International Medical Consultant
Job Description
- Medical Advisor
The Medical Advisor is a member of the medical team which 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, cost containment goals, and excellent customer satisfaction for both internal and external customers.
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.
He/she works with a multicultural population and is constantly aware of the cultural differences among that population and the geographical regions.
**Major responsibilities and desired results**:
Part of a clinical team that provides evidence based medical management services to customers worldwide
Give evidence-based advice on medical claims, taking into account compliance, internationally accepted protocols and local and/or regional customs and regulations.
Support and monitor the case management, disease management and other clinical services and assure quality of performance against QA standards to promote optimal service delivery and ensure accurate statistical data and reports.
Give advice on appropriate corrective action if necessary.
Assist in fraud detection.
Assist is the coordination of processes for improving quality of care and health outcomes for specifically delineated projects or populations.
Excellent communication and facilitation skills are keys to success.
Assist and support the team in cost containment, assist in projects and service delivery to meet goals.
Work together with the team on quality improvement and clinical management projects within Clinical Operations
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.
Other duties as assigned.
**Location**: Ideally Rome Area.
**Languages**: Italian, native speaker level.
English, fluent.
**Experience**: Medical Degree
5+ years of experience in insurance sector would be an asset.
About Cigna
Cigna Corporation exists to improve lives.
We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve.
Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions.
Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.
When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives.
What difference will you make?
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.
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