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Remote Cigna Prior Authorization Jobs in Colorado

Vero Networks

Network Operations Manager

Denver, CO · On-site +1

$905K/yr

OPERATIONS MANAGER, NETWORK OPERATIONS POSITION SUMMARY This position a remote role and is ... Must be authorized to work in the United States. * This is a staff position. * This is an Exempt ...

Ardent Eagle Solutions

IT Strategic Planner

Boulder, CO · On-site +1

$152K - $160K/yr

This position is not eligible for full-time remote work or for candidates located outside of the ... prior to being authorized to work remotely. Compensation The compensation range for this position ...

Nametag

Senior Software Engineer, Reliability

Denver, CO · Remote

$120K - $190K/yr

Senior Software Engineer, Reliability Remote, US About Nametag Nametag is building the future of ... Ideal Qualifications Work Authorization (Required): Applicants must be legally authorized to work ...

Ardent Eagle Solutions

IT Strategic Planner

Boulder, CO · On-site +1

$152K - $160K/yr

This position is not eligible for full-time remote work or for candidates located outside of the ... prior to being authorized to work remotely. Compensation The compensation range for this position ...

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Remote Cigna Prior Authorization information

What is the difference between Remote Cigna Prior Authorization vs Remote Cigna Claims Specialist?

AspectRemote Cigna Prior AuthorizationRemote Cigna Claims Specialist
Primary RoleReviewing and approving prior authorization requests for medical servicesProcessing and reviewing insurance claims for reimbursement
Required CredentialsHealthcare knowledge, insurance policies, possibly medical backgroundInsurance knowledge, claims processing experience, attention to detail
Work EnvironmentRemote, healthcare insurance settingRemote, insurance claims processing environment
Industry UsageHealthcare insurance companies, providersInsurance companies, third-party administrators

Remote Cigna Prior Authorization specialists focus on evaluating requests for medical services before approval, ensuring compliance with policies. In contrast, Remote Cigna Claims Specialists handle the processing and review of claims after services are rendered. Both roles require insurance knowledge and often work remotely within the healthcare insurance industry, but their core responsibilities differ significantly.

What are the most commonly searched types of Cigna Prior Authorization jobs in Colorado?

The most popular types of Cigna Prior Authorization jobs in Colorado are:

What are popular job titles related to Remote Cigna Prior Authorization jobs in Colorado?

For Remote Cigna Prior Authorization jobs in Colorado, the most frequently searched job titles are:

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The top searched job categories for Remote Cigna Prior Authorization jobs in Colorado are:

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Cities in Colorado with the most Remote Cigna Prior Authorization job openings:

Remote Cigna Prior Authorization jobs near you
Infographic showing various Remote Cigna Prior Authorization job openings in Colorado as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 21% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.

Territory Director - (Inside Sales) MST

Onco360

Denver, CO • Remote

$55K - $70K/yr

Full-time

Posted 6 days ago

Onco360 rating

7.7

Company rating: 7.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

20th of 113 rated pharmacies

Job description

Onco360 is searching for an Inside Sales Representative - Oncology. This is a fully remote position. Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers.
A career with us is more than just a job. It's an opportunity to connect and care for our patients, providers, communities and each other. We attract extraordinary people who have a strong desire to live our mission - to better the lives of those battling cancer and rare diseases. Compassion is more important than numbers. We value teamwork, respect, integrity, and passion.
We succeed when you do, and our company and management team work hard to foster an environment that provides you with opportunities for both professional and personal growth.
Base Salary range $55k-$70k annually; plus Commission
Summary:
Using a balance of account management and direct telephone outreach, the primary responsibility of the Inside Sales position will be to develop and manage a designated territory with the goal of providing education and care coordination to prescribers for all Onco360 products and services. This position acts as a single point of contact by assisting the prescriber in evaluating referrals and performing care coordination to ensure service level requirements are met. In most cases this responsibility is carried out in coordination with a mirrored outside sales representative. The targeted customers are physicians, NPs, PAs, nursing staff, office managers, administrative and pharmacy staff within both hospital and community oncology settings.
This position will be home based with minimal travel as required to execute the following:
Regional Director Major Responsibilities:
• Seeks out opportunities for prescriber experience process improvement and collaborates with Pharmacy OPS and outside sales to achieve prescriber experience improvement and sales goals
• Achieves designated call expectations for assigned prescribers with a focus on top targets, key influencers, and pipeline leads
• Responsible for identifying, ranking, prospecting, and developing key oncology practice and hospital-based business relationships within targeted regional territory
• Assists with sales escalations and communicates routinely with field sales representative partner about details impacting prescriber or patient experience
• Supports education and delivery of key messages and product presentations within initiatives (i.e. Selling our Success communication, drug launches, etc.) designed to ensure territory meets performance requirements
• Responsible for forwarding calls pertaining to clinical information and questions (i.e., dosing directions, adverse events, counseling, etc.) to Staff Pharmacists
• Documents and meticulously makes notations in each patient’s profile and/or CRM regarding every update and aspect of a customer’s/physician’s care or needs
• Uses discretion and independent judgment in handling customer complaints received, while documenting and forwarding to appropriate administrative staff.
• Obtains and manages prescriber communication preferences
• Nurtures and manages prescriber relationship to improve loyalty, and retention.
• Utilizes SPOC Tool to ensure all SPOC account prescriptions are processed quickly and efficiently throughout the workflow process.
• Assists operations staff and prescriber offices with prior authorizations by following up on outstanding issues and assisting with coordination and communication.
• Ensure that prescription renewal requests are communicated in a timely manner to ensure continuity of care when applicable.
• Works collaboratively with sales to achieve monthly, quarterly, and annual sales goals

Regional Director Qualifications:

• 2 years’ retail or specialty pharmacy technician experience preferred - Must be familiar with general pharmacy terminology, billing quantity, SIG codes, roman numerals, brand, and generic names of medications, and IV dosage calculations/day supply.
• 2 years inside or outside sales experience for pharmacy or other health services-related industry preferred
• Oncology sales experience desired but not required
• Exceptional probing and consultative communication skills
• Familiar with oncology providers, drugs, clinic, and hospital communities
• Understanding of oncology drug reimbursement, Managed Care Medical Specialty and PBM drug benefits
• Self-motivated and results driven
• Highly effective in working objectively with a diverse group of people and must demonstrate communication, organizational, administrative and office skills
• Proficient in data entry, verbal skills, computer skills and the ability to learn the department’s software system including CRM
• Must be a team player willing to accept and promote organizational goals and function with minimal supervision.
• Ability to respond to common inquiries or complaints from customers, employees, or senior management.
• Ability to work with mathematical concepts such as statistical inference. Ability to apply concepts such as percentages, ratios, and proportions in practical solutions.
• Maintain HIPAA patient confidentiality.

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