Medical Operations Officer (Pharmacist/Insurance Exp.)

Confidential Company - New Cairo, Cairo

131
Applicants for
2 open positions
18
Seen
Experience Needed:
More than 2 years
Career Level:
Experienced (Non-Manager)
Job Type:
Full Time
Salary:
Confidential
Education Level:
Bachelor's Degree at least
Languages:
English
Vacancies:
2 open positions
Gender:
Males Preferred
About the Job

The After Sales Support - Network Officer will be responsible for the management of the network database & related functionalities and meets the performance standards necessary to support current and future business needs.

  • The After Sales Support - Network Officer is responsible for the management of codes and prices, including assessment and uploading it into system.
  • Uploads final price list on TATSH after being revised and approved by Procurement.
  • Uploads and manages approved standard codes in the system.
  • Prospects, negotiates and solve queries, complaints and request related to codes and prices on the system.
  • Generates back-end data for analysis and take necessary action.
  • Closely works with all the departments within Operations to solve and facilitate any obstacles that can delay or prevent claims processing.
  • Maintains the correct Network data on the system to ensure our members/clients direct access at health Providers around the world.
  • Provides weekly reports to the Manager and daily updates on priority matters.
  • Assist other departments in difficult times on specific tasks.
Job Requirements
  • Bachelor of Pharmacy is a must.
  • 2+ years experience in Insurance or a similar role in a network administration environment ( preferably gained in hospitals, insurance companies, TPAs).
  • Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills.
  • Requires managing multiple projects concurrently in a fast paced environment.
  • Strong communication (verbal & written) & interpersonal skills.