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Case Management Analyst Cigna Jobs (NOW HIRING)

Tenet Health

Director of Case Management

Memphis, TN · On-site

This position integrates national standards for case management scope of services including ... The hospital has been recognized for excellence of care by United Healthcare, CIGNA, Blue Cross ...

MANTECH

Management Analyst

Patuxent River, MD

Perform program management, technical, or business case analyses. * Participates as a member of and/or supports the specified Program Integrated Product Teams (IPTs); and IPT directed business ...

MANTECH

Management Analyst

Patuxent River, MD · On-site

Perform program management, technical, or business case analyses. * Participates as a member of and/or supports the specified Program Integrated Product Teams (IPTs); and IPT directed business ...

MANTECH

Management Analyst

Patuxent River, MD · On-site

Perform program management, technical, or business case analyses. * Participates as a member of and/or supports the specified Program Integrated Product Teams (IPTs); and IPT directed business ...

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Case Management Analyst Cigna information

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$39K

$82.7K

$134.5K

How much do case management analyst cigna jobs pay per year?

As of Jun 9, 2026, the average yearly pay for case management analyst cigna in the United States is $82,660.00, according to ZipRecruiter salary data. Most workers in this role earn between $54,000.00 and $94,500.00 per year, depending on experience, location, and employer.

What are Case Management Analysts at Cigna?

Case Management Analysts at Cigna are healthcare professionals who help manage and coordinate care for patients with complex medical needs. They work with patients, healthcare providers, and insurance teams to ensure that members receive appropriate, cost-effective care and support throughout their treatment. Their duties often include assessing patients' needs, developing care plans, monitoring progress, and facilitating communication among all parties involved. By doing so, they aim to improve health outcomes and enhance the efficiency of healthcare delivery.

What is the difference between Case Management Analyst Cigna vs Utilization Review Coordinator?

AspectCase Management Analyst CignaUtilization Review Coordinator
CredentialsBachelor's degree, certifications like CCM often preferredBachelor's degree, certifications like CCM often preferred
Work EnvironmentCorporate healthcare setting, insurance industryHealthcare facilities, insurance companies, or telehealth
Job FocusCoordinating patient care, managing cases, liaising with providersReviewing medical necessity, authorizing or denying services

Both roles involve healthcare coordination and require similar credentials, but a Case Management Analyst Cigna focuses on managing patient cases within the insurance framework, while a Utilization Review Coordinator primarily reviews medical requests for appropriateness. The roles often overlap in healthcare and insurance settings, but their core responsibilities differ slightly.

What are the key skills and qualifications needed to thrive as a Case Management Analyst at Cigna, and why are they important?

To excel as a Case Management Analyst at Cigna, you need a background in healthcare management, case management, or nursing, often supported by a relevant degree or certification such as RN or CCM. Familiarity with case management software, data analysis tools, and healthcare compliance systems is typically required. Strong analytical thinking, effective communication, and problem-solving skills set top performers apart in this role. These competencies are crucial for coordinating care efficiently, ensuring compliance, and improving patient outcomes within a complex healthcare environment.

What are some of the main challenges Case Management Analysts at Cigna face when coordinating care for members?

Case Management Analysts at Cigna often encounter challenges such as navigating complex healthcare systems, coordinating care among multiple providers, and ensuring members adhere to recommended treatment plans. They must balance the needs of members with organizational guidelines, while also managing time-sensitive cases and addressing barriers to care like social determinants of health. Effective communication, adaptability, and strong problem-solving skills are essential to overcoming these challenges and providing optimal support to members.
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What job categories do people searching Case Management Analyst Cigna jobs look for? The top searched job categories for Case Management Analyst Cigna jobs are:
Case Management Analyst Cigna jobs near you
Director of Case Management

Director of Case Management

Saint Francis Hospital

Memphis, TN • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago

Job description

The individual in this position has overall responsibility for hospital utilization management, transition management, and operational management of the Case Management Department in order to promote effective utilization of hospital resources, timely and accurate revenue cycle processes, denial prevention, safe and timely patient throughput, and compliance with all state and federal regulations related to case management services. This position integrates national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention; Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction; Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care; Compliance with state and federal regulatory requirements, TJC accreditation standards, and Tenet policy; and Education provided to physicians, patients, families, and caregivers.
  • Manage department operations to assure effective throughput and reimbursement for services provided
  • Lead the implementation and oversight of the hospital Utilization Management Plan using data to drive hospital utilization performance improvement
  • Ensure medical necessity and revenue cycle processes are completed accurately and in compliance with CMS regulations and Tenet policy
  • Ensure timely and effective patient transition and planning to support efficient patient throughput
  • develop and provide physician education and feedback on hospital utilization
  • other duties as assigned.
  • Required:
    • Education: Bachelor's degree in Business, Nursing or Health Care Administration for RN or Master's in Social Work for MSW
    • Experience: 3 years of acute hospital case management or healthcare leadership experience

  • Licensure/Certification:
    • Registered Nurse or LCSW/LMSW license.
    • Must be currently licensed, certified or registered to practice profession as required by law or regulation in state of practice or policy.
    • Active RN or LCSW/LMSW license for state(s) covered.
  • Preferred:
    • Experience: 5 years of acute hospital case management leadership multi-site experience
    • Education: MSN, MBA, MSW, or MHA
    • Licensure/Certification: Accredited Case Manager (ACM)

Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At Saint Francis Hospital hospital, were seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.
At Saint Francis Hospital, we understand that our greatest asset is our dedicated team of professionals. That's why we offer more than a job - we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:
  • Medical, dental, vision, and life insurance
  • 401(k) retirement savings plan with employer match
  • Generous paid time off
  • Career development and continuing education opportunities
  • Health savings accounts, healthcare & dependent flexible spending accounts
  • Employee Assistance program, Employee discount program
  • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status
Saint Francis Hospital-Memphis is a 479-bed full-service hospital located at 5959 Park Avenue in Memphis, TN.Offering a wide array of medical services, Saint Francis is noted for its many Centers of Excellence, including its Center for Surgical Weight Loss, Joint & Spine Center, Heart & Vascular Center, Chest Pain Emergency Center, and Surgical Services including its Center for Robotic Surgery, Diabetes Center, and Cancer Center.The hospital has been recognized for excellence of care by United Healthcare, CIGNA, Blue Cross/Blue Shield, and Aetna. Saint Francis Hospital serves as an academic training site for University of Tennessee Surgical, Family Practice, and Psychiatric Residents. The hospital is accredited by the Joint Commission on the Accreditation of Healthcare Organizations, the nations oldest and largest hospital accreditation agency. At Saint Francis Healthcare, you can grow your career skills and be a vital member of our team where we strive to be No. 1 in quality, safety and service excellence. Join our team!

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