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 ...
Support specialty pharmacy operations by completing prior authorization documentation, scheduling ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
Support specialty pharmacy operations by completing prior authorization documentation, scheduling ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
... prior authorization needs, and ensure core service delivery. • Partner with management and team ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
... prior authorization needs, and ensure core service delivery. • Partner with management and team ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
Collaborate cross-functionally to resolve client issues, support prior authorization needs, and ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
Collaborate cross-functionally to resolve client issues, support prior authorization needs, and ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
AUTHORIZATION AND ELIGIBILITY SPECIALIST
Plummer, ID · On-site
$17 - $22.50/hr
A minimum of one-year prior experience working with a claims management system, clinical electronic ... Cigna, etc.) and by phone when required (Dental). * Document all eligibility and benefit ...
AUTHORIZATION AND ELIGIBILITY SPECIALIST
Plummer, ID · On-site
$17 - $22.50/hr
A minimum of one-year prior experience working with a claims management system, clinical electronic ... Cigna, etc.) and by phone when required (Dental). * Document all eligibility and benefit ...
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 ...
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 ...
Enrollment/Billing Representative - Whitestown, Indiana
Whitestown, IN · On-site +1
$17.50 - $22.50/hr
Contact payors to request overrides, retro authorizations, additional documentation, window ... About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to ...
Enrollment/Billing Representative - Whitestown, Indiana
Whitestown, IN · On-site +1
$17.50 - $22.50/hr
Contact payors to request overrides, retro authorizations, additional documentation, window ... About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to ...
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.
Risk & Underwriting Leadership Development Program Analyst (RULDP) January Class
Bloomfield, CT · On-site
In RULDP Evolve at The Cigna Group, you won't just learn underwriting; you'll live it. Through ... Work Authorization :This position is open only to individuals who are eligible for employment in ...
Risk & Underwriting Leadership Development Program Analyst (RULDP) January Class
Bloomfield, CT · On-site
In RULDP Evolve at The Cigna Group, you won't just learn underwriting; you'll live it. Through ... Work Authorization :This position is open only to individuals who are eligible for employment in ...
Risk & Underwriting Leadership Development Program Analyst (RULDP) January Class
Denver, CO · On-site
In RULDP Evolve at The Cigna Group, you won't just learn underwriting; you'll live it. Through ... Work Authorization :This position is open only to individuals who are eligible for employment in ...
Risk & Underwriting Leadership Development Program Analyst (RULDP) January Class
Denver, CO · On-site
In RULDP Evolve at The Cigna Group, you won't just learn underwriting; you'll live it. Through ... Work Authorization :This position is open only to individuals who are eligible for employment in ...
Risk & Underwriting Leadership Development Program Analyst (RULDP) January Class
Chattanooga, TN · On-site
In RULDP Evolve at The Cigna Group, you won't just learn underwriting; you'll live it. Through ... Work Authorization : This position is open only to individuals who are eligible for employment in ...
Risk & Underwriting Leadership Development Program Analyst (RULDP) January Class
Chattanooga, TN · On-site
In RULDP Evolve at The Cigna Group, you won't just learn underwriting; you'll live it. Through ... Work Authorization : This position is open only to individuals who are eligible for employment in ...
Risk & Underwriting Leadership Development Program Analyst (RULDP) January Class
Scottsdale, AZ · On-site
In RULDP Evolve at The Cigna Group, you won't just learn underwriting; you'll live it. Through ... Work Authorization :This position is open only to individuals who are eligible for employment in ...
Risk & Underwriting Leadership Development Program Analyst (RULDP) January Class
Scottsdale, AZ · On-site
In RULDP Evolve at The Cigna Group, you won't just learn underwriting; you'll live it. Through ... Work Authorization :This position is open only to individuals who are eligible for employment in ...
Risk & Underwriting Leadership Development Program Analyst (RULDP) January Class
Chattanooga, TN · On-site
In RULDP Evolve at The Cigna Group, you won't just learn underwriting; you'll live it. Through ... Work Authorization :This position is open only to individuals who are eligible for employment in ...
Risk & Underwriting Leadership Development Program Analyst (RULDP) January Class
Chattanooga, TN · On-site
In RULDP Evolve at The Cigna Group, you won't just learn underwriting; you'll live it. Through ... Work Authorization :This position is open only to individuals who are eligible for employment in ...
Architecture Senior Advisor- Hybrid
Bloomfield, CT · On-site +1
$147K - $231K/yr
Cigna-Evernorth Services Inc. seeks an Architecture Senior Advisor for the Bloomfield, CT location ... Implementing secure authentication and authorization frameworks using OAuth, SAML, and Active ...
Architecture Senior Advisor- Hybrid
Bloomfield, CT · On-site +1
$147K - $231K/yr
Cigna-Evernorth Services Inc. seeks an Architecture Senior Advisor for the Bloomfield, CT location ... Implementing secure authentication and authorization frameworks using OAuth, SAML, and Active ...
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?
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?
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.

Cigna Healthcare rating
8.4
Based on 238 frontline employees who took The Breakroom Quiz
23rd of 887 rated healthcare providers
Job description
Cigna-Evernorth Services Inc. seeks a Product Owner Senior Advisor for the Plano, TX location to drive development and innovation of healthcare enterprise customer website portfolios to deliver best-in-class mobile and website experiences.
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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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