Medical Lead Analyst - Cigna Healthcare

ES3 ESP Cigna European Services; Madrid; Presencial; EUR 85.000 - 120.000; Jornada completa

Descripción de la vacante

Cigna Healthcare, a division of The Cigna Group, is seeking a Medical Lead Analyst to join the Medical Team supporting Cigna International Health. The role combines clinical expertise with global health program development, reviewing complex medical cases and guiding medical decision-making across multiple countries and cultures.

You will collaborate with physicians, nurses and other healthcare professionals, applying international protocols and regional practices to contribute to clinical

Formación

• Be part of the Global Clinical Team, providing medical management support to customers worldwide.
• Strong ability to apply clinical judgment to complex cases and make evidence-based recommendations.
• Excellent interpersonal and communication skills for collaboration with multidisciplinary teams.
• Comfortable working in an international environment with patients, providers and colleagues from different cultures.

Responsabilidades

• Be part of the Global Clinical Team, providing medical management support to customers worldwide.
• Provide evidence-based medical advice on complex medical cases and claims, considering internationally accepted clinical protocols as well as local and regional practices.
• Apply your clinical knowledge to assess medical necessity, appropriateness of care and proposed treatments or services.
• Review medical documentation and provide recommendations to support informed clinical decisions.
• Support and collaborate with Case Management and Care Teams across different health and clinical management programs.
• Work closely with physicians, nurses and other healthcare professionals to promote quality of care and positive health outcomes.
• Contribute to the development and implementation of clinical programs and initiatives.
• Support quality and cost-containment initiatives while ensuring appropriate standards of care.
• Act as a clinical resource for colleagues, sharing your medical expertise and providing guidance when required.
• Contribute to educational and clinical content for internal and external audiences.
• Build effective relationships with internal teams, customers, clients and healthcare providers.

Conocimientos

Fluent Spanish and English

Educación

Medical Doctor degree

Descripción del empleo

The Medical Lead Analyst is part of the Medical Team supporting Cigna International Health and plays a key role in delivering high-quality medical management services to customers worldwide. This is an exciting opportunity for a Medical Doctor looking to develop their career within an international healthcare environment, whether you already have experience within healthcare insurance or have completed your MIR/specialty training and are interested in moving from clinical practice into the private healthcare sector. Working alongside a multicultural team of physicians, nurses and other healthcare professionals, you will use your clinical expertise to support medical decision-making, review complex cases and contribute to the delivery and development of health and clinical programs. You will work with customers and healthcare providers across different countries and cultures, combining your medical knowledge with an understanding of regional healthcare practices to help deliver high-quality and appropriate care.

Major responsibilities

• Be part of the Global Clinical Team, providing medical management support to customers worldwide.
• Provide evidence-based medical advice on complex medical cases and claims, considering internationally accepted clinical protocols as well as local and regional practices.
• Apply your clinical knowledge to assess medical necessity, appropriateness of care and proposed treatments or services.
• Review medical documentation and provide recommendations to support informed clinical decisions.
• Support and collaborate with Case Management and Care Teams across different health and clinical management programs.
• Work closely with physicians, nurses and other healthcare professionals to promote quality of care and positive health outcomes.
• Contribute to the development and implementation of clinical programs and initiatives.
• Support quality and cost-containment initiatives while ensuring appropriate standards of care.
• Act as a clinical resource for colleagues, sharing your medical expertise and providing guidance when required.
• Contribute to educational and clinical content for internal and external audiences.
• Build effective relationships with internal teams, customers, clients and healthcare providers.

Requirements

• 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.
• Strong analytical and problem-solving skills.
• Excellent interpersonal and communication skills.
• Ability to work autonomously while collaborating effectively within a multidisciplinary and multicultural team.
• Ability to build strong working relationships with healthcare professionals and internal and external stakeholders.
• Comfortable working in an international environment and with patients, providers and colleagues from different cultural backgrounds.

About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

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.

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.