Description
We are seeking a Medical Lead Analyst to join our Medical Team, servicing Cigna International Health. As a Medical Lead Analyst, you will develop and manage health and wellness programs for Cigna customers. You will work with a team of nurses and physicians to ensure attainment of quality, production, timeliness, customer advocacy, cost containment goals, and excellent customer satisfaction.
Key Responsibilities:
- Provide medical management services to customers worldwide as part of the Global Clinical Team
- Give evidence-based advice on medical claims, taking into account internationally accepted protocols and local and/or regional customs and regulations
- Support, coach, and monitor Case Management Team and Care Team through various Health and Clinical Case Management services and programs
- Assist in coordinating processes for improving quality of care and health outcomes for specific projects or populations
- Assist and support the team's cost containment strategy, projects, and service delivery to meet yearly affordability goals
- Serve as a resource/educator regarding specific areas of expertise and create educational clinical programs content for internal and external audiences
- Collaborate to develop, implement, and deploy Clinical Programs
- Participate in the business continuity plan to ensure operational continuity to customers
Requirements:
- Medical Doctor Degree specialized in Oncology
- 3 years of clinical experience, preferably in a payer setting, in medical management in your specialty field
- Deep knowledge of the pharma industry and local regulations
- Deep knowledge of clinical trials and regulations
- Experience in 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 various 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