Medical Advisor Job at Cigna Healthcare – Apply for a Senior Analyst Role
If you are searching for a rewarding medical advisor job with a global healthcare leader, this opportunity at Cigna Healthcare is an excellent fit. Ideal for professionals seeking MBBS jobs or exploring jobs in Bengaluru, this role allows you to work with diverse clinical teams, review medical claims, and contribute to global health improvement. Cigna Healthcare offers a supportive environment where your medical expertise helps deliver high-quality services to customers worldwide.
Job Details:Â
- Job Position: Medical Claims Review Senior Analyst / Medical Advisor
- Location: Bengaluru
About The Company:
Cigna Healthcare, a key division of The Cigna Group, is dedicated to improving health and wellness across all life stages. It empowers customers with transparent, reliable information to make better health decisions. As a global leader offering exciting MBBS jobs and healthcare positions, Cigna Healthcare offers an inclusive workplace and opportunities for professionals seeking impactful roles, including those in Bengaluru.
Qualifications:
- MBBS degree (ideal for candidates pursuing MBBS jobs).
- Active medical license as per state and company requirements.
- Minimum 2 years of clinical experience in a hospital or medical insurance setting.
- Strong teamwork, flexibility, and adaptability.
- Excellent time management and research capabilities.
- Proficiency in MS Office Suite (Outlook, Excel, Access, SharePoint).
Preferred Qualifications:
- Experience in Utilization Review or Claims Review in health insurance.
- Understanding of healthcare reimbursement principles.
Job Description:
The Medical Advisor plays a key role within the medical team at Cigna Healthcare, supporting the development and management of health and wellness programs for customers. The position requires close collaboration with nurses and physicians to ensure quality, productivity, timeliness, and cost-effectiveness. Ideal for candidates seeking MBBS jobs, this role involves reviewing medical inquiries, supporting clinical teams, handling complaints, and mentoring non-clinical staff. The job requires working with a multicultural population and understanding cultural and regional differences.
Medical Advisor Job Responsibilities:
- Evaluate medical information against clinical criteria, benefit plans, and coverage policies; refer to the Medical Director when needed.
- Review itemized bills following reimbursement guidelines.
- Maintain quality assurance standards.
- Serve as a resource to help customers understand insurance products.
- Handle escalated cases and collaborate with supervisors for solutions.
- Report concerns or complaints from Health Care Professionals.
- Analyze clinical data and review claims with a focus on coding and billing accuracy.
- Identify potential fraud, abuse, or questionable billing and refer appropriately.
Key Skills for the Medical Advisor Job:
- Strong analytical and quantitative decision-making skills.
- Ability to convert strategy into measurable goals and operational metrics.
- Good communication and interpersonal skills.
- Highly organized, proactive, and structured.
- Strong intercultural awareness, suitable for global environments like Cigna Healthcare.
