Cigna is seeking a Manager/Senior Manager, Medical Consultant in Hong Kong to oversee medical decision-making processes, ensuring adherence to clinical guidelines while managing pre-authorizations and claims reviews. The ideal candidate will have a medical degree and substantial clinical experience, with a focus on cost-effectiveness and health outcomes. This role involves collaboration with various business divisions and healthcare providers to enhance customer experience
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 partnering with business divisions such as Sales and Client Management by applying medical knowledge to support business needs.
Matching Summary
Match Score: 85
Cigna is seeking a Manager/Senior Manager, Medical Consultant in Hong Kong to oversee medical decision-making processes, ensuring adherence to clinical guidelines while managing pre-authorizations and claims reviews. The ideal candidate will have a medical degree and substantial clinical experience, with a focus on cost-effectiveness and health outcomes. This role involves collaboration with various business divisions and healthcare providers to enhance customer experience.
Skills & Requirements
Must-have
Bachelor of Medicine Bachelor of Surgery degree
Minimum 5 years clinical experience
Rotations in Family Medicine General Surgery
Fluent English and Chinese Cantonese
Strong analytical capabilities for outcomes
Nice-to-have
Prior health insurance industry experience
Familiarity with Hong Kong healthcare system
Ability to work independently in ambiguous situations
Cultural sensitivity to diverse international workforce
Key Requirements
MBBS or equivalent degree required
5+ years clinical experience with specific rotations
Fluency in English and Chinese/Cantonese
Experience in Hong Kong healthcare system preferred