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Cigna Utilization Review Remote Jobs in Alabama (NOW HIRING)

DSI Security Services

RVM Operations Manager

Dothan, AL · On-site

$65K - $75K/yr

The Remote Monitoring Center Manager will play a critical role in shaping the future of DSI ... Review incidents and operational trends to identify opportunities for improvement. * Investigate ...

Bcbsa

$155K - $175K/yr

Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy ... Clinical Team - Liaise with Clinical team to review clinical data and policy requirements as needed

Transform9

Senior Customer Success Manager

Birmingham, AL · On-site +1

Run quarterly business reviews with practice leadership using their own metrics: answer rates, hold ... Channel structured client feedback to product Location Remote (US) with approximately 25% travel to ...

Transform9

Senior Customer Success Manager

Birmingham, AL · On-site +1

Run quarterly business reviews with practice leadership using their own metrics: answer rates, hold ... Channel structured client feedback to product Location Remote (US) with approximately 25% travel to ...

VieMed Healthcare Staffing

This remote opportunity is intended to expand access to mental health services by reducing ... Obtain supervisory review, consultation, approval and/or co-signature for assessments, treatment ...

Bank of America

$90K - $156K/yr

... utilization frequency, invoicing, etc.) Required Skills: * Active State-Certified General Real ... Able to work independently in a remote setting * Commercial appraisal review experience for ...

GVW Group, LLC

Vice President of Sales

Birmingham, AL · Remote

This is not an industry-specialist role -- it is a sales leadership role driving the outcomes of remote field-based teams. The right candidate builds and leads world-class sales teams, installs ...

Autocar, LLC

Vice President of Sales

Birmingham, AL · Remote

Develop and lead a high-performance remote field-based sales team and strong accountability culture ... Conduct structured performance reviews and individual coaching to accelerate team development and ...

Autocar, LLC

Vice President of Sales

Birmingham, AL · Remote

Develop and lead a high-performance remote field-based sales team and strong accountability culture ... Conduct structured performance reviews and individual coaching to accelerate team development and ...

Autocar, LLC

Vice President of Sales

Birmingham, AL · Remote

This is not an industry-specialist role -- it is a sales leadership role driving the outcomes of remote field-based teams. The right candidate builds and leads world-class sales teams, installs ...

Kodama Systems Inc.

Head of Commercial

Birmingham, AL · Remote

Head of Commercial Full Time | Remote, based in the Southeastern United States | 25%-50% travel ... utilization, operating costs, safety, and the ability to scale logging crews. * Represent Kodama at ...

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Cigna Utilization Review Remote information

What is a Cigna Utilization Review Remote?

A Cigna Utilization Review Remote position involves evaluating the medical necessity, appropriateness, and efficiency of healthcare services provided to Cigna members—all while working from a remote location. Utilization Review professionals, often nurses or clinicians, review clinical information, make coverage determinations, and coordinate with providers to ensure members receive the right care. This role combines clinical expertise with knowledge of insurance guidelines and regulatory requirements, allowing for flexible work arrangements from home. It plays a critical role in managing healthcare costs and improving patient outcomes.

What are the key skills and qualifications needed to thrive as a Cigna Utilization Review Remote nurse?

To thrive as a Cigna Utilization Review Remote Nurse, you need a valid RN license, clinical experience (often in case management or utilization review), and a strong understanding of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic medical records (EMRs), and knowledge of Medicare/Medicaid policies or URAC/NCQA standards is typically required. Excellent critical thinking, attention to detail, and effective communication are crucial soft skills for evaluating medical necessity and coordinating with providers. These skills ensure accurate, compliant decisions that support patient care while managing healthcare costs efficiently in a remote environment.

What are some common challenges faced by Cigna Utilization Review professionals working remotely, and how can these be effectively managed?

Cigna Utilization Review professionals working remotely often encounter challenges such as maintaining clear communication with healthcare providers and team members, managing high caseload volumes, and staying updated on evolving clinical guidelines. To address these challenges, it’s important to leverage Cigna’s robust digital collaboration tools, participate actively in virtual team meetings, and utilize ongoing training resources. Setting a structured daily routine and prioritizing tasks can also help ensure timely and accurate reviews, while maintaining work-life balance in a remote setting.

What is the difference between Cigna Utilization Review Remote vs Cigna Medical Reviewer?

AspectCigna Utilization Review RemoteCigna Medical Reviewer
CredentialsRN or licensed healthcare professionalRN or licensed physician
Work EnvironmentRemote, telehealth settingRemote or onsite, clinical setting
Employer & IndustryCigna, health insurance industryCigna, healthcare and insurance industry
Primary FocusReview of insurance utilization for appropriatenessClinical assessment and direct patient care

While both roles involve healthcare review, Cigna Utilization Review Remote focuses on evaluating insurance claims remotely, whereas Cigna Medical Reviewer provides direct clinical assessments, often with more patient interaction. Both require healthcare credentials and are integral to Cigna's healthcare services, but their daily tasks and focus differ.

What are popular job titles related to Cigna Utilization Review Remote jobs in Alabama?

For Cigna Utilization Review Remote jobs in Alabama, the most frequently searched job titles are:

What job categories do people searching Cigna Utilization Review Remote jobs in Alabama look for?

The top searched job categories for Cigna Utilization Review Remote jobs in Alabama are:

Cigna Utilization Review Remote jobs near you
Infographic showing various Cigna Utilization Review Remote job openings in Alabama as of June 2026, with employment types broken down into 95% Full Time, 4% Part Time, and 1% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution.

RVM Operations Manager

DSI Security Services

Dothan, AL • On-site

$65K - $75K/yr

Full-time

Posted 17 days ago

DSI Security rating

4.8

Company rating: 4.8 out of 10

Based on 63 frontline employees who took The Breakroom Quiz

102nd of 117 rated security

Job description

RVM Operations Manager
Location: Dothan, AL
Pay Rate: $65,000 - $75,000
About DSI Security Services
Founded on the principle of DWYSYWD (Do What You Say You Will Do), DSI Security Services is one of the nation's leading providers of contract security services. We serve clients across multiple industries throughout the United States and are committed to delivering exceptional service through accountability, integrity, professionalism, and innovation.
Our mission is simple: provide outstanding security solutions while creating rewarding career opportunities for our employees.
Lead the Future of Remote Security Operations
DSI Security Services is seeking an experienced and results-driven Remote Monitoring Center Manager to lead the daily operations of our growing Remote Monitoring Center (RMC) in Dothan, Alabama.
This is an exciting opportunity for a leader who thrives in a fast-paced, technology-driven environment and enjoys developing teams, improving operational performance, and delivering exceptional customer service. The Remote Monitoring Center Manager will play a critical role in shaping the future of DSI's nationwide remote video monitoring and security technology services.
If you have experience leading a Security Operations Center (SOC), Network Operations Center (NOC), monitoring center, command center, dispatch operation, or similar 24/7 environment, we want to hear from you.
Key Responsibilities
Leadership & Team Development
  • Lead, coach, develop, and motivate Monitoring Center personnel.
  • Recruit, hire, onboard, and train team members.
  • Maintain staffing levels to support uninterrupted 24/7 operations.
  • Manage employee schedules, performance reviews, and development plans.
  • Establish and monitor team performance goals and key metrics.
  • Promote a culture of accountability, teamwork, and exceptional customer service.
Operations Management
  • Oversee all aspects of Remote Monitoring Center operations.
  • Ensure compliance with standard operating procedures and customer response protocols.
  • Monitor alarm response times, SLA performance, operator productivity, and customer satisfaction.
  • Review incidents and operational trends to identify opportunities for improvement.
  • Investigate service issues, procedural deviations, and customer concerns.
  • Support onboarding and implementation of new customers and monitored locations.
Technology & Innovation
  • Oversee and optimize monitoring technologies including video surveillance platforms, alarm monitoring systems, AI-driven analytics, and communications tools.
  • Partner with Technical Services to troubleshoot and resolve operational issues.
  • Support implementation and testing of new technologies and service offerings.
  • Ensure operational readiness of monitoring workstations, displays, and communication systems.
  • Promote cybersecurity best practices and operational security standards.
Customer & Business Support
  • Serve as an escalation point for customer concerns and critical incidents.
  • Participate in customer reviews and performance discussions.
  • Collaborate with Sales, Customer Success, Technical Services, and Executive Leadership to support business growth.
  • Assist with service expansions, renewals, and operational planning.
Quality, Compliance & Business Continuity
  • Lead quality assurance programs and operational audits.
  • Support business continuity and disaster recovery planning.
  • Identify operational risks and implement corrective actions.
  • Maintain required operational documentation, certifications, and compliance records.
  • Coordinate disaster recovery exercises and system testing.

Qualifications
Required Experience
  • Minimum of five (5) years of leadership experience in a 24/7 operational environment.
  • Minimum of three (3) years managing personnel in a monitoring center, Security Operations Center (SOC), Network Operations Center (NOC), command center, dispatch center, or similar environment.
  • Experience overseeing alarm monitoring, video monitoring, dispatch operations, emergency communications, or critical incident response.
Preferred Qualifications
  • Bachelor's degree in Business Management, Security Management, Criminal Justice, Information Technology, Computer Science, or a related field.
  • Experience with the Immix monitoring automation platform.
  • Knowledge of video surveillance systems, access control systems, and alarm monitoring technologies.
  • Understanding of IP networking, cloud technologies, VPNs, and cybersecurity fundamentals.

Work Environment
This position is based in our Dothan, Alabama National Security Operations Center.
While standard business hours are Monday through Friday, this leadership role supports a 24/7 operation and requires flexibility for occasional after-hours escalations, staffing needs, major incidents, and business continuity events.
Occasional travel may be required for customer meetings, training, audits, or company events.
#CORP25
Why Join DSI?
At DSI, our people are our greatest asset. We invest in our employees through training, career development, and opportunities for advancement.
Apply today and become part of a company built on integrity, accountability, and results.
DSI Security Services is a drug free employer complies with all applicable laws regarding affirmative action and equal opportunity in all its activities and programs and does not discriminate against anyone protected by law because of age, color, disability, national origin, race, religion, sex, handicap, or status as a veteran or disabled veteran.
DSI Security Services is an equal employment/affirmative action employer. If you need accommodation for any part of the employment process because of a medical condition or disability, please contact Human Resources.

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