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Cigna Utilization Review Remote Jobs in Alabama (NOW HIRING)

Coordinate testing, stakeholder reviews, and release readiness activities. * Drive continuous ... Open to remote if not aligned to office location with a strong preference for East Coast. If you ...

$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

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 ...

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 ...

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 ...

New

$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 ...

New

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 ...

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 ...

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 ...

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 ...

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.

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.

Finance Product & Platform Lead

Cigna Healthcare

On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.


Cigna Healthcare rating

8.3

Company rating: 8.3 out of 10

Based on 239 frontline employees who took The Breakroom Quiz

41st of 893 rated healthcare providers


Job description

Finance 360 is being built as the primary workbench for Finance, bringing together reporting, analytics, workflow, AI-enabled insights, and decision support into a single experience for Finance teams.
Reporting to the Senior Director, Deputy Head of Finance Data Office, this role will lead the product strategy, roadmap, and execution of Finance 360. The Director will work closely with Finance leaders and technology partners to identify opportunities, shape solutions, validate concepts, and deliver capabilities that improve decision-making, productivity, and user experience across Finance.
This role leads the end-to-end product lifecycle from discovery through production deployment. Working with a team of product, data, and operations professionals, the Director will partner with business stakeholders to identify opportunities, develop and test solutions, gather feedback, and work with technology teams to scale successful capabilities into production.

Finance 360 Product Strategy
  • Define and maintain the Finance 360 product vision, strategy, and roadmap.
  • Partner with Finance leadership to identify opportunities and shape future capabilities.
  • Translate business needs into product requirements and capability roadmaps.
  • Prioritize investments and enhancements based on business value and user needs.
  • Define product success measures and monitor outcomes.
Finance 360 Delivery & Execution
  • Lead discovery efforts, experimentation, prototypes, proof of concepts, and pilot solutions.
  • Own product requirements, backlog prioritization, and release planning.
  • Partner with Engineering, Enterprise Architecture, Data Platform, AI Enablement, and Infrastructure teams.
  • Coordinate testing, stakeholder reviews, and release readiness activities.
  • Drive continuous improvement of the Finance 360 experience.
Product Operations & Governance
  • Establish product governance and operating processes.
  • Oversee KPI definitions, semantic models, business rules, and reporting requirements.
  • Monitor product health, usage, and operational performance.
  • Partner with the India Operations Lead to support product operations and governance.
Stakeholder Management
  • Build strong partnerships across Finance and Technology organizations.
  • Serve as the primary point of contact for Finance 360 roadmap and priorities.
  • Facilitate alignment across Finance, Technology, Data, AI, and Finance Forward teams.
People Leadership
  • Lead a global team across the U.S. and India.
  • Build and develop a high-performing team focused on execution and innovation.
  • Coach and develop team members while fostering strong product and business acumen.
Qualifications
  • 10+ years of experience in product management, data and analytics, digital platforms, or technology leadership.
  • Experience supporting FP&A, Accounting, Controllership, Finance Operations, or Finance Transformation.
  • Strong understanding of product strategy, roadmap development, prioritization, and stakeholder management.
  • Experience leading enterprise data, analytics, workflow, or digital platform products.
  • Experience working closely with Engineering, Architecture, Data Platform, and Technology teams.
  • Locations: Hybrid work arrangement in Bloomfield, CT, Philadelphia, PA, Morris Plains, NJ, St Louis, MO. Open to remote if not aligned to office location with a strong preference for East Coast.

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.For this position, we anticipate offering an annual salary of 157,700 - 262,800 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan.


At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here .


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 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

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