1

Cigna Clinical Review Jobs (NOW HIRING)

Medical Director - Clinical Strategy

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This role will be critical to positioning Cigna Healthcare as a market-leading clinical ... Improve case management and complex care models, including structured case review processes, high ...

Cigna EHE Health Coach

Concord, NC · Remote

$24/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Cigna EHE Health Coach We are currently hiring a talented LPN/LVN, Cigna Everyday Health Engagement ... Works closely with Clinicians, Medical Staff and Peer Reviewers to facilitate escalated reviews in ...

Cigna EHE Health Coach

$24/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Cigna EHE Health Coach We are currently hiring a talented LPN/LVN, Cigna Everyday Health Engagement ... Works closely with Clinicians, Medical Staff and Peer Reviewers to facilitate escalated reviews in ...

Cigna EHE Health Coach

Concord, NC · Remote

$24/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Cigna EHE Health Coach We are currently hiring a talented LPN/LVN, Cigna Everyday Health Engagement ... Works closely with Clinicians, Medical Staff and Peer Reviewers to facilitate escalated reviews in ...

Medical Director - Medical Oncology - Evicore - Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Do you crave an intellectually stimulating role that lets you apply your clinical expertise while ... As a Medical Director at EviCore, part of Evernorth Health Services, a division of The Cigna Group ...

Medical Director - Cardiology - Evicore - Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Do you crave an intellectually stimulating role that lets you apply your clinical expertise while ... As a Medical Director at EviCore, part of Evernorth Health Services, a division of The Cigna Group ...

Medical Director - Sleep Medicine - Evicore - Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Do you crave an intellectually stimulating role that lets you apply your clinical expertise while ... As a Medical Director at EviCore, part of Evernorth Health Services, a division of The Cigna Group ...

Showing results 21-40

Cigna Clinical Review information

See salary details

$14

$34

$90

How much do cigna clinical review jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for cigna clinical review in the United States is $34.62, according to ZipRecruiter salary data. Most workers in this role earn between $16.59 and $32.93 per hour, depending on experience, location, and employer.

What is the difference between Cigna Clinical Review vs Cigna Medical Reviewer?

AspectCigna Clinical ReviewCigna Medical Reviewer
CredentialsTypically requires clinical certifications (e.g., RN, MD)Requires medical licenses and clinical certifications
Work EnvironmentHealthcare insurance review teams, remote or office-basedHealthcare insurance review teams, remote or office-based
Employer & Industry UsageInsurance companies, healthcare providersInsurance companies, healthcare providers
Primary RoleAssess medical necessity for insurance claimsEvaluate medical records and determine coverage eligibility

Both roles involve reviewing medical information within insurance settings, often requiring similar clinical credentials. The main difference is that Cigna Clinical Review focuses on assessing medical necessity, while Cigna Medical Reviewer evaluates medical records for coverage decisions. Both positions are integral to insurance healthcare teams and share similar work environments.

What are the key skills and qualifications needed to thrive as a Cigna Clinical Review specialist, and why are they important?

To thrive as a Cigna Clinical Review Specialist, you need a robust clinical background, usually as a registered nurse or allied health professional, with experience in case management or utilization review. Proficiency in healthcare management software, electronic medical records (EMRs), and familiarity with industry-standard guidelines like InterQual or MCG are typically required. Exceptional attention to detail, critical thinking, and strong communication skills set top performers apart in this role. These competencies ensure accurate, timely reviews that support patient care and regulatory compliance within managed healthcare environments.

How does a Cigna Clinical Review professional typically work with healthcare providers to assess patient care plans?

As a Cigna Clinical Review professional, you'll frequently interact with healthcare providers to evaluate and approve patient care plans and treatment requests. This involves reviewing clinical documentation, applying evidence-based guidelines, and sometimes discussing case details directly with physicians or nurses to clarify information or recommend alternatives. Collaboration and clear communication are vital, as your input impacts patient outcomes and provider satisfaction. You will often work as part of an interdisciplinary team, balancing medical necessity with policy requirements to ensure quality care for members.

What is a Cigna Clinical Review?

A Cigna Clinical Review is a process where medical professionals evaluate healthcare services, treatments, or medications to determine if they are medically necessary and covered under a member’s health insurance plan. This review helps ensure that patients receive appropriate care based on clinical guidelines and the terms of their insurance policy. The process may involve reviewing medical records, consulting with healthcare providers, and applying evidence-based criteria to make coverage decisions.
More about Cigna Clinical Review jobs

What cities are hiring for Cigna Clinical Review jobs?

Cities with the most Cigna Clinical Review job openings:

What states have the most Cigna Clinical Review jobs?

States with the most job openings for Cigna Clinical Review jobs include:

Infographic showing various Cigna Clinical Review job openings in the United States as of August 2026, with employment types broken down into 94% Full Time, and 6% Part Time. Highlights an 100% In-person job distribution, with an average salary of $72,002 per year, or $34.6 per hour.

Business Analytics Senior Advisor - Clinical & Health Outcomes Research (Medical/Scientific Writi...

Cigna

Raleigh, NC • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago


Cigna Healthcare rating

8.4

Company rating: 8.4 out of 10

Based on 238 frontline employees who took The Breakroom Quiz

23rd of 887 rated healthcare providers


Job description

Make a meaningful impact on the future of health care. As a Business Analytics Senior Advisor, Clinical & Health Outcomes Research (Medical/Scientific Writing), you will combine scientific expertise, advanced analytics, and strong storytelling skills to turn complex research into insights that improve health outcomes and demonstrate the value of our services. Working with Cigna Healthcare's analytics teams, clinical experts, and business partners, you will lead research initiatives that influence decisions, uncover new opportunities, and support better experiences for patients and providers.

Responsibilities

  • Lead health outcomes and health services research projects from concept through delivery, applying sound research design, statistical methods, and evidence-based approaches.

  • Translate complex clinical and analytical findings into clear, compelling manuscripts, presentations, reports, and other communications tailored to healthcare professionals, policymakers, patients, and business stakeholders.

  • Conduct literature reviews and background research to strengthen study design, support strategic recommendations, and provide context for research findings.

  • Partner with analytics, clinical, and cross-functional teams to answer important healthcare questions and evaluate the clinical and financial impact of products, programs, and services.

  • Analyze large healthcare datasets to generate actionable insights, identify trends, and support enterprise research priorities.

  • Serve as a project lead or key contributor across multiple initiatives, ensuring high-quality deliverables and timely execution.

  • Communicate research findings and recommendations to diverse audiences, helping stakeholders understand complex data and make informed decisions.

  • Contribute to a culture of innovation, continuous learning, and collaboration while adapting to evolving business needs.

Required Qualifications

  • Minimum 5 years of postgraduate experience conducting applied healthcare research and working with large healthcare datasets.

  • Experience leading research projects and presenting findings to internal and external audiences.

  • Experience working with medical and pharmacy claims data.

  • Peer-reviewed publication or scientific writing experience.

  • Strong knowledge of research methodology, study design, and statistical analysis.

  • Advanced proficiency with statistical programming tools such as SAS, R, STATA, SPSS, Altair SLC, or similar platforms.

  • Strong written, verbal, and presentation skills with the ability to communicate technical concepts clearly.

  • Experience querying, managing, validating, and analyzing large datasets.

  • Strong project management skills with the ability to prioritize work, manage multiple projects, and meet deadlines.

  • Collaborative mindset with the ability to work independently and across matrixed teams.

Preferred Qualifications

  • PhD, MD-PhD, RN-PhD, Master's degree, or equivalent experience in health outcomes research, health services research, health economics, pharmacoeconomics, public health, pharmacy, or a related field.

  • Proficiency in SQL and relational databases.

  • Knowledge of healthcare coding systems such as ICD, CPT, HCPCS, NDC, and SNOMED.

  • Clinical or medical background.

  • Experience in fast-paced, highly collaborative environments.


If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 112,800 - 188,000 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.


At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.


About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.


What Cigna Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


Cigna logo

About Cigna

Sourced by ZipRecruiter

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Bloomfield, CT, US

Social media