2

Cigna Utilization Review Remote Jobs in Jackson, MS

Medical Case Manager

Ridgeland, MS · On-site +1

$62K - $96K/yr

... s) through utilization of established guidelines to determine appropriate medical treatment ... to review and research conducted utilizing nationally accepted practice parameters. This position ...

Cigna Utilization Review Remote information

See Jackson, MS salary details

$13

$27

$46

How much do cigna utilization review remote jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for cigna utilization review remote in Jackson, MS is $27.83, according to ZipRecruiter salary data. Most workers in this role earn between $19.47 and $35.38 per hour, depending on experience, location, and employer.

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 Jackson, MS?

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

What cities near Jackson, MS are hiring for Cigna Utilization Review Remote jobs?

Cities near Jackson, MS with the most Cigna Utilization Review Remote job openings:

Infographic showing various Cigna Utilization Review Remote job openings in Jackson, MS as of June 2026, with employment types broken down into 95% Full Time, 3% Part Time, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $57,894 per year, or $27.8 per hour.

Service Delivery Manager - Remote - USA

FullStack Labs

Jackson, MS • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 7 days ago


Job description

About FullStack
FullStack is your AI-native engineering partner, built to turn AI capability into certainty. Most companies can demo AI; few can get it to production and prove what it produced. We close that gap with three capabilities, AI built into your products from the start, elite vetted talent who apply it, and transparent execution that shows value every step of the way. With now over 600 customers in North America, FullStack is one integrated partner for all your AI engineering needs. With FullStack, you move forward with confidence.
We're most proud of:
  • Offering life-changing career opportunities to talented software professionals across the Americas.
  • Building highly-skilled software development teams for hundreds of the world's greatest companies.
  • Having delivered hundreds of successful custom software solutions, which have positively impacted the lives and careers of millions of users.
  • Our 4.1-star rating on GlassDoor.
  • Our client Net Promoter Score of 68, twice the industry average.

The Position
We are looking for a hands-on, service-minded Delivery Manager to own the enterprise application support and BAU (business-as-usual) enhancement engagement for a global agricultural science client's R&D IT organization. This is not a build-from-zero software program. It is a live operations engagement spanning three connected workstreams: a consolidated Level 1 service desk that acts as the single point of contact for triage, basic troubleshooting, and service requests; domain-aligned Level 2 specialists across six application portfolios who take L1 escalations and drive complex resolution; and a stream of low-risk minor enhancements delivered by that same L2 team alongside the ticket queue. Our teams are folded into the client's existing support model and interface directly with their internal Level 3 engineering, product, and platform teams.
You are the escalation path above the Project Manager and the person accountable when a priority-one incident lands, when an SLA is at risk, when a staffing or billing issue arises, or when the client identifies a gap in our delivery. You own the client relationship from executive sponsor and procurement through to tactical application and business unit managers, you own engagement financials and SOW compliance, and you own the people: staffing decisions, coverage, performance, and retention across a team distributed between the United States and Colombia working US Eastern hours.
What We Are Looking For
  • 8+ Years in Delivery Leadership, Including Managed Services: Track record as a Delivery Manager, Engagement Manager, or Service Delivery Manager owning an application support, service desk, or managed services engagement, not solely project or product delivery.
  • Contractual SLA Ownership: Direct experience owning SLAs written into a client contract: negotiating targets, defending measurement definitions, reporting attainment, and handling the commercial consequences of a miss.
  • ITSM Operating Fluency: Working command of incident, problem, request, and change management in ServiceNow, Jira Service Management, or equivalent, including P1 through P4 triage, queue and backlog management, major incident process, RCA (root-cause-analysis) discipline, and knowledge management.
  • Dual-Mode Delivery Cadence: Comfortable running a ticket-driven operations queue and a sprint-based enhancement backlog at the same time, with the Agile and Jira fluency to keep both measurable and visible.
  • Distributed and Nearshore Team Leadership: Experience leading teams split across the United States and LATAM, or comparable distributed models, aligned to a client time zone, including shift coverage and cross-cultural people management.
  • Commercial and Financial Ownership: Comfortable owning engagement financials under a fixed-fee structure: capacity and utilization planning, forecast against actual, margin protection, and scope change discipline.
  • Transition and Takeover Experience: Has taken over support scope from an outgoing vendor or an internal team, ideally under a compressed knowledge transfer window with a hard cutover date.
  • Multi-Level Communication: Able to run a budget and progress review with a client sponsor and de-escalate a difficult conversation with a frustrated application owner on the same day, in fluent professional English. Spanish is an advantage for leading Colombia-based team members.
  • Scientific or R&D Application Exposure (Preferred): Familiarity supporting laboratory, genomics, data platform, or other scientific and regulated enterprise applications. Not required, but it shortens ramp time considerably.

What We Offer
  • Competitive Salary.
  • Paid Time Off (vacation, sick leave, parental leave, and holidays).
  • 100% remote work.
  • The ability to work with leading startups and Fortune 500 companies.
  • Health, dental, and vision insurance.
  • 401(k) w/ 4% match.
  • Ample opportunity for career advancement.
  • Continuing education opportunities.

FullStack is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status.
Learn more about our Applicants Privacy Notice .

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About FullStack Labs

Sourced by ZipRecruiter

FullStack Labs is the fastest-growing software consultancy in the Americas. We help organizations like Uber, GoDaddy, MGM, Siemens, Stanford University, and the State of California, build distributed software development teams, and deliver transformational digital solutions. As an employee-first company, we focus on hiring the most talented software designers and developers in the western hemisphere, by creating a positive, respectful, and supportive work environment where they can achieve their greatest potential.

Industry

It services

Company size

11 - 50 Employees

Headquarters location

Sacramento, CA, US

Year founded

2013

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