ZipRecruiter

Log In

2

Remote Prior Authorization Representative Express Scripts Jobs in Prior Lake, MN

Adecco

Associate Patient Care Coordinator

Minneapolis, MN · Remote

$19.08/hr

Obtain and document prior authorizations and financial clearances for scheduled services. * Provide ... Remote Work Requirements To be successful in this position, candidates must have: * A hard-wired ...

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 Prior Lake, MN

Remote Prior Authorization Representative Express Scripts information

See Prior Lake, MN salary details

$26.7K

$49.7K

$74.9K

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 Prior Lake, MN is $49,680.00, according to ZipRecruiter salary data. Most workers in this role earn between $41,000.00 and $56,400.00 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.

Remote Prior Authorization Representative Express Scripts jobs near you
Infographic showing various Remote Prior Authorization Representative Express Scripts job openings in Prior Lake, MN 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 $49,680 per year, or $23.9 per hour.

REMOTE_Prior Authorization Pharmacist

Minnetonka, MN • Remote

Insight Global
See more jobs at Insight Globalexternal

$50 - $59/hr

Full-time

Medical

Posted 12 days ago

Job description

Required Skills & Experience
-Bachelors or Doctorate of Pharmacy; Active State Pharmacist License
-Current Licensed Pharmacist within the state of work
-6+ months of customer service/customer relations with healthcare professionals
-Technology savvy - Basic proficiency with Microsoft Excel (ability to create, edit, and save a basic spreadsheet), Microsoft Word (ability to create, edit, and save a basic document) and basic proficiency with Microsoft Outlook (ability to send emails)
-Comfortable with call center / production-based environment
-Ability to perform responsibilities and duties remotely with little to no supervision
-Comfortable in a fast-paced, high-volume workload
-Ability to be adaptable, team-oriented culture requiring flexibility and adaptability to changing business needs.
Job Description
The Pharmacist, Prior Authorization (PA) & Appeals, is responsible for reviewing and evaluating prior authorization and appeals requests to determine coverage based on clinical guidelines, pharmacy policies, and health plan benefits. In this fast-paced, high-volume environment, the pharmacist works closely with physicians, healthcare providers, pharmacy technicians, and internal teams to gather and assess clinical information, make evidence-based coverage determinations, recommend formulary-compliant and cost-effective treatment alternatives, and ensure compliance with federal and state regulations. The role requires strong clinical judgment, attention to detail, effective communication skills, and the ability to manage competing priorities while meeting productivity and quality standards. Additionally, the pharmacist supports quality assurance initiatives, resolves provider and pharmacy inquiries, participates in process improvement efforts, and contributes to a collaborative, customer-focused team environment. Maintain full compliance with state and federal pharmacy laws, Medicare Part D, Medicaid, and commercial benefit regulations. Accurately document case decisions in accordance with internal protocols, auditing standards, and confidentiality policies. Effectively manage case volume by organizing workload, setting daily priorities, and meeting productivity and quality benchmarks. Adapt to fluctuating demands while maintaining accuracy and professionalism under pressure.