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Cigna Work At Home Complex Case Manager Jobs (NOW HIRING)

Envoy Global, Inc.

Flexible working hours: we focus on outcomes, not office time * Working from home and thus remote ... Exposure to global clients and complex, out of the ordinary and interesting cases * Opportunities ...

Cigna

Sr. Network Contract Manager- New England

Join Cigna Healthcare, a division of The Cigna Group, and help shape our provider network. As a ... If you will be working at home occasionally or permanently, the internet connection must be ...

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Cigna Work At Home Complex Case Manager information

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$42

How much do cigna work at home complex case manager jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for cigna work at home complex case manager in the United States is $24.76, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $26.92 per hour, depending on experience, location, and employer.

What are some typical challenges faced by Work At Home Complex Case Managers at Cigna, and how can they be addressed?

Work At Home Complex Case Managers at Cigna often encounter challenges such as managing high caseloads, coordinating care across multiple providers, and maintaining effective communication with both patients and healthcare teams remotely. Staying organized and using Cigna’s digital tools for documentation and scheduling can help manage workloads efficiently. Regular virtual meetings with colleagues and supervisors also foster collaboration and support, helping to overcome the sense of isolation that can come with remote work.

What are the key skills and qualifications needed to thrive as a Cigna Work At Home Complex Case Manager, and why are they important?

To thrive as a Cigna Work At Home Complex Case Manager, you need a clinical background such as a registered nurse (RN) license, strong case management experience, and knowledge of healthcare regulations. Familiarity with clinical documentation software, telehealth platforms, and utilization management systems is typically required. Excellent communication, critical thinking, and self-motivation are vital soft skills for building rapport with patients and collaborating remotely with healthcare teams. These skills and qualities enable effective coordination of complex care, ensuring patients receive appropriate support while meeting organizational and regulatory standards.

What is the difference between Cigna Work At Home Complex Case Manager vs Cigna Work At Home Utilization Review Nurse?

AspectCigna Work At Home Complex Case ManagerCigna Work At Home Utilization Review Nurse
Required CredentialsRN license, case management certificationRN license, utilization review certification
Work EnvironmentRemote, independent case managementRemote, clinical review setting
Employer & Industry UsageHealth insurance, case managementHealth insurance, utilization review

The Cigna Work At Home Complex Case Manager and Utilization Review Nurse roles both require RN licensure and work remotely within the health insurance industry. The main difference lies in their focus: the Complex Case Manager manages ongoing patient cases and coordinates care, while the Utilization Review Nurse conducts clinical reviews to approve or deny services. Both roles are essential for healthcare management and often searched together by professionals seeking remote nursing opportunities within Cigna.

What is a Cigna Work At Home Complex Case Manager?

A Cigna Work At Home Complex Case Manager is a healthcare professional who manages and coordinates care for members with complex medical needs, working remotely from home. They assess patient needs, develop individualized care plans, and collaborate with healthcare providers to ensure members receive appropriate treatment and support. The goal is to improve health outcomes, reduce hospitalizations, and help members navigate the healthcare system effectively. This role typically requires a nursing background and strong case management experience.
Infographic showing various Cigna Work At Home Complex Case Manager job openings in the United States as of June 2026, with employment types broken down into 68% Full Time, 11% Part Time, and 21% Contract. Highlights an 100% Remote job distribution, with an average salary of $51,494 per year, or $24.8 per hour.
Manager, Network Management - Cigna Healthcare - Hybird (VA, MD)

Manager, Network Management - Cigna Healthcare - Hybird (VA, MD)

Cigna

Richmond, VA • 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

Join Cigna Healthcare, a division of The Cigna Group, and help shape our provider network. As a Network Contracting Manager, you will report to the AVP, Provider Network Management. In this individual contributor role, you will support the strategic direction of the provider network while managing daytoday contracting and network management activities.

Responsibilities
  • Manage complex feeforservice and valuebased contracting and negotiations with large physician groups, ancillary providers, and hospital systems.
  • Lead key market contracting strategy projects, with responsibility for managing direct reports as assigned.
  • Build and maintain strong provider relationships to support network growth and valuebased business opportunities.
  • Partner closely with matrix teams (e.g., Claims, Medical Management, Credentialing) to ensure aligned execution.
  • Develop strategic network positions, identify valueoriented and riskbased opportunities, and contribute to alternative network initiatives and analytics.
  • Meet unit cost targets while maintaining an adequate and competitive provider network.
  • Design and manage initiatives to improve medical cost and quality, providing consultative guidance informed by clinical informatics.
  • Prepare, review, and project the financial impact of large or complex provider contracts and alternative contract terms.
  • Create, implement, and ensure operational accuracy of healthcare provider (HCP) agreements through effective crossfunctional collaboration.
  • Lead the resolution of escalated provider issues and manage key provider relationships, demonstrating deep knowledge of the local market landscape, including contract loading and maintenance.
Required Qualifications
  • 3+ years of healthcare provider contracting and negotiation experience involving complex physician groups and ancillary providers
  • Experience in managed care, healthcare, or health insurance, including commercial contracting
  • Proven leadership experience, including mentoring and guiding others
  • Strong provider relationship management skills, with demonstrated success building longterm partnerships
  • Knowledge of complex reimbursement methodologies, including incentivebased models (strongly preferred)
  • Deep understanding of hospital, managed care, and provider business models, with the ability to influence sales and provider audiences
  • Strong presentation and communication skills, including the ability to build internal relationships in a fastpaced, matrixed organization
  • Customercentric approach with strong interpersonal skills and comfort navigating change
  • Strong problemsolving, decisionmaking, negotiation, contract interpretation, and financial analysis skills
  • Proficiency in Microsoft Office
Preferred Qualifications
  • Bachelor's degree in a related field (relevant industry experience may be substituted)
  • MBA or MHA preferred

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 92,000 - 153,300 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 Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

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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