Medical Lead Analyst - Cigna Healthcare

About the role

Cigna Healthcare, a division of The Cigna Group, is looking for a Medical Lead Analyst to join its Medical Team supporting Cigna International Health. The role delivers high-quality medical management services to customers worldwide and suits a Medical Doctor who wants to move from clinical practice into the private healthcare sector, either with prior healthcare insurance experience or after MIR/specialty training. You will work alongside a multicultural team of physicians, nurses and other healthcare professionals.

Key responsibilities

• Provide evidence-based medical advice on complex medical cases and claims, applying internationally accepted clinical protocols as well as local and regional practices.
• Assess medical necessity, the appropriateness of care and proposed treatments or services.
• Review medical documentation and recommend actions to support informed clinical decisions.
• Support and collaborate with Case Management and Care Teams across health and clinical management programs.
• Contribute to the development and implementation of clinical programs and initiatives, and to quality and cost-containment efforts.
• Act as a clinical resource for colleagues and share medical expertise.
• Build relationships with internal teams, customers, clients and healthcare providers.

Required profile

• Medical Doctor degree.
• Fluent Spanish and English; additional languages are an advantage.
• Strong clinical knowledge and confidence reviewing and interpreting medical information.
• Ability to apply clinical judgment to complex cases and make evidence-based recommendations.
• Comfortable working in an international environment with people from different cultural backgrounds.

Required skills

• Strong analytical and problem-solving skills.
• Excellent interpersonal and communication skills.
• Ability to work autonomously while collaborating in a multidisciplinary, multicultural team.