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Cigna Prior Authorization Jobs (NOW HIRING)

Cigna

Software Engineering Advisor- Hybrid

Plano, TX · Hybrid

Cigna-Evernorth Services Inc. seeks a Software Engineering Advisor for the Plano, TX location ... role with healthcare prior authorization. All qualifying experience must include: creating ...

Cigna

Software Engineering Advisor- Hybrid

Plano, TX · On-site

Cigna-Evernorth Services Inc. seeks a Software Engineering Advisor for the Plano, TX location ... are prior authorization. • All qualifying experience must include: creating responsive and ...

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All JobsCigna Prior Authorization Jobs

Cigna Prior Authorization information

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$28K

$71.3K

$141K

How much do cigna prior authorization jobs pay per year?

As of Jun 9, 2026, the average yearly pay for cigna prior authorization in the United States is $71,292.00, according to ZipRecruiter salary data. Most workers in this role earn between $42,500.00 and $97,500.00 per year, depending on experience, location, and employer.

What company does Prior Auth for Cigna?

Cigna's prior authorization process is managed internally by Cigna or through designated third-party vendors authorized by Cigna. These vendors handle the review and approval of medical services to ensure coverage compliance. Job roles related to Cigna prior authorization often involve working with these systems and understanding insurance policies.

What are the key skills and qualifications needed to thrive in the Cigna Prior Authorization position, and why are they important?

To thrive as a Cigna Prior Authorization specialist, you need a strong understanding of healthcare insurance processes, medical terminology, and prior authorization guidelines, often supported by experience in medical billing or claims processing. Familiarity with insurance databases, authorization management software, and HIPAA compliance tools is typically required. Attention to detail, organizational skills, and effective communication with providers and patients are critical soft skills. These competencies are crucial for accurately processing requests, ensuring compliance, and delivering efficient service to all stakeholders.

What is a Cigna Prior Authorization job?

A Cigna Prior Authorization job involves reviewing requests for medical procedures, medications, or services to determine if they meet Cigna's coverage criteria. Employees in this role assess medical necessity, ensure compliance with insurance policies, and communicate approvals or denials to healthcare providers or members. They may work with nurses, doctors, and other specialists to evaluate requests. Strong knowledge of healthcare guidelines and attention to detail are essential for success in this position.

What are some of the typical challenges faced by Cigna Prior Authorization specialists and how can they overcome them?

A common challenge for Cigna Prior Authorization specialists is navigating complex healthcare plans and ensuring all requests are processed in compliance with current policies and medical guidelines. Specialists often juggle a high volume of requests and must quickly gather and verify clinical information from providers and patients. Successful team members develop strong organizational systems to manage deadlines, rely on effective communication to resolve discrepancies, and stay updated on policy changes through ongoing training. Collaboration with both internal teams and external medical offices is essential to streamline workflows and deliver timely results.

More about Cigna Prior Authorization jobs
What cities are hiring for Cigna Prior Authorization jobs? Cities with the most Cigna Prior Authorization job openings:
What are the most commonly searched types of Cigna Prior Authorization jobs? The most popular types of Cigna Prior Authorization jobs are:
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Cigna Prior Authorization jobs near you
Infographic showing various Cigna Prior Authorization job openings in the United States as of May 2026, with employment types broken down into 11% Internship, 33% Full Time, and 56% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $71,292 per year, or $34.3 per hour.

Senior Prior Authorization / Patient Insurance Specialist

Madison Medical and Sports Rehabilitation Center

Madison, NJ • On-site

$67K - $70K/yr

Full-time

Posted 5 days ago

Job description

Senior Prior Authorization Specialist / Patient Insurance Liaison

Location: Madison, NJ (on-site)

Employment Type: Full-time

Pay Range: $67,000-$70,000 annually commensurate with experience, OON/MSK depth, and payer-portal command.

About Madison Medical Sports & Wellness

Madison Medical Sports & Wellness is a New Jersey state-licensed, multi-specialty ambulatory care facility operating 15+ integrated service lines, including chiropractic, physical therapy, pain management, sports medicine, podiatry, regenerative medicine, hormone optimization, weight management, IV therapy, allergy/SLIT, acupuncture, sleep studies, and our Athletic Recovery Center.

Position Summary

We are seeking a seasoned, highly organized Prior Authorization / Patient Insurance Liaison Specialist who lives and breathes payer rules. This is not an entry-level role. The ideal candidate has worked the full spectrum — out-of-network commercial, in-network commercial, Medicare, Medicaid, hybrid plans, and cash/self-pay — and can move authorizations and benefit determinations across all of them independently. You read a denial and already know the appeal angle, you understand musculoskeletal (MSK) clinical workflows, and you know the documentation each payer requires to approve them.

What You'll Own

End-to-end prior authorizations: submit, track, and secure approvals across all payer types and all 15+ service lines, with MSK and orthopedic/spine workflows front and center.

Out-of-network (OON) strategy: verify OON benefits, calculate patient responsibility, and manage gap exceptions, single-case agreements, and OON authorization pathways.

Patient insurance liaison: serve as the clear, calm voice explaining coverage, benefits, deductibles, and out-of-pocket costs across every plan type accepted.

Benefit verification: run accurate eligibility and benefits checks for commercial, Medicare, Medicaid, hybrid, and cash patients before care is rendered.

Denials and appeals: identify root cause, build clean appeal packets, and overturn denials with payer-specific documentation.

Payer portal mastery: Availity, NaviNet, UnitedHealthcare, Horizon BCBS, Cigna, Aetna, CMS/Medicare, NJ Medicaid (NJ FamilyCare), and others.

Technology and AI: leverage EMR, RCM, and AI-assisted authorization tools to reduce turnaround time and keep documentation airtight.

Required Experience (Non-Negotiable)

5–8 years of hands-on prior authorization / insurance verification experience in a clinical or RCM setting.

Proven out-of-network (OON) experience: actively worked OON benefits, gap exceptions, and patient-responsibility calculations — not in-network only.

MSK / musculoskeletal specialty experience: orthopedics, spine, pain management, PT, chiropractic, or sports medicine authorization workflows.

Demonstrated command of all payer types: commercial (in- and out-of-network), Medicare, Medicaid, hybrid plans, and cash/self-pay.

Payer-portal expertise: fast and fluent across major commercial and government portals.

Technology- and AI-forward: comfortable adopting new systems and AI-assisted tools, with strong EMR proficiency.

Exceptionally organized: tracks every case, never lets an authorization lapse, and documents thoroughly.

Preferred / Bonus

Experience with Oracle Health, CureMD, or comparable enterprise EMRs.

Familiarity with UB-04 institutional billing and multi-specialty fee schedules.

CPC, CPB, or prior-authorization certification.

Multi-site or high-volume ambulatory experience.

Why Madison Medical

Growth, not maintenance: we are actively expanding service lines, launching new programs, and adding providers. Your work directly drives revenue.

Modern stack: Oracle Health EMR, AI-assisted authorization tooling, and real RCM infrastructure.

Real ownership: you'll be the authority on authorizations across 15+ specialties, with leadership that values the function.

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