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Cigna Utilization Review Remote Jobs in Utah (NOW HIRING)

401GO

Regional Relationship Manager - HCM

Sandy, UT · On-site +1

Flexible (In Office, Hybrid, or Remote) Job Type: Full-time Reports to: Director of Sales Travel ... Conduct regular business reviews with partners to evaluate performance, identify opportunities, and ...

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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 Utah?

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

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

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

What cities in Utah are hiring for Cigna Utilization Review Remote jobs?

Cities in Utah 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 Utah as of August 2026, with employment types broken down into 85% Full Time, 9% Part Time, and 6% Contract. Highlights an 100% Remote job distribution.

Regional Relationship Manager - HCM

401GO

Sandy, UT • On-site, Remote

Full-time

Posted 11 days ago

Job description

Regional Relationship Manager – HCM
Role: Regional Relationship Manager – HCM Channel
Location: Flexible (In Office, Hybrid, or Remote)
Job Type: Full-time
Reports to: Director of Sales
Travel: Up to 30%, including attendance at industry conferences, payroll partner events, and onsite meetings with strategic HCM partners.
Role Summary
The Regional Relationship Manager (RRM) – HCM Channel is responsible for developing, growing, and managing relationships with payroll providers, HCM organizations, PEOs, and other workforce technology partners within an assigned territory. This individual serves as the primary relationship owner for existing and prospective partners, driving retirement plan growth through partner engagement, education, sales enablement, and strategic business planning.
The ideal candidate is a consultative relationship manager who understands the HCM ecosystem, enjoys collaborating across teams, and is passionate about helping partners successfully offer retirement solutions to their clients.
What You'll Be Doing
  • Build and maintain strategic relationships with payroll providers, HCM organizations, PEOs, and other workforce technology partners throughout the assigned territory.
  • Serve as the primary point of contact for partner engagement, account management, and ongoing relationship development.
  • Develop territory growth strategies that increase retirement plan adoption, partner production, and long-term revenue growth.
  • Conduct regular business reviews with partners to evaluate performance, identify opportunities, and develop joint growth initiatives.
  • Deliver product education and training on 401GO's retirement platform, implementation process, pricing, integrations, compliance resources, and sales tools.
  • Partner with National Account Managers to support larger regional and national HCM relationships when appropriate.
  • Collaborate with Implementation, Partner Success, Marketing, Product, and Sales teams to ensure an exceptional partner experience.
  • Identify new HCM partnership opportunities while expanding engagement within existing partner organizations.
  • Manage the regional sales pipeline, forecast partner production, and maintain accurate opportunity tracking within HubSpot.
  • Coordinate partner onboarding, sales enablement initiatives, marketing campaigns, and co-branded growth opportunities.
  • Monitor partner health metrics and proactively address risks to retention, engagement, and production.
  • Represent 401GO at payroll, HCM, HR technology, and retirement industry conferences, trade shows, and partner events.
  • Provide market intelligence regarding competitive offerings, partner needs, industry trends, and product enhancement opportunities.
  • Achieve monthly, quarterly, and annual territory goals related to new plans, revenue, partner activation, and partner growth.
What You Bring
  • 7–10+ years of experience in relationship management, channel sales, business development, or account management within the HCM, payroll, HR technology, benefits, fintech, or retirement industry.
  • Experience working with payroll providers, HCM platforms, PEOs, benefits technology, or related partner ecosystems.
  • Strong consultative selling and executive relationship management skills.
  • Proven ability to grow strategic partnerships and exceed territory growth goals.
  • Excellent communication, presentation, and negotiation skills.
  • Strong organizational skills with the ability to manage multiple strategic relationships simultaneously.
  • Experience forecasting, pipeline management, and CRM utilization.
  • HubSpot experience or willingness to quickly become proficient.
  • Data-driven mindset with experience managing KPI-driven performance.
  • Retirement industry knowledge is preferred.
  • Experience with payroll, HCM, benefits administration, or HR technology platforms is strongly preferred.
  • Relevant industry certifications (APA, CPP, SHRM, HRCI, CEBS, AIF, CFP, or similar) are a plus.
Why 401GO?
At 401GO, we're not just changing retirement—we're reinventing it. As a fast-growing fintech company, we've built one of the industry's most advanced, fully automated retirement platforms to help hardworking Americans prepare for retirement. Innovation moves quickly here, ideas are valued, and every team member has the opportunity to make a meaningful impact. You'll work alongside talented people in a collaborative environment while helping build the future of retirement through strategic partnerships and technology.
What We Offer
  • A standout 401(k) plan (naturally!).
  • Generous stock options—share in our growth and success.
  • Flexible work environment—choose where you're most productive.
  • Excellent benefits, including medical, dental, and vision.
  • Flexible hours—because great work doesn't always happen 9–5.
  • Generous PTO—we value work-life balance.
  • A fully stocked kitchen when you're in the office.
At 401GO, we invest in our people just as much as we invest in helping Americans secure their financial future.
We are proud to be an Equal Opportunity Employer. We support a working environment that provides qualified employees and applicants with equal employment opportunity on a non-discriminatory basis without regard to race, color, creed, age, religion, gender (including pregnancy, gender identification and/or gender nonconformity) sexual orientation, marital status, national origin, ancestry, ethnicity, genetic information, physical or mental disability, citizenship, past, current or prospective service in the uniformed services or any other basis prohibited by federal, state, or local law.

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