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Remote Cigna Prior Authorization Jobs in Riverside, CA

Inspire Healthcare

Medical Director Physician

Pomona, CA · Remote

$250K - $350K/yr

We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and medical necessity reviews. No direct patient care is required. Candidates must reside in the LAarea ...

Orion Lending

Be Seen First

Mortgage Funder (remote)

Orange, CA · Remote

$31.25/hr

... prior to closing · Verify and set up lender wire for closing · Obtain necessary funding documents from settlement agents for review and issue a funding authorization for disbursement · Working ...

All JobsCigna Prior Authorization JobsRemote Cigna Prior Authorization JobsRemote Cigna Prior Authorization Jobs in Riverside, CA

Remote Cigna Prior Authorization information

See Riverside, CA salary details

$29.2K

$74.4K

$147.1K

How much do remote cigna prior authorization jobs pay per year?

As of Jul 31, 2026, the average yearly pay for remote cigna prior authorization in Riverside, CA is $74,376.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,300.00 and $101,700.00 per year, depending on experience, location, and employer.

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 Riverside, CA? The most popular types of Cigna Prior Authorization jobs in Riverside, CA are:
What are popular job titles related to Remote Cigna Prior Authorization jobs in Riverside, CA? For Remote Cigna Prior Authorization jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Remote Cigna Prior Authorization jobs in Riverside, CA look for? The top searched job categories for Remote Cigna Prior Authorization jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Remote Cigna Prior Authorization jobs? Cities near Riverside, CA with the most Remote Cigna Prior Authorization job openings:
Remote Cigna Prior Authorization jobs near you

Medical Director Physician

Inspire Healthcare

Pomona, CA • Remote

$250K - $350K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 9 days ago

Job description

We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and medical necessity reviews. No direct patient care is required. Candidates must reside in the LAarea and be available for occasional on-site meetings and trainings.

Responsibilities
  • Review prior authorization requests and determine medical necessity using evidence-based clinical guidelines.
  • Approve, deny, modify, or redirect services as appropriate.
  • Collaborate with nurses, physicians, and care management teams to support high-quality, cost-effective care.
  • Participate in appeals, grievance reviews, retrospective claims reviews, and quality improvement initiatives.
  • Serve as a clinical resource to providers on utilization management and patient care issues.
Qualifications
  • MD or DO degree required.
  • Board Certification in Internal Medicine strongly preferred.
  • Minimum 5 years of clinical experience required.
  • 2+ years of managed care, health plan, or utilization management experience preferred.
  • Strong knowledge of prior authorization processes and medical necessity criteria.
  • Excellent communication, organizational, and decision-making skills.
  • Proficiency with Microsoft Office and remote work technology.
Compensation & Benefits
  • Salary: $250,000"$350,000 annually DOE.
  • Comprehensive benefits package including medical, dental, vision, 401(k), paid time off, life insurance, FSA, tuition reimbursement, CME/license reimbursement, and employee assistance programs.

This is an excellent opportunity to join one of Southern California's fastest-growing physician organizations in a leadership role that supports quality patient care while maintaining work-life balance.

Apply