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.

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