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Cigna Utilization Review Jobs (NOW HIRING)

Cigna

Medical Director - Urology - Evicore - Remote

Knowledge of applicable state and federal laws, Utilization Review Accreditation Commission and ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...

Cigna

Medical Director - Pathology - EviCore

Knowledge of applicable state and federal laws, Utilization Review Accreditation Commission and ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...

GQR

RN - Case Manager

Largo, FL

$1K - $1K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Largo, Florida ... Benefits: * Day 1 Insurance * Cigna medical, MetLife dental and vision insurance * License ...

GQR

RN - Case Manager

Santa Rosa, CA

$2K - $2K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Santa Rosa ... Benefits: * Day 1 Insurance * Cigna medical, MetLife dental and vision insurance * License ...

GQR

RN - Case Manager

Minneapolis, MN

$1K - $1K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Minneapolis ... Benefits: * Day 1 Insurance * Cigna medical, MetLife dental and vision insurance * License ...

GQR

RN - Case Manager

Detroit, MI

$2K - $2K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Detroit ... Benefits: * Day 1 Insurance * Cigna medical, MetLife dental and vision insurance * License ...

GQR

RN - Case Manager

Tuba City, AZ · On-site

$2K - $2K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Tuba City ... Benefits: * Day 1 Insurance * Cigna medical, MetLife dental and vision insurance * License ...

GQR

RN - Case Manager

Lodi, CA · On-site

$2K - $2K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Lodi ... Benefits: * Day 1 Insurance * Cigna medical, MetLife dental and vision insurance * License ...

GQR

RN - Case Manager

Seattle, WA

$2K - $2K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Seattle ... Benefits: * Day 1 Insurance * Cigna medical, MetLife dental and vision insurance * License ...

GQR

RN - Case Manager

Glendale, CA

$2K - $2K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Glendale ... Benefits: * Day 1 Insurance * Cigna medical, MetLife dental and vision insurance * License ...

GQR

RN - Case Manager

Indianapolis, IN

$1K - $1K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Indianapolis ... Benefits: * Day 1 Insurance * Cigna medical, MetLife dental and vision insurance * License ...

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How much do cigna utilization review jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for cigna utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What is a Cigna Utilization Review job?

A Cigna Utilization Review job involves evaluating medical treatments, procedures, and services to ensure they meet medical necessity and cost-effectiveness criteria. Utilization review specialists, typically nurses or healthcare professionals, assess patient records, verify insurance coverage, and collaborate with providers to determine appropriate care plans. They follow Cigna’s guidelines and policies to ensure compliance with healthcare regulations. This role helps manage healthcare costs while ensuring patients receive necessary and appropriate care.

What does a typical day look like for someone working in Cigna Utilization Review?

A typical day in a Cigna Utilization Review position involves reviewing clinical documentation, evaluating requests for medical procedures or services, and determining coverage based on established guidelines and policies. Professionals in this role regularly interact with healthcare providers, clinicians, and internal teams to clarify cases and support care coordination. The work is primarily desk-based and may be remote or in an office setting, and it requires staying up-to-date with regulatory changes and healthcare best practices. This role provides insight into the intersection of care delivery and insurance, offering opportunities for growth into leadership, quality assurance, or clinical policy development.

What are the key skills and qualifications needed to thrive in the Cigna Utilization Review position, and why are they important?

To excel in a Cigna Utilization Review role, you typically need a background in nursing or a related healthcare field, with an active RN license and experience in clinical assessment and case management. Familiarity with utilization management software, health insurance policies, and medical coding systems such as ICD-10 and CPT is often required. Strong analytical thinking, attention to detail, and effective communication skills are crucial for evaluating medical necessity and collaborating with providers. These competencies ensure accurate determinations, support high-quality patient care, and help maintain compliance with regulatory standards.

More about Cigna Utilization Review jobs
What cities are hiring for Cigna Utilization Review jobs? Cities with the most Cigna Utilization Review job openings:
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Cigna Utilization Review jobs near you
Infographic showing various Cigna Utilization Review job openings in the United States as of May 2026, with employment types broken down into 1% Internship, 83% Full Time, and 16% Contract. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.
Medical Director - Cardiology - Evicore - Remote

Medical Director - Cardiology - Evicore - Remote

Cigna

Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

Cigna Healthcare rating

8.4

Company rating: 8.4 out of 10

Based on 216 frontline employees who took The Breakroom Quiz

34th of 870 rated healthcare providers

Job description

Do you crave an intellectually stimulating role that lets you apply your clinical expertise while continuing to grow and make an impact? As a Medical Director at EviCore, part of Evernorth Health Services, a division of The Cigna Group, you'll leverage your background in Cardiology to deliver evidence-based medical reviews that support high-quality patient care. Collaborate with healthcare providers and stay current on healthcare regulations and industry developments as you review a wide range of cases. This role offers you the opportunity to build new skills while enhancing the health and vitality of others. We're seeking a detail-oriented individual with good communication, technology, and typing skills, as well as strong clinical judgment. Drive growth in your career with our innovative team.
How you'll make a difference:
  • You'll start training remotely in a structured environment with support from trainers, mentors, and leadership to set you up for success.
  • Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity on EviCore's case management software.
  • Conduct physician consultation (peer-to-peer) calls with referring providers to discuss evidence-based medical necessity and appropriateness of the requested service or treatment.
  • Leverage your clinical expertise to recommend alternative services or treatments as necessary.
  • Work collaboratively with over 500 EviCore physician colleagues to help ensure patients receive proper care via evidence-based decision making.

What you'll enjoy about working here:
  • Benefits start on day one
  • Predictable work schedules
  • 100% work from home
  • 8 Paid Holidays + 23 PTO Days
  • 401(K) with company match
  • Reimbursement for continuing medical education
  • Career growth opportunities across the enterprise
  • Networking with peers across multiple medical specialties

Requirements:
  • M.D. or D.O. with a current, active U.S. medical license and board certification (ABMS or AOA) in Cardiovascular Disease or Interventional Cardiology
  • Eligible to acquire additional state licensure as required
  • 3 or more years of relevant clinical experience post residency/fellowship
  • Knowledge of applicable state and federal laws, Utilization Review Accreditation Commission and National Committee for Quality Assurance standards is a plus
  • Ability to commit to a set, weekly work schedule (Monday through Friday)
  • Strong computer skills: ability to work autonomously with automated processes, computer applications, and systems
  • Meet physical demands of the role including, but not limited to, typing, speaking, and listening 100% of time
  • In accordance with our HITECH Security Accreditation, company provided encrypted-workstation is required to be hard-wire connected to a modem or router. Wireless connection is not permitted.

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 207,800 - 346,300 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 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 and paid holidays. For more details on our employee benefits programs, click here.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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 seeyourself@thecignagroup.com 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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