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Remote Cigna Prior Authorization Jobs in Oregon (NOW HIRING)

Pelago

Medical Assistant

OR · On-site +1

$17.75 - $22.75/hr

... prior authorization workflows, helping ensure members have timely access to treatment while ... remote-first environment. -Previous experience working remotely and collaborating across ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · On-site +1

$85K - $105K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR ... This role conducts prior authorizations, facilitates care coordination, and supports safe ...

CLEAResult

Remote Outbound Sales Specialist

OR · On-site +1

$18/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... prior relevant experience, certain degrees and certifications (e.g. JD/technology), for example ... Applicants must be authorized to work in the country where the position is located without the need ...

Healthcare

CDI Outsourcing Manager - Remote (Solventum)

OR · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Bachelor's Degree or higher (completed and verified prior to start) from an accredited institution ... Not authorized Must be legally authorized to work in country of employment without sponsorship for ...

LearnWell

$45K - $48K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... submissions, prior authorizations, insurance appeals, and reprocessing efforts. This detail ... This position entails a 40 hour a week commitment, Monday through Friday remote. * Starting annual ...

Curana Health, Inc.

Care Navigator (EST)

$21.50 - $27.75/hr

Assists with prior authorizations. * Obtains patient records and diagnostic test results ... Travel Requirements: * 100% remote position requiring a reliable high-speed internet connection. We ...

Curana Health, Inc.

Care Navigator - (Friday - Monday)

$21.50 - $27.75/hr

Assists with prior authorizations. * Obtains patient records and diagnostic test results ... Travel Requirements: * 100% remote position requiring a reliable high-speed internet connection. We ...

SOLV Energy

Project Scheduler (Remote)

OR · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Prior Scheduling experience in an EPC environment is highly desired. * Ability to read and ... Applicants must be legally authorized to work in the U.S. without requiring employer sponsorship ...

SOLV Energy

Project Controls Scheduler (Remote)

OR · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Prior Scheduling experience in an EPC environment is highly desired. * Ability to read and ... Applicants must be legally authorized to work in the U.S. without requiring employer sponsorship ...

Valiant Solutions, LLC

Program Manager

  • Medical

  • Dental

  • Vision

  • Life

... authorizations, purpose information security technical and administrative solutions, performs ... prior notice. Remote Work Policy Remote work necessitates a high level of trust in our employees.

Bakertilly

Temporary Tax Preparer - BT Prep

OR · On-site +1

$18 - $41/hr

In order to be an authorized recruitment agency ("search firm") for Baker Tilly Advisory Group, LP ... Remote | Seasonal January 2027 - April 2027 Join Baker Tilly's Seasonal Tax Preparer team to ...

DMI

Project Manager

$95K - $105K/yr

  • Medical

  • Life

  • Retirement

Manage CO-authorized work scope, ensuring no work is performed outside CO authorization and that no ... Prior experience managing contracts with multiple interdependent CLINs under a T&M ceiling ...

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All JobsCigna Prior Authorization JobsRemote Cigna Prior Authorization JobsRemote Cigna Prior Authorization Jobs in Oregon

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 popular job titles related to Remote Cigna Prior Authorization jobs in Oregon?

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

What job categories do people searching Remote Cigna Prior Authorization jobs in Oregon look for?

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

What cities in Oregon are hiring for Remote Cigna Prior Authorization jobs?

Cities in Oregon 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 Oregon as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Medical Assistant

Pelago

OR • On-site, Remote

$17.75 - $22.75/hr

Full-time

Posted 10 days ago

Job description

Medical Assistant - Clinical Operations

Remote | Full-Time

About Pelago

Pelago is the world's leading virtual clinic for Substance Use Management. Our program provides guidance, support and treatment for members seeking to overcome their tobacco, alcohol and opioid use. From unhealthy habits to active substance use disorders, Pelago delivers a personalized solution based on individual health, habits, genetics, and goals, providing care for members wherever they might be on the substance use spectrum.

Pelago's suite of virtual services ranges from education, to cognitive behavioral therapy (CBT) to comprehensive medication-assisted treatment (MAT). Pelago enables employers and health plans to deliver accessible, affordable, and effective treatment for substance misuse.

Pelago has scaled to helping hundreds of employers and health plans and has already helped more than 750,000 members manage their substance use better. We have recently closed our Series C and raised over $151m from leading global investors. If you are passionate about making an impact on the health of others, join us and make it happen!

About the Role

As a Medical Assistant at Pelago Health, you'll play a central role in our members' care journeys by providing compassionate support, medication coordination, and seamless care navigation for individuals receiving treatment for substance use disorders. Embedded within a cross-functional care team, you'll serve as the primary coordinator for medication management and prior authorization workflows, helping ensure members have timely access to treatment while partnering closely with providers, pharmacies, and internal teams to deliver an exceptional care experience.

What You'll Do
- Manage medication-assisted treatment (MAT) workflows, including medication refills, fulfillment coordination, adherence support, and medication-related member outreach.

-Coordinate prior authorization workflows across prescribed medications, including preparing submissions, tracking status, supporting appeals, and ensuring timely resolution.

-Communicate directly with members, providers, pharmacies, and internal care teams to help ensure timely access to medications and a seamless care experience.

-Support providers with medication management activities, serving as a key clinical support partner throughout the member's treatment journey.

-Partner with counselors and other members of the care team to coordinate care, address member concerns, and promote positive treatment outcomes.

-Collaborate with clinical, product, and operations teams to help build and improve scalable medication management workflows.

-Maintain accurate documentation and ensure medication-related tasks are completed in accordance with clinical protocols and organizational standards.

What We're Looking For

- Active Medical Assistant (MA) certification or equivalent experience, as required by state regulations.

-Experience with prior authorizations, medication coordination, care coordination, or clinical operations.

-Familiarity with substance use disorder (SUD), behavioral health, or addiction medicine, or a strong interest in developing expertise in these areas.

-Strong organizational skills with the ability to manage multiple priorities in a fast-paced environment.

-Excellent written and verbal communication skills, with the ability to collaborate effectively across multidisciplinary teams.

-Self-motivated and comfortable working independently in a remote-first environment.

-Previous experience working remotely and collaborating across distributed teams is a plus, but not required.

Apply