Participate in client engagements to review performance metrics and present a comprehensive suite ... Interpret and communicate pharmacy coverage policies in collaboration with clinical partners.
Participate in client engagements to review performance metrics and present a comprehensive suite ... Interpret and communicate pharmacy coverage policies in collaboration with clinical partners.
Join Cigna Healthcare, a division of The Cigna Group, and help shape our provider network. As ... clinical informatics. * Prepare, review, and project thefinancial impactof large or complex ...
Join Cigna Healthcare, a division of The Cigna Group, and help shape our provider network. As ... clinical informatics. * Prepare, review, and project thefinancial impactof large or complex ...
... reviews. * Design and lead clinical transition planning, including vendor engagement, operating ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
... reviews. * Design and lead clinical transition planning, including vendor engagement, operating ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
Join Cigna Healthcare, a division of The Cigna Group, and help shape our provider network. As a ... clinical informatics. * Prepare, review, and project the financial impact of large or complex ...
Join Cigna Healthcare, a division of The Cigna Group, and help shape our provider network. As a ... clinical informatics. * Prepare, review, and project the financial impact of large or complex ...
... reviews. * Design and lead clinical transition planning, including vendor engagement, operating ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
... reviews. * Design and lead clinical transition planning, including vendor engagement, operating ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
... reviews. * Design and lead clinical transition planning, including vendor engagement, operating ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
... reviews. * Design and lead clinical transition planning, including vendor engagement, operating ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
... reviews. * Design and lead clinical transition planning, including vendor engagement, operating ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
... reviews. * Design and lead clinical transition planning, including vendor engagement, operating ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
... Cigna. Summary description of position : A Medical Principal performs medical review and case management activities. The physician provides clinical insight to the organization through peer review ...
... Cigna. Summary description of position : A Medical Principal performs medical review and case management activities. The physician provides clinical insight to the organization through peer review ...
Join Cigna Healthcare, a division of The Cigna Group, and help shape our provider network. As ... clinical informatics. * Prepare, review, and project thefinancial impactof large or complex ...
Join Cigna Healthcare, a division of The Cigna Group, and help shape our provider network. As ... clinical informatics. * Prepare, review, and project thefinancial impactof large or complex ...
Join Cigna Healthcare, a division of The Cigna Group, and help shape our provider network. As a ... clinical informatics. * Prepare, review, and project the financial impact of large or complex ...
Join Cigna Healthcare, a division of The Cigna Group, and help shape our provider network. As a ... clinical informatics. * Prepare, review, and project the financial impact of large or complex ...
... reviews. * Design and lead clinical transition planning, including vendor engagement, operating ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
... reviews. * Design and lead clinical transition planning, including vendor engagement, operating ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
Manager, Network Contracting - Cigna Healthcare - Hybrid (VA, MD)
Richmond, VA · On-site +1
$88K - $117K/yr
Drives change with external provider partners by assessing clinical informatics and offering ... Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts ...
Manager, Network Contracting - Cigna Healthcare - Hybrid (VA, MD)
Richmond, VA · On-site +1
$88K - $117K/yr
Drives change with external provider partners by assessing clinical informatics and offering ... Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts ...
Manager, Network Contracting - Cigna Healthcare - Hybrid (VA, MD)
Baltimore, MD · On-site +1
$88K - $118K/yr
Drives change with external provider partners by assessing clinical informatics and offering ... Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts ...
Manager, Network Contracting - Cigna Healthcare - Hybrid (VA, MD)
Baltimore, MD · On-site +1
$88K - $118K/yr
Drives change with external provider partners by assessing clinical informatics and offering ... Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts ...
Manager, Network Contracting - Cigna Healthcare - Hybrid (VA, MD)
Baltimore, MD · On-site
$88K - $118K/yr
Drives change with external provider partners by assessing clinical informatics and offering ... Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts ...
Manager, Network Contracting - Cigna Healthcare - Hybrid (VA, MD)
Baltimore, MD · On-site
$88K - $118K/yr
Drives change with external provider partners by assessing clinical informatics and offering ... Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts ...
Manager, Network Contracting - Cigna Healthcare - Hybrid (VA, MD)
Mclean, VA · On-site +1
$90K - $120K/yr
Drives change with external provider partners by assessing clinical informatics and offering ... Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts ...
Manager, Network Contracting - Cigna Healthcare - Hybrid (VA, MD)
Mclean, VA · On-site +1
$90K - $120K/yr
Drives change with external provider partners by assessing clinical informatics and offering ... Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts ...
Drives change with external provider partners by assessing clinical informatics and offering ... Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts ...
Drives change with external provider partners by assessing clinical informatics and offering ... Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts ...
What you will be doing? The Utilization Review (UR) Specialist is a critical member of the ... BCBS, Cigna). * Strong clinical writing skills and familiarity with medical necessity language.
Quick apply
What you will be doing? The Utilization Review (UR) Specialist is a critical member of the ... BCBS, Cigna). * Strong clinical writing skills and familiarity with medical necessity language.
The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced ... BCBS, Cigna). * Strong clinical writing skills and familiarity with medical necessity language.
The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced ... BCBS, Cigna). * Strong clinical writing skills and familiarity with medical necessity language.
Provider Contracting Advisor - Cigna Healthcare - Hybrid - West Tennessee Market
Memphis, TN · On-site
Drives change with external provider partners by assessing clinical informatics and offering ... Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts ...
Provider Contracting Advisor - Cigna Healthcare - Hybrid - West Tennessee Market
Memphis, TN · On-site
Drives change with external provider partners by assessing clinical informatics and offering ... Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts ...
Provider Contracting Advisor - Cigna Healthcare - Hybrid - West Tennessee Market
Memphis, TN · On-site +1
Drives change with external provider partners by assessing clinical informatics and offering ... Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts ...
Provider Contracting Advisor - Cigna Healthcare - Hybrid - West Tennessee Market
Memphis, TN · On-site +1
Drives change with external provider partners by assessing clinical informatics and offering ... Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts ...
Cigna Clinical Review information
See salary details
$17.86 is the 25th percentile. Wages below this are outliers.
$14.42 - $21.31
50% of jobs
$21.31 - $28.19
4% of jobs
$32.22 is the 75th percentile. Wages above this are outliers.
$28.19 - $35.07
36% of jobs
$35.07 - $41.96
0% of jobs
$41.96 - $48.84
0% of jobs
$48.84 - $55.73
0% of jobs
$55.73 - $62.61
0% of jobs
$62.61 - $69.49
0% of jobs
$69.49 - $76.38
0% of jobs
$76.38 - $83.26
0% of jobs
$83.26 - $90.14
10% of jobs
$14
$34
$90
How much do cigna clinical review jobs pay per hour?
What is a Cigna Clinical Review?
How does a Cigna Clinical Review professional typically work with healthcare providers to assess patient care plans?
What are the key skills and qualifications needed to thrive as a Cigna Clinical Review specialist, and why are they important?
What is the difference between Cigna Clinical Review vs Cigna Medical Reviewer?
| Aspect | Cigna Clinical Review | Cigna Medical Reviewer |
|---|---|---|
| Credentials | Typically requires clinical certifications (e.g., RN, MD) | Requires medical licenses and clinical certifications |
| Work Environment | Healthcare insurance review teams, remote or office-based | Healthcare insurance review teams, remote or office-based |
| Employer & Industry Usage | Insurance companies, healthcare providers | Insurance companies, healthcare providers |
| Primary Role | Assess medical necessity for insurance claims | Evaluate 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 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:
What job categories do people searching Cigna Clinical Review jobs look for?
The top searched job categories for Cigna Clinical Review jobs are:

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 8 days ago
Cigna Healthcare rating
8.3
Based on 241 frontline employees who took The Breakroom Quiz
39th of 898 rated healthcare providers
Job description
SUMMARY:
The Pharmacy Account Executive acts as the primary expert on pharmacy benefits for Cigna Pharmacy clients in the market segment of clients with up to 3,000 employees. The designated book of business is in the Midwest (primarily Chicago) market.
The Pharmacy Account Executive builds and maintains working relationships with internal stakeholders, clients, brokers, and consultants. The role supports the medical sales teams through client retention and growth strategies and provides expertise in implementation, reporting, and daily service operations.
RESPONSIBILITIES:
Manage and support client persistency for a designated book of business in the Midwest (primarily Chicago) market.
Serve as the pharmacy subject matter expert (SME) for the Medical Sales organization, providing ongoing education and advancing pharmacy knowledge through training initiatives.
Participate in client engagements to review performance metrics and present a comprehensive suite of pharmacy management solutions aligned to reducing total healthcare costs.
Identify and drive opportunities to enhance pharmacy earnings contributions through strong client relationships and strategic collaboration with Medical Sales partners.
Partner cross-functionally with Medical Sales, underwriting, and key stakeholders to support pricing, renewal strategies, and competitive positioning to retain and grow business.
Coordinate external messaging related to pharmacy programs, collaborating with operational and support teams to ensure alignment.
Lead or support client and broker meetings, including service issue resolution discussions and acting as an escalation point for pharmacy-related concerns.
Participate in finalist presentations for new and existing business opportunities as needed.
Analyze pharmacy utilization trends to provide consultative recommendations and address client follow-up questions.
Build a deep understanding of client needs, goals, and objectives to deliver tailored solutions.
Provide pricing, audit, and contract support to clients and internal partners.
Interpret and communicate pharmacy coverage policies in collaboration with clinical partners.
Perform additional duties as needed to support client satisfaction and business objectives.
IDEAL CANDIDATES WILL HAVE A COMBINATION OF THE FOLLOWING:
Bachelor's degree preferred
5 years or more of Pharmacy Benefit Management (PBM) / consulting experience supporting client expectations
Experience with consultative client management methodologies
Proven ability to manage a renewal independently with minimal supervision
Ability to navigate and leverage the broader organization to better support clients
A self-motivated individual displaying ownership, flexibility, accountability and responsibility
Operational understanding and competence with the PBM business model
Understanding the financial and pricing strategy of PBM
Excellent verbal and writing communication skills
Excellent presentation skills in group settings
Technical skills using all Microsoft programs
Residence in Illinois or adjacent states
Ability to travel up to 20%
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 108,900 - 181,500 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 Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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.
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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