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Vice President Cigna Prior Authorization Jobs (NOW HIRING)

Regal Medical Group, Inc.

... Vice Presidents, Chief Medical Officers or Medical Directors to coordinate activities and ... Five years of progressive prior-authorization experience or related experience in a medical group ...

AleraCare

Intake Director / VP

Sandy, UT · On-site

Oversee insurance benefit investigation, eligibility verification, and prior authorization ... * VP level: Minimum 12-15+ years of progressive leadership experience in infusion services ...

AleraCare

Intake Director / VP

Sandy, UT · On-site

Oversee insurance benefit investigation, eligibility verification, and prior authorization ... * VP level: Minimum 12-15+ years of progressive leadership experience in infusion services ...

BluSky Restoration

Vice President

Dallas, TX · On-site

$60K - $250K/yr

Vice President The Vice President is responsible for managing all branch office operations ... authorizations, and subcontractor agreements * Manage accounts receivables per company goals

ShortList Recruitment Limited

VP of Finance

Austin, TX · Hybrid

$200K - $240K/yr

Prior appointment as Vice President of Finance, Senior Director of Finance, or Controller on a CFO track at a SaaS business with ARR between $10M and $50M. * Demonstrable, hands-on experience of at ...

Coastal

Senior Vice President (MAE)

Manhattan, NY · On-site

Senior Vice President (MAE) Coastal is seeking a Senior Vice President (SVP) of Manufacturing, Auto ... Authorization: Must have full-time permanent US work authorization. Additional Preferred Experience ...

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All JobsVice President Cigna Prior Authorization Jobs

Vice President Cigna Prior Authorization information

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$43.5K

$157.5K

$277.5K

How much do vice president cigna prior authorization jobs pay per year?

As of May 28, 2026, the average yearly pay for vice president cigna prior authorization in the United States is $157,532.00, according to ZipRecruiter salary data. Most workers in this role earn between $115,000.00 and $190,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Vice President of Cigna Prior Authorization, and why are they important?

To excel as a Vice President of Cigna Prior Authorization, you need extensive experience in healthcare management, a deep understanding of insurance and utilization management, and typically a bachelor’s or master’s degree in healthcare administration or a related field. Familiarity with prior authorization systems, healthcare analytics tools, and regulatory compliance software is essential. Exceptional leadership, strategic thinking, and effective communication skills distinguish top performers in this executive role. These competencies are critical for ensuring efficient authorization processes, regulatory compliance, and positive relationships with providers and internal teams.

What are the primary challenges faced by a Vice President overseeing Prior Authorization at Cigna, and how can these challenges be addressed?

As a Vice President responsible for Prior Authorization at Cigna, you will encounter challenges such as ensuring regulatory compliance, streamlining authorization processes to improve patient and provider experiences, and managing a large, cross-functional team. Balancing the need for cost control with timely patient care requires strong leadership and effective communication with both internal stakeholders and external partners. Addressing these challenges involves staying updated on healthcare regulations, implementing process improvements through technology, and fostering a collaborative culture to drive positive outcomes.

What does a Vice President of Cigna Prior Authorization do?

A Vice President of Cigna Prior Authorization oversees the strategies, operations, and teams responsible for managing the prior authorization process for medical services and medications. They ensure compliance with healthcare regulations, improve efficiency, and focus on delivering timely decisions for patients and providers. Their role includes developing policies, collaborating with other departments, and driving continuous improvement to enhance the customer experience and maintain cost-effectiveness.

What is the difference between Vice President Cigna Prior Authorization vs Medical Director Cigna Prior Authorization?

AspectVice President Cigna Prior AuthorizationMedical Director Cigna Prior Authorization
CredentialsAdvanced degrees (MD, DO, or relevant executive certifications)Medical degree (MD or DO), medical license, board certification
Work EnvironmentExecutive leadership, strategic planning, policy developmentClinical oversight, medical review, patient care decisions
Employer & Industry UsageHealth insurance companies, healthcare organizationsHealth insurance companies, healthcare organizations

The Vice President Cigna Prior Authorization focuses on strategic leadership and policy management, while the Medical Director Cigna Prior Authorization is more involved in clinical decision-making and medical review. Both roles require healthcare credentials and operate within the health insurance industry, but their responsibilities differ in scope and focus.

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Vice President Cigna Prior Authorization jobs near you
Infographic showing various Vice President Cigna Prior Authorization job openings in the United States as of May 2026, with employment types broken down into 79% Full Time, 17% Temporary, and 4% Nights. Highlights an 50% Physical, and 50% Hybrid job distribution, with an average salary of $157,532 per year, or $75.7 per hour.
Vice President, Medical Management

Vice President, Medical Management

Village Care

Manhattan, NY • On-site

$244.51K - $275.08K/yr

Full-time

Posted 12 days ago

Job description

Position: Vice President, Medical Management

Location: Hybrid (Must Reside in NY/NJ/CT)

Compensation: $244,511.72 - $275,075.69

About US:

VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years.

JOB SUMMARY:

The Vice President for Medical Management at VillageCareMAX is a board-certified physician who will serve as the physician lead for Medical Management functions which includes Utilization Management, Care Management, population health management initiatives, and engagement with VCMAX's network of physicians and other practitioners. The Vice President for Medical Management will possess the skills and capabilities needed to develop and execute medical cost management and health care quality and affordability initiatives. The Vice President for Medical Management provides the physician leadership for engagement with risk-sharing groups, works with providers on collaborative quality initiatives, leads clinical initiatives to promote health and well-being of the membership, establishes and leads best practice and education forums, and responds to state and federal regulatory needs as needed.

The Vice President for Medical Management will support VCMAX in key external meetings, work with the Compliance Department and Special Investigations Unit on cases of potential overuse and fraud and participate in development of responses for escalated member or provider issues as appropriate.

The Vice President for Medical Management, in collaboration with the Utilization Management Leadership, will have responsibility for organizational determinations, prior authorization requests, and member and provider appeals. All medical directors and physician advisors will report directly to this position. The Vice President of Medical Management reports to the Executive Vice President, Clinical Services and Network Management.

EXPERIENCE:

Minimum of ten (10) years of experience, including both clinical practice and management roles, ideally including experience working in a managed care organization or accountable care organization All lines of business, Medicaid, MLTC, Medicare (all sub product lines)

EDUCATION:

Must have a medical degree from an accredited medical school, be board certified in at least one area, and have an unrestricted license to practice medicine in New York State


Job Posted by ApplicantPro