Medical Lead Analyst (Oncology) - Cigna Healthcare

The Medical lead Analyst is a member of the Medical Team, servicing Cigna International Health, who develops and manages health and wellness programs for Cigna customers. Together with a team of nurses and physicians she/he will ensure attainment of quality, production, timeliness, customer advocacy, cost containment goals, and excellent customer satisfaction for both internal and external customers. In his role, the Medical Advisor would embrace Cigna’s vision, culture and values, representing Integrated Health Team mission in front of our customers, clients and other external and internal stakeholders.

He/she works with a multicultural population and is constantly aware of the cultural differences among that population and the geographical regions, combining health care global expertise with regional knowledge to better service our customers, partners and clients.

Ability to review, investigate, and respond to external and internal inquires/complaints. Provides guidance and acts as a mentor or coach for the nurses and other non-clinical staff. 

Major responsibilities and desired results:

• Makes part of Global Clinical Team, providing medical management services to customers worldwide
• Gives evidence-based advice on medical claims, taking into account internationally accepted protocols and local and/or regional customs and regulations.
• Supports, coaches, and monitors Case Management Team and Care Team through our different Health and Clinical Case Management services and programs. Ensuring quality of performance, promoting optimal service delivery and accurate reporting. Gives advice on appropriate corrective action if necessary.
• Assist in the coordination of processes for improving quality of care and health outcomes for specifically delineated projects or populations.
• Assist and support the team’s cost containment strategy, projects, and service delivery to meet our yearly affordability goals.
• Serves as a resource/educator regarding specific areas of expertise. Able to create and implement appropriate educational clinical programs content for internal and external audiences and link with Cigna University resources.
• Collaborates to develop, implement and deploy Clinical Programs
• Makes part of the business continuity plan to ensure operational continuity to our customersired.
• Other duties as assigned

Requirements:

• Medical Doctor Degree specialized in Oncology
• 3 years of clinical experience preferable in a payer setting on medical management on his specialty field
• Deep knowledge about pharma industry and local regulations
• Deep knowledge about clinical trials and regulations
• Experience on disease management programs and tools is an advantage
• Strong interpersonal and communication skills
• Pro-active problem-solving and analytical skills.
• Ability to operate a personal computer, proficient with Microsoft office products, call center software, and a variety of software for medical management.
• Ability to work remotely, on a hybrid working from home set-up
• Ability to build solid working relationships with staff, matrix partners, clients, customers and healthcare providers
• Stress resistant and efficient, finding a good balance between quality and quantity
• Ability to speak, write and read English and Spanish, any other languages are an advantage

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourselfEMEA@cigna.com for support. Do not email SeeYourselfEMEA@cigna.com for an update on your application or to provide your resume as you will not receive a response.