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 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 ...
Behavioral Health Authorizations Specialist
Mission Viejo, CA · On-site
$52K - $70K/yr
Prior Authorization * Initiate, submit, and track prior authorization requests for all outpatient behavioral health services requiring payer approval across SCCS's full payer mix, including Cigna ...
Quick apply
Behavioral Health Authorizations Specialist
Mission Viejo, CA · On-site
$52K - $70K/yr
Prior Authorization * Initiate, submit, and track prior authorization requests for all outpatient behavioral health services requiring payer approval across SCCS's full payer mix, including Cigna ...
Obtain and manage new and renewal prior authorizations, including medical and pharmacy ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
Obtain and manage new and renewal prior authorizations, including medical and pharmacy ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
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 ... 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. • All qualifying experience must include: creating responsive and ...
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 ...
... services, prior authorization assistance, and therapy-specific workflows. * Develop strategic ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
... services, prior authorization assistance, and therapy-specific workflows. * Develop strategic ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
Insurance Verification & Authorizations Specialist
Dallas, TX · On-site
$18 - $20/hr
Perform authorization follow-up to ensure approvals are received prior to date of service * Navigate and manage all major payer online portals (Medicare MACs, Medicaid, BCBS, UHC, Aetna, Cigna ...
Quick apply
Insurance Verification & Authorizations Specialist
Dallas, TX · On-site
$18 - $20/hr
Perform authorization follow-up to ensure approvals are received prior to date of service * Navigate and manage all major payer online portals (Medicare MACs, Medicaid, BCBS, UHC, Aetna, Cigna ...
Insurance Verification & Authorizations Specialist
Dallas, TX · On-site
$18 - $20/hr
Perform authorization follow-up to ensure approvals are received prior to date of service * Navigate and manage all major payer online portals (Medicare MACs, Medicaid, BCBS, UHC, Aetna, Cigna ...
Quick apply
Insurance Verification & Authorizations Specialist
Dallas, TX · On-site
$18 - $20/hr
Perform authorization follow-up to ensure approvals are received prior to date of service * Navigate and manage all major payer online portals (Medicare MACs, Medicaid, BCBS, UHC, Aetna, Cigna ...
Deep, hands-on experience with medical and pharmacy drug prior authorization programs, including ... About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates ...
Deep, hands-on experience with medical and pharmacy drug prior authorization programs, including ... About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates ...
Deep, hands-on experience with medical and pharmacy drug prior authorization programs, including ... About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates ...
Deep, hands-on experience with medical and pharmacy drug prior authorization programs, including ... About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates ...
Experience with prior authorization at Medicare FFS and major commercial payers (UHC, Aetna, Cigna). * Detail-oriented, comfortable with structured checklists and building systematic review processes.
Experience with prior authorization at Medicare FFS and major commercial payers (UHC, Aetna, Cigna). * Detail-oriented, comfortable with structured checklists and building systematic review processes.
You will play a critical role in scaling direct payer integrations and prior authorization ... Design, build, and support direct payer integrations with UnitedHealthcare, Aetna, Cigna, Humana ...
You will play a critical role in scaling direct payer integrations and prior authorization ... Design, build, and support direct payer integrations with UnitedHealthcare, Aetna, Cigna, Humana ...
DME Documentation Criteria Reviewer
San Francisco, CA · On-site
$90K - $145K/yr
Experience with prior authorization at Medicare FFS and major commercial payers (UHC, Aetna, Cigna). * Detail-oriented, comfortable with structured checklists and building systematic review processes.
DME Documentation Criteria Reviewer
San Francisco, CA · On-site
$90K - $145K/yr
Experience with prior authorization at Medicare FFS and major commercial payers (UHC, Aetna, Cigna). * Detail-oriented, comfortable with structured checklists and building systematic review processes.
Evaluate telephone, fax, or web requests for authorization of coverage of molecular and genetic ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
Evaluate telephone, fax, or web requests for authorization of coverage of molecular and genetic ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
Verification of Benefits Specialist - 3 remote roles
OR · On-site
$22 - $23/hr
... prior authorizations and retro authorizations as needed • Ensure compliance with HIPAA and ... Cigna, United Healthcare, HealthPartners, UMR, and similar portals • Proven experience ...
New
Quick apply
Verification of Benefits Specialist - 3 remote roles
OR · On-site
$22 - $23/hr
... prior authorizations and retro authorizations as needed • Ensure compliance with HIPAA and ... Cigna, United Healthcare, HealthPartners, UMR, and similar portals • Proven experience ...
New
Head of Product
Austin, TX · On-site
$231K - $241K/yr
... prior authorization, utilization management, care management, and claims processing. Backed by Valtruis, Cigna Group Ventures, Asset Management Ventures and top-tier VCs, we serve 3 of the top 5 U.S ...
Head of Product
Austin, TX · On-site
$231K - $241K/yr
... prior authorization, utilization management, care management, and claims processing. Backed by Valtruis, Cigna Group Ventures, Asset Management Ventures and top-tier VCs, we serve 3 of the top 5 U.S ...
Cigna Group - Cigna Healthcare/Evernorth-ESI/Ascent * Prime Therapeutics * Assigned national and ... prior authorization concepts, utilization management frameworks, and formulary review processes.
Cigna Group - Cigna Healthcare/Evernorth-ESI/Ascent * Prime Therapeutics * Assigned national and ... prior authorization concepts, utilization management frameworks, and formulary review processes.
Medical, Dental, & Vision Insurance through Cigna * Life Insurance * 403(b) Matching Retirement ... Coordinate verification of benefits (VOB) and prior authorization/pre-certification processes.
Medical, Dental, & Vision Insurance through Cigna * Life Insurance * 403(b) Matching Retirement ... Coordinate verification of benefits (VOB) and prior authorization/pre-certification processes.
Medical, Dental, & Vision Insurance through Cigna * Life Insurance * 403(b) Matching Retirement ... Coordinate verification of benefits (VOB) and prior authorization/pre-certification processes.
Medical, Dental, & Vision Insurance through Cigna * Life Insurance * 403(b) Matching Retirement ... Coordinate verification of benefits (VOB) and prior authorization/pre-certification processes.
Cigna Prior Authorization information
See salary details
$28K - $38.3K
15% of jobs
$42.8K is the 25th percentile. Wages below this are outliers.
$38.3K - $48.5K
23% of jobs
The median wage is $58.4K / yr.
$48.5K - $58.8K
13% of jobs
$58.8K - $69.1K
14% of jobs
$69.1K - $79.4K
7% of jobs
$87.7K is the 75th percentile. Wages above this are outliers.
$79.4K - $89.6K
4% of jobs
$89.6K - $99.9K
4% of jobs
$99.9K - $110.2K
6% of jobs
$110.2K - $120.5K
4% of jobs
$120.5K - $130.7K
5% of jobs
$130.7K - $141K
4% of jobs
$28K
$71.3K
$141K
How much do cigna prior authorization jobs pay per year?
Does Cigna offer remote jobs?
Why is Cigna laying people off?
Who handles prior authorization for Cigna?
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?
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.
- Medical Verification Specialist
- Senior Specialist Cigna Prior Authorization
- Account Verification Specialist
- Online Insurance Verification
- Medical Billing Prior Authorization
- Virtual Insurance Verification
- Eligibility Verification Specialist
- Work From Home Insurance Eligibility Verification
- Behavioral Health Billing
- Medical Billing Follow Up

Cigna Healthcare rating
8.3
Based on 226 frontline employees who took The Breakroom Quiz
42nd of 877 rated healthcare providers
Job description
Responsibilities:
• Collaborate with digital leaders, product owners, content authors, designers, engineers, and scrum masters to ensure digital features related to claims, accounts (HRA/FSA/HSA), coverage/benefits, prior authorizations, and ID cards are identified, prioritized, documented, and successfully delivered.
• Facilitate requirement gathering sessions.
• Articulate and translate business needs into technical specifications which stitch together User Experience (UX) designs, user analytics, and business requirements.
• Work within scrum teams to define business requirements, set a clear direction through the development of product roadmaps, and provide subject matter expertise on consumer applications/websites and healthcare prior authorization/coverage by working with the delivery team, User Experience (UX) design teams, and business stakeholders.
• Lead the design of web and mobile application features, including development of user screens, wireframes, screen navigation, and sitemaps.
• Own the team backlog and groom and prioritize existing work, including the decomposition of program/portfolio epics.
• Develop opportunity value for potential roadmap items.
• Drive the use of new and emerging digital technologies/functionalities and introduce new and relevant ideas and capabilities on a regular basis.
• Ensure that products are delivered on time and error-free by delivery teams through implementation of typical Agile Methodologies/Scrum.
• Perform checkout on the business functionality of applications and analyze issues, such as errors in data use or errors in application development, raised during implementation.
• Hybrid work schedule.
Qualifications:
• Bachelor's degree in Computer Science, Electrical Engineering or related field and 5 years of experience in any systems analysis role.
• Must have experience with: Healthcare domain including claims, coverage/benefits, prior authorizations, and ID cards;
• Digital product ownership; Systems Analysis; HRA, FSA, and HSA accounts;
• Digital product management; Developing and maintaining product roadmaps aligned with business objectives;
• Owning and grooming team backlog, including decomposition of epics into actionable items;
• Web & Mobile application design; UX principles related to user screens, wireframes, screen navigation, and sitemaps;
• Applying UX principles and collaborating with design teams; Technical Specification Development;
• Integrating UX designs, analytics, and business requirements into cohesive specifications; working as a SAFe methodology Product Owner;
• Facilitating requirement gathering sessions; working with teams to define business requirements; translating business needs into technical specifications; developing product road maps, user screens, wireframes, screen navigation, and sitemaps;
• Data analysis; web and mobile application feature design; working with User Experience (UX) design teams;
• Agile methodologies; Scrum; Rally; Jira; and, Wrike.
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.
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.
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