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 ...
Head of Product
Austin, TX · On-site
$180 - $240/hr
... 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.
Head of Product
Austin, TX · On-site
$180 - $240/hr
... 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.
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 ...
Head of Product Austin 10+
Austin, TX · On-site
$180 - $280/hr
... 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 10+
Austin, TX · On-site
$180 - $280/hr
... 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 ...
Actuarial Internship - Summer 2027
Austin, TX · On-site +1
The Cigna Group's Actuarial Executive Development Program (AEDP) offers a premier 11-week ... Work Authorization :This position is open only to individuals who are eligible for employment in ...
Actuarial Internship - Summer 2027
Austin, TX · On-site +1
The Cigna Group's Actuarial Executive Development Program (AEDP) offers a premier 11-week ... Work Authorization :This position is open only to individuals who are eligible for employment in ...
Cigna Prior Authorization information
See Texas salary details
$26.1K - $35.7K
15% of jobs
$39.9K is the 25th percentile. Wages below this are outliers.
$35.7K - $45.2K
23% of jobs
The median wage is $54.4K / yr.
$45.2K - $54.8K
13% of jobs
$54.8K - $64.4K
14% of jobs
$64.4K - $73.9K
7% of jobs
$81.7K is the 75th percentile. Wages above this are outliers.
$73.9K - $83.5K
4% of jobs
$83.5K - $93.1K
4% of jobs
$93.1K - $102.7K
6% of jobs
$102.7K - $112.2K
4% of jobs
$112.2K - $121.8K
5% of jobs
$121.8K - $131.4K
4% of jobs
$26.1K
$66.4K
$131.4K
How much do cigna prior authorization jobs pay per year?
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.
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 are the most commonly searched types of Cigna Prior Authorization jobs in Texas?
The most popular types of Cigna Prior Authorization jobs in Texas are:
What are popular job titles related to Cigna Prior Authorization jobs in Texas?
For Cigna Prior Authorization jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Cigna Prior Authorization jobs in Texas look for?
The top searched job categories for Cigna Prior Authorization jobs in Texas are:
What cities in Texas are hiring for Cigna Prior Authorization jobs?
Cities in Texas with the most Cigna Prior Authorization job openings:

Software Engineering Advisor- Hybrid
Plano, TX • Hybrid
8.3
Based on 241 frontline employees who took The Breakroom Quiz
40th of 895 rated healthcare providers
People enjoy working here
Good employer
Recommended by students
Paid breaks
Recommended by parents
Full-time
Re-posted 13 days ago
Job description
Cigna-Evernorth Services Inc. seeks a Software Engineering Advisor for the Plano, TX location responsible for Project Enablement & Process Optimization, including gap analyses to identify opportunities for process reengineering, enhancing user experience, and improving system performance.
Responsibilities:
Develop application profiles, enterprise class structures, organizational layers, user access controls, and routing logic strategies.
Technical Governance & Risk Mitigation responsibilities include establishing and maintaining reusable technical assets and enforcing coding standards to align with functional and technical requirements.
Perform detailed risk assessments to support smooth change control and implementation processes.
Ensure effective communication of release changes to all stakeholders.
Lead requirement grooming sessions with business users and stakeholders.
Conduct technical feasibility studies to validate proposed solutions.
Prepare comprehensive design documents for Pega workflows, system integrations, interface specifications, exception\ handling, and failover/retry strategies.
Manage sprint planning activities including user story sizing, velocity estimation, backlog grooming, and task assignment.
Execute user story development, unit testing, defect resolution, and deployment activities.
Provide support for QA, UAT, release planning, production deployment, and post-go-live operation.
Hybrid work schedule
Qualifications:
Bachelor's degree in Computer and Information Science or related field and 5 years of experience in any Pega system architecture role with healthcare prior authorization.
All qualifying experience must include: creating responsive and intuitive user interfaces using Pega's design system;
Building and customizing UI components like sections, harnesses, and layouts;
Applying consistent styling using skin rules and CSS overrides;
Ensuring compliance with accessibility standards and supporting multi-language interfaces;
Designing and implementing case types, stages, and processes;
Process modeling, including building workflows using flow rules, subprocesses, and decision points;
Implementing decision tables, decision trees, and declarative rules;
Data transforms, including managing data manipulation and orchestration logic;
Integrating with external systems using REST, SOAP, MQ, JMS, and other protocols;
Configuring data pages for data retrieval and mapping external data sources;
Implementing OAuth, SAML, and basic authentication for secure integrations;
Data modeling, including designing class structures, data types, and relationships;
Database configuration, including managing database tables, views, and optimizing queries;
Creating reports, dashboards, and leveraging Pega's reporting capabilities;
Managing parallel development using branches;
Automating CI/CD pipelines for Pega applications;
Understanding rule resolution hierarchy and managing rule versions;
Using Pega unit testing, tracer, clipboard, and live UI tools;
Enterprise class structure, including designing scalable and reusable class structures;
Application and access control, including configuring application rules, access groups, roles, and privileges;
Creating and managing reusable assets like rulesets, components, and frameworks;
Analyzing and improving application performance using PAL, DB trace, and AES;
Agile methodologies, including sprint planning, backlog grooming, user story creation, and velocity tracking;
Collaborating with stakeholders to define and refine requirements;
Preparing design documents, release notes, and stakeholder updates.
Pega System Architect certification required
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.
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
Website
What Cigna Healthcare employees say
Pay
Benefits
Hours and flexibility
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