Analyst Job at The Cigna Group – Apply Now for an MBBS Medical Role
The analyst job at The Cigna Group is a strong career opportunity for MBBS professionals looking to enter medical insurance and healthcare analytics. This role, based in Bangalore, is ideal for candidates exploring MBBS jobs within global healthcare organizations and those interested in long-term growth through Cigna careers.
Job Details:
- Job Position: Medical Claims Review Analyst / Medical Advisor
- Company Name: The Cigna Group
- Location: Bengaluru (Bangalore), Karnataka, India
- Job Category: Medical & Pharmacy
- Job ID: 26001004
About the Company:
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. As part of Cigna careers, professionals work on guiding customers through the healthcare system and empowering them with insights to make informed health decisions. Join The Cigna Group to drive growth and improve lives globally.
Job Description:
This analyst job involves working as a Medical Advisor within the medical team that develops and manages health and wellness programs for Cigna customers. The role includes reviewing, investigating, and responding to both internal and external inquiries and complaints. The analyst also provides guidance and mentorship to nurses and non-clinical staff while working with a multicultural population across different geographical regions. This makes it a valuable opportunity for professionals seeking MBBS jobs in global healthcare organizations.
Qualifications:
- MBBS degree
- Active medical license as per company and state guidelines
- Minimum 2 years of clinical experience in hospitals or medical insurance
- Strong teamwork and adaptability skills
- Excellent time management, organizational, and research abilities
- Proficiency in MS Office Suite (Outlook, Excel, Access, SharePoint)
Preferred:
- Experience in Utilization Review or Claim Review within health insurance
- Knowledge of healthcare reimbursement principles
Key Responsibilities:
- Evaluate medical information against criteria, benefit plans, and coverage policies to determine medical necessity
- Refer cases to the Medical Director when criteria are not met
- Review itemized bills against healthcare reimbursement policies
- Adhere strictly to quality assurance standards
- Act as a resource to support understanding of healthcare products
- Handle escalated cases with supervisory support when required
- Communicate concerns or complaints raised by healthcare professionals
- Maintain professionalism and effective communication in all interactions
- Participate in special projects and focused reviews
- Support training and precepting activities
- Analyze clinical information and perform claim reviews with focus on coding and billing errors
- Identify potential fraud, abuse, or questionable billing practices
- Manage multiple healthcare products and benefit plans
- Work under moderate direct supervision
Key Skills and Competencies:
- Strong quantitative decision-making skills
- Metrics-driven approach to achieving operational goals
- Ability to translate strategy into measurable outcomes
- Effective communication and interpersonal skills
- Highly organized, proactive, and structured work style
- Intercultural skills with exposure to a global work environment
- Ability to manage tight timelines and ad hoc deliverables
