyone from parents to clinicians to payor contacts
  • You are a problem-solver - you identify the issue and fix it
  • You are comfortable with ambiguity and can make good judgment calls in real time
  • You hold yourself to a high bar while remaining approachable and supportive

Why Join
  • The opportunity to materially impact the health outcomes of the most vulnerable populations
  • Opportunity for rapid career growth as we build out a net new function at Alpaca Health
  • Join one of the fastest growing healthcare startups in the world (between 30% - 50% monthly growth)
  • Join a team of rockstar performers who are taking a new tech first approach to building a scalable digital health platform

Apply