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From Home Cigna Prior Authorization Jobs in Rome, GA

Lefevre Personal Care, Inc.

House Manager

Dallas, GA · On-site

Be On-Call for emergency situations and issues from home staff two weeks each month. Evaluate ... Reassign staff as required, with supervisor prior authorization. Substitutes for Direct Care Staff ...

Longevity Health Plan

RN Field Coordinator

Calhoun, GA · On-site

Support transitions of care, assist with prior authorization requests, and help members access ... Lead orientation sessions for new and existing nursing homes to educate staff on Longevity Health ...

Longevity Health Plan

Nurse Practitioner

Calhoun, GA · On-site

Facilitates and administers Health Plan clinical operations functions-prior authorization, Part A ... from a nationally accredited program. * Experience working in the nursing home environment is ...

Longevity Health Plan

Nurse Practitioner

Calhoun, GA · On-site

Facilitates and administers Health Plan clinical operations functions-prior authorization, Part A ... from a nationally accredited program. * Experience working in the nursing home environment is ...

SENTA

Centralized Biologic Coordinator

Rome, GA

$15.25 - $19.75/hr

Request, track and obtain pre-authorization/prior determination from insurance carriers prior to services being performed. * Enroll patients for copay assistance/patient assistance programs.

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All JobsCigna Prior Authorization JobsFrom Home Cigna Prior Authorization JobsFrom Home Cigna Prior Authorization Jobs in Rome, GA

From Home Cigna Prior Authorization information

See Rome, GA salary details

$66.9K

$86.7K

$104K

How much do from home cigna prior authorization jobs pay per year?

As of Jul 27, 2026, the average yearly pay for from home cigna prior authorization in Rome, GA is $86,659.00, according to ZipRecruiter salary data. Most workers in this role earn between $77,000.00 and $96,300.00 per year, depending on experience, location, and employer.

What are the main challenges of working remotely as a Cigna Prior Authorization specialist, and how can they be managed?

Working from home as a Cigna Prior Authorization specialist often involves managing high call volumes, staying updated with changing insurance policies, and maintaining clear communication with healthcare providers. Balancing productivity and avoiding distractions can also be challenging in a remote setting. To succeed, it's important to establish a dedicated workspace, use digital tools to stay organized, and participate in regular team meetings to stay connected and informed.

What is a From Home Cigna Prior Authorization job?

A From Home Cigna Prior Authorization job typically involves working remotely to review and process prior authorization requests for medical procedures, medications, or services on behalf of Cigna, a major health insurance provider. Employees in this role evaluate clinical documentation to determine if requested services meet Cigna’s coverage criteria and guidelines. The job may require communication with healthcare providers, patients, and internal teams to gather necessary information and ensure timely processing. Strong attention to detail, knowledge of medical terminology, and familiarity with insurance processes are important for success in this position.

What is the difference between From Home Cigna Prior Authorization vs From Home Cigna Medical Reviewer?

AspectFrom Home Cigna Prior AuthorizationFrom Home Cigna Medical Reviewer
CredentialsLicenses or certifications in healthcare administration or related fieldsMedical degrees (MD, DO) and clinical certifications
Work EnvironmentRemote, administrative settingRemote, clinical review setting
Employer & IndustryCigna, health insurance industryCigna, health insurance industry
Primary RoleReviewing and approving prior authorization requestsConducting detailed medical reviews and making clinical decisions

While both roles are remote positions within Cigna, the Prior Authorization specialist focuses on processing authorization requests, whereas the Medical Reviewer performs in-depth clinical assessments to support approval decisions. Both roles require healthcare knowledge but differ in clinical involvement and responsibilities.

What are the key skills and qualifications needed to thrive as a Work From Home Cigna Prior Authorization Specialist, and why are they important?

To thrive as a Work From Home Cigna Prior Authorization Specialist, you need a solid understanding of medical terminology, insurance processes, and prior authorization procedures, often supported by healthcare-related experience or certification. Familiarity with insurance management systems, electronic health records (EHR), and specialized authorization software is typically required. Strong attention to detail, effective communication, and the ability to work independently are essential soft skills in this remote role. These competencies ensure accurate processing of authorization requests, compliance with guidelines, and high-quality service to patients and providers.
What are popular job titles related to From Home Cigna Prior Authorization jobs in Rome, GA? For From Home Cigna Prior Authorization jobs in Rome, GA, the most frequently searched job titles are:
What job categories do people searching From Home Cigna Prior Authorization jobs in Rome, GA look for? The top searched job categories for From Home Cigna Prior Authorization jobs in Rome, GA are:
From Home Cigna Prior Authorization jobs near you
Infographic showing various From Home Cigna Prior Authorization job openings in Rome, GA as of July 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 2% Contract, and 2% Nights. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $86,659 per year, or $41.7 per hour.
Family Nurse Practitioner / PA - Primary Care - Evernorth - Summerville & Rome GA

Family Nurse Practitioner / PA - Primary Care - Evernorth - Summerville & Rome GA

Cigna

Summerville, GA • On-site

$100K - $126K/yr

Full-time

Posted 25 days ago

Cigna Healthcare rating

8.4

Company rating: 8.4 out of 10

Based on 237 frontline employees who took The Breakroom Quiz

27th of 890 rated healthcare providers

Job description

Nurse Practitioner / Physician Assistant - Primary Care - Evernorth Workplace Care - Summerville and Rome GA
Evernorth Workplace Care offers health care delivery services along with population health and health coaching solutions. Our mission is to deliver proactive, personalized, and holistic patient care and coaching by acting on health data and insights to improve the overall health and wellness of our clients' employees, and those they care about most, by providing access to high quality, affordable services where they work and live.
Our Evernorth Workplace Care solution isn't a one-size-fits-all model. Using data-driven insights, we'll customize a solution that addresses your organization's most pressing needs-creating a more affordable, predictable, and simple health care experience.
Evernorth Workplace Care - Personalized Care Where You Are
Position Summary:
  • Primary Care treatment in a Workplace-based setting
  • Episodic care (low acuity Urgent Care)
  • Extended Episodic Acute Care which can include 4-5 visits for an illness or injury that is limited in its chronicity
  • Chronic condition education and co-management with outside primary care if EWC is not the PCP
  • Ability to oversee and perform CLIA waived tests, dispense Rx medications, and oversee a specimen collection lab
  • Collaboration with onsite employees to provide biometric screening and health and wellness education
  • Potential for Travel Medicine recommendation and immunizations or administration of allergen immunotherapy (with proper training)
  • Direct one on one health coaching to employees along with referring patients into wellness programs
  • Partner with local HR/Benefits team to improve employee health
  • Partner closely with, and potentially oversee, members of the health care team (MA, LPN, etc.)

Clinical Requirements:
  • Graduate of a Certified NP or PA program
  • Active and unrestricted NP or PA license in respective state, and ability to maintain.
  • Minimum of 2 or more years of NP/PA experience, working independently in an internal medicine or family practice setting
  • Ability to practice independently in respective state
  • May be asked to obtain licensure in additional states
  • DEA licensure and prescriptive authority and ability to maintain
  • Strong primary care experience including women's health
  • Chronic Disease Management experience is preferred
  • Electronic Health Record experience; EPIC experience is a plus
  • BLS certification and ability to maintain current certification
  • Phlebotomy experience is a plus

Non-Clinical Qualifications:
  • Excellent interpersonal skills including internal and external customers and group settings
  • Passionate about overall health and wellness and patient education
  • High energy and strong customer-centric focus
  • Ability to work clinic hours
  • Solid attendance record
  • Strong time management skills
  • Additional language skills such as Spanish is a plus
  • Supervisory experience (indirect or direct) is preferred

This full-time role is based in the Health Centers in Summerville and Rome GA.
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.
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 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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