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Cigna Prior Authorization Jobs (NOW HIRING)

Prior Authorizations Manager Responsibilities: * Work with our Prior Authorizations vendor to ... Cigna * You are highly organized and relentless about follow-through, nothing falls through the ...

Prior Authorizations Manager Responsibilities: * Work with our Prior Authorizations vendor to ... Cigna * You are highly organized and relentless about follow-through, nothing falls through the ...

Cigna-Evernorth Services Inc. seeks a Product Owner Senior Advisor for the Plano, TX location to ... prior authorizations, and ID cards are identified, prioritized, documented, and successfully ...

Cigna-Evernorth Services Inc. seeks a Product Owner Senior Advisor for the Plano, TX location to ... prior authorizations, and ID cards are identified, prioritized, documented, and successfully ...

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

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Cigna Prior Authorization information

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$28K

$71.3K

$141K

How much do cigna prior authorization jobs pay per year?

As of Jul 23, 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.

Does Cigna offer remote jobs?

Cigna offers remote job opportunities for various roles, including positions in healthcare, customer service, and administrative support. Many of these roles require strong communication skills and familiarity with remote work tools like video conferencing and online collaboration platforms.

Why is Cigna laying people off?

Cigna Prior Authorization roles are typically affected by company restructuring, cost management, or shifts in healthcare policies. Layoffs can occur during organizational changes or technological upgrades, often involving adjustments to staffing levels or automation of approval processes.

Who handles prior authorization for Cigna?

For Cigna, prior authorization is typically handled by healthcare providers or physicians who submit requests through Cigna's online portal, phone, or fax. Cigna's medical staff reviews these requests to determine coverage based on policy guidelines and medical necessity. Professionals involved often have knowledge of insurance protocols and may require relevant clinical documentation.

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.

How many PTO days does Cigna give?

Cigna employees typically receive paid time off (PTO) based on their length of service and job level, with standard offerings ranging from 15 to 25 days annually. PTO policies may vary by location and position, and employees can often accrue additional days with tenure or through company programs.

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:
What states have the most Cigna Prior Authorization jobs? States with the most job openings for Cigna Prior Authorization jobs include:
Infographic showing various Cigna Prior Authorization job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 87% Full Time, 10% Part Time, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $71,292 per year, or $34.3 per hour.

Prior Authorization Manager

Alpaca Health

New York, NY โ€ข On-site, Remote

Full-time

Posted 9 days ago


Job description

About Alpaca Health
Alpaca Health enables clinicians to become entrepreneurs, starting in autism care.
We help clinicians launch and scale their own clinics by providing AI-powered software, payer contracting, and full back-office infrastructure. Our goal is simple: shift power in healthcare away from large consolidated entities and back to clinicians.
We've raised over $14M in funding from early-stage investors like Core Innovation Capital, Adverb Ventures, and South Park Commons, and are building for long-term category leadership. More importantly, we're serving thousands of patients, while growing 30% - 50% MoM.
This role is full-time, remote, and based in the United States
Role: Prior Authorizations Manager
Responsibilities:
  • Work with our Prior Authorizations vendor to resolve complex authorization issues including coordinating with our providers, patients and payors
  • Be the inhouse expert for all prior authorizations and pre-certification requests and requirements for a region or set of payors
  • Support the team in chasing down documentation, resolving auth rejections, and navigating payer requirements
  • Work with the operations team to identify bottlenecks, inefficiencies, and opportunities across the intake workflow
  • Develop processes and training materials for offshore team members to resolve day-to-day prior authorization issues
  • Own Prior Authorization outcomes and KPIs for your region / payors

Who You Are
  • [REQUIRED] 5+ years of experience in ABA intake with a specific focus on Prior Authorizations or Insurance Certification
  • [REQUIRED] Strong understanding of the ABA pre-certification process for Tricare East, Medicaid MCOs, BCBS State plans, Aetna, and/or Cigna
  • You are highly organized and relentless about follow-through, nothing falls through the cracks on your watch
  • Extreme detail orientation and ability to read complex clinical documents, payor feedback, and EHR data with regards to prior authorization workflows
  • You communicate clearly and confidently with everyone from parents to clinicians to payor contacts
  • You are a problem-solver - you identify the issue and fix it
  • You are comfortable with ambiguity and can make good judgment calls in real time
  • You hold yourself to a high bar while remaining approachable and supportive

Why Join
  • The opportunity to materially impact the health outcomes of the most vulnerable populations
  • Opportunity for rapid career growth as we build out a net new function at Alpaca Health
  • Join one of the fastest growing healthcare startups in the world (between 30% - 50% monthly growth)
  • Join a team of rockstar performers who are taking a new tech first approach to building a scalable digital health platform