Express Scripts is seeking a Manager/Senior Manager, Medical Consultant, to oversee pre-authorization and claims review services in Hong Kong, ensuring adherence to clinical guidelines while improving health outcomes and cost-effectiveness. The role requires a medical degree, clinical experience, and fluency in English and Chinese or Cantonese
Job Summary
This role provides functional expertise on cases ensuring that medical decisions adhere to Cigna's global clinical guidelines.
The Medical Consultant will manage the pre-authorization process for cases in Hong Kong, assessing proposed treatment and therapies for medical necessity.
The position requires engaging and developing relations with key healthcare providers locally to improve customer experience and optimize cost containment efforts.
Matching Summary
Match Score: 85
Express Scripts is seeking a Manager/Senior Manager, Medical Consultant, to oversee pre-authorization and claims review services in Hong Kong, ensuring adherence to clinical guidelines while improving health outcomes and cost-effectiveness. The role requires a medical degree, clinical experience, and fluency in English and Chinese or Cantonese.
Skills & Requirements
Must-have
Bachelor of Medicine Bachelor of Surgery degree
Minimum 5 years clinical experience
Fluent in English and Chinese or Cantonese
Nice-to-have
Prior health insurance industry experience
Strong analytical capabilities with focus on outcomes
Ability to work independently in ambiguous situations
Key Requirements
MBBS degree or equivalent
Rotations in Family Medicine, General Surgery, General Medicine, Orthopedics, Obstetrics and Gynaecology