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Manager Cigna Rn Remote Jobs in Miramar, FL (NOW HIRING)

IQVIA

Flex Nurse Educator

Miami, FL · Remote

Deliver remote patient education, including medication administration training and adherence ... Nurse Educators do not provide medical advice but empower patients to manage their disease and ...

IQVIA

Flex Nurse Educator - Miami, FL

Miami, FL · Remote

Deliver remote patient education, including medication administration training and adherence ... Nurse Educators do not provide medical advice but empower patients to manage their disease and ...

Scribe-X

Remote Medical Scribe

Fort Lauderdale, FL · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...

Scribe-X

Remote Medical Scribe

Miami, FL · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...

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All JobsCigna Rn JobsManager Cigna Rn Remote JobsManager Cigna Rn Remote Jobs in Miramar, FL

Manager Cigna Rn Remote information

See Miramar, FL salary details

$32.4K

$81.4K

$128.8K

How much do manager cigna rn remote jobs pay per year?

As of Sep 4, 2026, the average yearly pay for manager cigna rn remote in Miramar, FL is $81,427.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,000.00 and $97,300.00 per year, depending on experience, location, and employer.

What is the difference between Manager Cigna Rn Remote vs Cigna Rn Case Manager?

AspectManager Cigna Rn RemoteCigna Rn Case Manager
CertificationsRN license, management experienceRN license, case management certification often preferred
Work EnvironmentRemote management, team oversightRemote or in-office, direct patient or provider interaction
Employer & IndustryHealth insurance, managed careHealth insurance, case management services

The Manager Cigna Rn Remote typically oversees teams and operations within Cigna's health insurance services, requiring management skills and RN licensure. In contrast, the Cigna Rn Case Manager focuses on direct patient or provider interactions, coordinating care plans. Both roles are remote and within the same industry but differ in responsibilities and focus areas.

What are popular job titles related to Manager Cigna Rn Remote jobs in Miramar, FL?

For Manager Cigna Rn Remote jobs in Miramar, FL, the most frequently searched job titles are:

What job categories do people searching Manager Cigna Rn Remote jobs in Miramar, FL look for?

The top searched job categories for Manager Cigna Rn Remote jobs in Miramar, FL are:

What cities near Miramar, FL are hiring for Manager Cigna Rn Remote jobs?

Cities near Miramar, FL with the most Manager Cigna Rn Remote job openings:

Manager Cigna Rn Remote jobs near you
Infographic showing various Manager Cigna Rn Remote job openings in Miramar, FL as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $81,427 per year, or $39.1 per hour.

Manager, Clinical Appeals

Health Business Solutions LLC

Cooper City, FL • Remote

Full-time

Re-posted 23 days ago

Job description

Job Summary:

We are seeking an experienced and highly organized Manager of Clinical Appeals to lead our clinical appeals operations across commercial and government payers. This role is responsible for overseeing day-to-day activities of clinical appeal specialists, managing appeal strategy execution, ensuring quality and compliance, and meeting client-specific performance goals.

The ideal candidate brings a strong background in clinical review, medical necessity denials, payer appeal processes, and team leadership—ideally across both U.S. and offshore teams (e.g., Philippines). This position is critical to ensuring timely and effective resolution of denied claims, supporting revenue recovery efforts, and maintaining payer and regulatory compliance.

Key Responsibilities:

  • Manage the full-cycle clinical appeals process across multiple payer types, with a focus on government (e.g., Medicare, Medicaid) and commercial payers.
  • Lead and support a team of nurses, clinical reviewers, and appeal specialists—including potential offshore (Philippines-based) staff.
  • Monitor appeal workloads, productivity, and turnaround times to ensure all appeal deadlines and client service level agreements (SLAs) are met.
  • Review and approve complex or high-value clinical appeal cases, ensuring clinical accuracy and compliance with payer guidelines.
  • Maintain up-to-date knowledge of medical necessity criteria, payer policies, NCDs/LCDs, and applicable CMS regulations.
  • Train new and existing team members on clinical guidelines, appeal writing standards, and regulatory requirements.
  • Work cross-functionally with audit, legal, compliance, and operations teams to align on strategy and escalate trends or systemic payer issues.
  • Identify and implement process improvements to increase efficiency, reduce denials, and improve overturn rates.
  • Support the creation and refinement of appeal templates, clinical arguments, and documentation standards.
  • Generate and deliver performance and quality reports to leadership, identifying risks and opportunities for improvement.

Qualifications:

  • Registered Nurse (RN) or clinical degree required; Bachelor's degree in Nursing, Health Administration, or related field preferred.
  • 5+ years of experience in clinical appeals, utilization review, or medical necessity denials.
  • 2+ years in a leadership or supervisory role, preferably within a revenue cycle or payer appeals setting.
  • In-depth understanding of payer denial processes, especially Medicare Advantage, Medicaid Managed Care, and commercial plans.
  • Experience managing remote and/or offshore teams (Philippines experience preferred).
  • Strong working knowledge of ICD-10, CPT, and HCPCS coding as they relate to clinical justifications.
  • Excellent writing skills and the ability to clearly communicate complex clinical reasoning.
  • Familiarity with appeal submission portals, EHRs, and workflow platforms.
  • Knowledge of HIPAA, CMS, and NCQA standards.