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Cigna Utilization Review Remote Jobs in Texas (NOW HIRING)

Oscar Health

Utilization Review Nurse

Dallas, TX · Remote

$35 - $45.94/hr

You will report into the Supervisor, Utilization Review. Work Location ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;

Bracane Co

Utilization Review Nurse

Plano, TX · Remote

***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson ... This position is responsible for performing initial, concurrent review activities; discharge care ...

WNS Global Services

Nurse - Clinical Review

Houston, TX · Remote

$65K - $75K/yr

Performs utilization review of cases to determine if the request meets medical necessity criteria ... Remote Benefits - Medical , Dental, & Vision. 401K plan Compensation Disclosure The base salary for ...

WNS Global Services

Nurse - Clinical Review

Houston, TX · On-site +1

$65K - $75K/yr

S. • Minimum of one (1) year experience in utilization review, or utilization management • ... Remote Benefits - Medical , Dental, & Vision. 401K plan Compensation Disclosure The base salary for ...

MRIoA

Oral Surgery

Dallas, TX · On-site +1

$299K - $395K/yr

We are currently seeking Board-Certified physicians in TITLE to conduct independent Utilization Reviews . This is a flexible, fully remote opportunity requiring just 1-2 hours per week -with no ...

Discovery MSO LLC

Virtual IOP Therapist

Weatherford, TX · Remote

$40 - $45/hr

Prepare and provide clinical information needed for utilization review (UR), including ... Remote/virtual role requiring a private, confidential, and HIPAA-compliant workspace. * Reliable ...

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Cigna Utilization Review Remote information

What are the key skills and qualifications needed to thrive as a Cigna Utilization Review Remote Nurse, and why are they important?

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.

How can I make 2000 a week working from home?

A Cigna Utilization Review remote position typically offers a fixed salary or hourly pay, which may not reach $2000 weekly unless working overtime or with high productivity bonuses. To earn that amount, some remote healthcare roles require advanced skills, certifications, or additional hours, but most standard positions are structured with set compensation. Earning $2000 weekly from home often involves multiple income streams or specialized roles with higher pay rates.

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.

Does Cigna offer remote jobs?

Cigna offers remote positions, including roles like Utilization Review, which often require strong communication skills and familiarity with healthcare systems. These remote jobs typically involve working from home with flexible schedules and may require relevant certifications or experience in healthcare or insurance. Availability of remote roles can vary based on the position and company needs.

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.

Why is Cigna laying people off?

Cigna Utilization Review remote positions, like many companies, may experience layoffs due to organizational restructuring, cost management, or changes in business priorities. Such layoffs are typically part of broader company adjustments and are not specific to the job role itself. Employees in these roles should stay informed through official company communications for accurate updates.

What is a Cigna Utilization Review Remote position?

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.

Is Cigna a good company to work for remotely?

Cigna offers remote positions such as Utilization Review roles that typically involve reviewing healthcare claims and patient data. Employees report flexible schedules and the use of telecommuting tools, but experiences can vary based on individual teams and management. Overall, Cigna is considered a reputable employer in the healthcare industry for remote work opportunities.
What are the most commonly searched types of Cigna Utilization Review jobs in Texas? The most popular types of Cigna Utilization Review jobs in Texas are:
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What cities in Texas are hiring for Cigna Utilization Review Remote jobs? Cities in Texas with the most Cigna Utilization Review Remote job openings:
Cigna Utilization Review Remote jobs near you
Infographic showing various Cigna Utilization Review Remote job openings in Texas as of July 2026, with employment types broken down into 2% Locum Tenens, 3% Internship, 53% Full Time, 4% Part Time, and 38% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution.

Nephrology Utilization Review - REMOTE - Contract (1099)

MRIoA

Dallas, TX • On-site, Remote

Contractor

Posted 25 days ago

Job description

Description
Board Certified Nephrologist - Texas State Medical License
Flexible Independent Contractor (1099) Opportunity
ABOUT MRIoA
Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement.
THE OPPORTUNITY:
We are currently seeking Board-Certified physicians in Nephrology to conduct independent Utilization Reviews. This is a flexible, fully remote opportunity requiring just 1-2 hours per week-with no minimum commitment.
ADDITIONAL INFORMATION:
  • Work remotely from anywhere in the US (Per HIPPA Regulations patient records cannot leave the US).
  • Covered under MRIoA's Errors and Omissions policy.
  • Independent Contractor (1099) opportunity.
  • Workers are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.

California Consumer Privacy Act (CCPA) Information (California Residents Only):
  • Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver's license number, or state identification card number, and passport number.
  • Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at HR@mrioa.com.

Requirements
  • Must have a Medical Degree MD or DO
  • Must have a current TEXAS state medical license
  • Current Board Certification in Nephrology
  • Must have 5 years of clinical experience residency to be included
  • Daytime availability is required for peer-to-peer conversations

Apply