وظائف MedNet Egypt L.L.C في مصر

This position provides quality services mainly through KPI's review and process review. Provide overall guidance about the medical cases review and evaluation activities ensuring compliance with established policy guidelines. · Review all KPI's and SLA's and process in place for ...

We are looking for a skilled Senior Claims Officer who will process and audit all medical claims efficiently and accurately according to scope of coverage and provider contracts / SOPs of payers and policy holders. · ...

We are looking for a skilled Senior Officer - Medical Customer Service (Quality) will be responsible for ensuring the delivery of high-quality customer service. · ...

+We are looking for a skilled RPA Developer who will be responsible for identifying and automating eligible processes through RPA including the maintenance of the bots. · +Bachelor's degree in computer science, Information Technology, or a related field (or equivalent experience ...

We are looking for a skilled Compliance Officer to support and lead MedNet Egypt in accordance with all applicable laws, · ...

We are looking for skilled Senior Officer – Utilization Management who will be responsible for hands-on analysis of healthcare utilization and claims data across insurance policies to identify burning cost drivers, abnormal billing patterns, · and potential fraud, waste, · and ab ...

We are looking for skilled Senior Medical Reviewer - Reconciliation who will be responsible for clinical review, · validation,and reconciliation of medical claims to ensure accuracy, · medical necessity,policy compliance,and adherence to regulatory · and contractual requirements ...

This position provides quality services through KPI's review and process review related to medical and technical evaluation. · ...

We are looking for a skilled Quality and Training Assistant Manager who will be responsible for building leading and continuously improving the training quality assurance functions in the hub operations. · ...

We are looking for skilled Senior Call Center Agent to provide exceptional customer service support to customers and/or insured members. · Handle incoming/inbound customer and/or members inquiries, requests, and complaints through phone, chat and email channels. · Analyse and re ...

We are looking for a skilled Team Leader – Customer Service who will be responsible for providing exceptional customer service support to customers and/or insured members. · Handle high volume of incoming calls, chats and emails inquiries, requests, and complaints. · Resolve cust ...

We are looking for skilled Team Leader – Utilization Management who will be responsible for leading and overseeing the utilization management, · Lead and oversee the Utilization Management team, ensuring prioritization, quality, and timely delivery. · Review, validate, and challe ...

We are looking for a skilled Quality and Training Assistant Manager who will be responsible for building, leading and continuously improving the training and quality assurance functions in the hub operations. · ...

We are looking for a skilled Compliance Officer to support and lead the MedNet Egypt to operate in accordance with all applicable laws, regulations, organizational compliance norms, and Munich Re group standards and norms related to governance, · compliance, · financial crime, · ...

We are looking for a skilled Senior Claims Officer who will process and audit all medical claims efficiently and accurately according to scope of coverage and provider contracts / SOPs of payers and policy holders. · ...

We are looking for skilled Team Leader – Utilization Management who will be responsible for leading and overseeing the utilization management function to ensure early identification of cost drivers and abnormal billing patterns. · Lead and oversee the Utilization Management team. ...

We are looking for skilled Senior Call Center Agent to provide exceptional customer service support to customers and/or insured members. · Handle incoming/inbound customer and/or members inquiries, requests, and complaints through phone, chat and email channels. · Analyse and res ...

+ Review maintain and optimize FWA medical and business rules within the Medical Rule Engine. · Manage rule logic covering fraud abuse waste scenarios clinical appropriateness benefit coverage coding policy compliance. · Conduct end-to-end rule testing UAT validation including lo ...

Job summary Senior Medical Officer – Rule Engine responsible for managing configuring reviewing testing continuously updating automation rule engines supporting Approvals Claims automation FWA detection medical rules business requirement rules Ensure rules accurate compliant data ...

We are looking for a skilled Senior Data Analyst who will be responsible for providing support to Operations teams through quantitative analysis and forecasts. · In addition to enabling all stakeholders to make better and quicker decisions and thus ultimately improve the Operatio ...