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Vice President Cigna Prior Authorization Jobs (NOW HIRING)

OneOncology

VP, RCM Business Operations

Nashville, TN · On-site

Infusion and drug billing (e.g., J-codes, NDC mapping), prior * authorization for high-cost ... Work alongside the other RCM VP's to build a performance-based culture based on accountability ...

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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 Aug 8, 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 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.

What does a vice president 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 are the key skills and qualifications needed to thrive as a vice president 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 Cigna prior authorization, 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.
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What are the most commonly searched types of Cigna Prior Authorization jobs? The most popular types of Cigna Prior Authorization jobs are:
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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 August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $157,532 per year, or $75.7 per hour.

VP Product Innovation - Prior Authorization

Surescripts, LLC

Minneapolis, MN • On-site

$281.90 - $344.50/hr

Other

Medical, Retirement, PTO

Re-posted 27 days ago

Job description

Job Summary

VP Product Innovation - Prior Authorization creates and oversees the product strategy, Go‑To‑Market planning, product roadmap, and lifecycle of an assigned solution portfolio, including solutions related to electronic prior authorization (ePA) and specialty pharmacy. The incumbent executes the business plan and the short‑ and long‑term growth strategy of the portfolio to achieve financial, operational, and market success, with a focus on advancing connectivity, efficiency, and patient access across payer, provider, and pharmacy ecosystems. The VP Product Innovation directs the end‑to‑end leadership of new and existing products from inception through all phases of the product lifecycle, including complex workflows supporting prior authorization, and focuses on meeting the needs of end users and the operational aspects of the portfolio.

Responsibilities
  • Create and manage the financial operations of the assigned solution portfolio, including budgeting, forecasting, and financial planning.
  • Serve as the primary business leader for the assigned solution portfolio to the Executive Team and occasionally Board of Directors, on business strategy, operations, and metrics.
  • Market and lead customer stakeholder relations to support selling, managing customers and partners, and representing the solution portfolio in the industry.
  • Develop business cases, new innovations, and value propositions for new solutions to extend the solution portfolio.
  • Stay informed and influence regulatory and compliance matters that relate to the success of the solution portfolio.
  • Collaborate within Product Innovation and Growth/Strategy, Finance, Marketing, and Legal on the success of the solution portfolio.
  • Recruit, onboard, train and provide leadership to team members supporting the portfolio.
  • Work collaboratively with Surescripts Data & Analytics team to operate and devise new commercial solutions.
Qualifications
  • Basic Requirements: Bachelor’s degree or equivalent experience; 12+ years of experience in related, progressive roles; 5+ years of experience working in health IT, PBM, pharmacy, payer, or healthcare-related field; demonstrated experience with electronic prior authorization (ePA) solutions, ideally including experience supporting specialty pharmacy workflows and use cases; 7+ years of people management experience or roles showing progressive leadership; 5+ years of experience directly managing the overall success of a product or line of business.
  • Preferred Qualifications: Advanced degree in business, marketing or computer science; experience in a multi‑sided network business; deep familiarity with specialty pharmacy operations, including prior authorization complexities, payer‑provider‑pharmacy interactions, and patient access workflows.
Compensation & Benefits

Base pay range for this position is $281,900 - $344,500 per year. Benefits include comprehensive healthcare (including infertility coverage), generous paid time off including paid childbirth and parental leave and mental health days, pet insurance, and 401(k) with company match and immediate vesting.

Physical and Mental Requirements

While performing duties of this job, an employee may be required to attend meetings in and out of the office, travel, communicate effectively (both orally and in writing), and be able to effectively use computers and other electronic and standard office equipment with or without a reasonable accommodation. Additionally, this job requires certain mental demands, including the ability to use judgment, withstand moderate amounts of stress and maintain attention to detail with or without a reasonable accommodation.

Equal Employment Opportunity

Surescripts is proud to be an Equal Employment Opportunity and affirmative action employer. We do not discriminate on the basis of race, color, religion, age, national origin, ancestry, disability, medical condition, marital status, pregnancy, genetic information, gender, sexual orientation, parental status, gender identity, gender expression, veteran status, or any other status protected under federal, state, or local law.

Other Information

Surescripts participates in E‑Verify.

Right to Work Statement in English and Spanish.

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