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Cigna Prior Authorization Jobs (NOW HIRING)

DrFirst Inc.

Senior Integration Engineer

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 ...

Cigna

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 ...

New

Amylyx Pharmaceuticals

Cigna Group - Cigna Healthcare/Evernorth-ESI/Ascent * Prime Therapeutics * Assigned national and ... prior authorization concepts, utilization management frameworks, and formulary review processes.

Hike Medical

Clinical Intelligence Lead

San Francisco, CA · On-site

$160K - $230K/yr

LCD/NCD coverage, CMS Required PA List changes, payer-specific deviations (UHC, Aetna, Cigna), and ... Required Prior Authorization List. * Ability to write precise, structured documentation that ...

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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 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:
What job categories do people searching Cigna Prior Authorization jobs look for? The top searched job categories for Cigna Prior Authorization jobs are:
Cigna Prior Authorization jobs near you
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.
Senior Integration Engineer

Senior Integration Engineer

DrFirst Inc.

Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 22 days ago

Job description

About DrFirst
For 25 years, DrFirst has empowered providers and patients to achieve better health through intelligent medication management. We improve healthcare workflows and help patients start and stay on therapy with end-to-end solutions that enhance prescription access, affordability, and adherence. Our solutions help 100 million patients a year and are used by more than 420,000 prescribers, 71,000 pharmacies, 270 EHRs and health information systems, and over 2,000 hospitals in the U.S. This is a great opportunity to be a part of a successful Healthcare IT company experiencing significant growth.
Here you will get to work with some of the smartest and most interesting people around, solving unique and complex challenges in healthcare on a scale matched by few companies. If you get excited about stretching yourself in new ways, developing yourself to your fullest potential, and care about working with smart colleagues, we want to talk to you!
Position Overview
The Senior Integration Engineer will lead the integration of medication data feeds from payer partners into DrFirst solutions. This role requires both technical excellence and strong relationship management skills, as you will own the ongoing business relationships with payer organizations while managing the continuous integration of their medication data.
You will play a critical role in scaling direct payer integrations and prior authorization workflows while owning both the technical execution and business relationships with payer partners. This role blends hands-on integration engineering, project leadership, and cross-functional collaboration with product to establish scalable processes and SOPs as payer connectivity grows.
You will serve as a technical and business-facing leader for payer integrations, helping transform complex payer workflows into reliable, repeatable, and scalable integration capabilities. As a senior member of the team, you will also serve as a technical resource and mentor for Integration Services Engineers, supporting medication management solution integrations into EMR/EHR platforms when needed.
This role requires managing multiple concurrent integration projects, maintaining strong payer relationships through regular communication and updates, and ensuring seamless delivery as payers continuously add new plans, update formularies, and introduce new data elements.
Who Will Love This Job
  • A relationship builder who excels at managing technical and business partnerships with external organizations
  • A project leadership professional who manages multiple payer integration projects simultaneously
  • A technical mentor who enjoys sharing knowledge with team members
  • A medication management specialist who understands pharmacy benefits and prior authorization workflows
  • A healthcare technology innovator who builds bridges between disparate healthcare technologies
  • A quality engineering leader who embeds testing, monitoring, and compliance into development
  • A continuous improvement catalyst who iteratively enhances integration processes

What you will work on
Payer Integration Ownership
  • Lead end-to-end integration of medication data feeds from national and regional payers
  • Design, build, and support direct payer integrations with UnitedHealthcare, Aetna, Cigna, Humana, BCBS
  • Act as technical subject matter expert for payer-specific integration requirements
Business Relationship Management
  • Serve as primary technical and business contact for payer partners
  • Own business and technical relationships with payer partners
  • Partner with payer stakeholders to align on requirements and timelines
Prior Authorization Integration Expertise
  • Build, maintain, and optimize prior authorization integrations
  • Troubleshoot complex PA issues across payer systems
  • Collaborate to improve authorization success rates
Team Technical Leadership
  • Act as escalation point and mentor for Integration Services Engineers
  • Build team capabilities through knowledge sharing and documentation
Product Partnership and SOP Development
  • Partner with Product Management to define scalable payer integration capabilities
  • Create and maintain Standard Operating Procedures for repeatable delivery
Project Management & Integration Delivery
  • Own end-to-end integration projects from discovery through go-live
  • Manage timelines, dependencies, and stakeholder communication

Qualifications
Required:
  • Bachelor's degree in Computer Science, Software Engineering, or related technical field
  • 5+ years in healthcare integration engineering with focus on payer connectivity
  • Deep understanding of healthcare data standards (HL7 FHIR, HL7 v2, X12 EDI)
  • Proven ability to manage external business relationships
  • Strong project management skills coordinating multiple concurrent projects
  • Experience with Java, C#, Python, JavaScript/Node.js
  • Background in CI/CD, automated testing, and cloud platforms (AWS)
  • Understanding of HIPAA, HITECH, and healthcare regulatory requirements
Preferred:
  • Experience with payer organizations on technical integrations
  • Knowledge of pharmacy benefit management (PBM) systems
  • Background in mentoring less experienced engineers
  • Experience with EMR/EHR integration patterns
  • Experience with microservices and event-driven architectures
  • Knowledge of healthcare interoperability initiatives (TEFCA, CMS)

Physical Requirements
  • 95% Desk work
  • Less than 5% travel to industry events and annual team onsite

#LI-GF1 #LI-Remote
Benefits
  • Competitive compensation, with a base salary of $130,000 - $150,000 (Exact compensation may vary based on skills and experience)
  • Eligible for a Discretionary Performance-based bonus
  • Medical, dental, and vision insurance
  • 401K eligible after 3 months of employment, with 50% company match up to first 5% of salary contributed to the plan with a 3-year vesting schedule
  • HSA for eligible employees enrolled in the HDHP, with a generous company contribution up to $500 for individual coverage and $1000 for family coverage per year
  • 100% company paid short and long-term disability, AD&D, and group life insurance
  • Accrued annual paid time off (PTO) of 18 days for the first 3 years of service, increasing thereafter and 7 paid holiday days
  • Employee Assistance Program
  • Continuing Education funds up to $1500 annually for eligible programs after 1 year of service
  • Voluntary benefits including FSA, Hospital indemnity, Accident and Critical Illness insurances

DrFirst is committed to being a Remote-First company, creating a dynamic and flexible workplace where everyone can thrive, no matter where they log in from. Check out our approach to remote work https://drfirst.com/company/about-us/careers/.
Our recruitment process at DrFirst is straightforward and secure. You will only be contacted by our recruitment team through an official @drfirst.com email address. We will never ask you for payment or sensitive personal information, such as your social security number or banking details, at any stage of the hiring process. Additionally, we will not request that you purchase equipment or accept e-checks or checks for deposit. If you encounter any communications claiming to be from DrFirst that seem suspicious, please contact our recruitment team directly at recruiter@drfirst.com to verify the message's authenticity. Your security is important to us!
Learn more about our benefits and professional development opportunities https://drfirst.com/company/about-us/careers/the-perks/.

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