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Medical Network Officer - (Medical Insurance Exp.)

New Cairo, Cairo
Posted 4 years ago
84Applicants for2 open positions
  • 23Viewed
  • 0In Consideration
  • 0Not Selected
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Job Details

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Job Description

  • The network officer assist the Network team leader and network manager to manage network of Medical providers in, locally and overseas, by supervising and evaluating the processes of the department closely.

  • Responsible for managing the Network Provider contractual documents and updated provider database
  • Collaboration with local Business unit to deliver network requirements locally
  • Support the Team of Medical Provider Management resources locally, where applicable..
  • Support the network Manager in Consolidation, Integration, Maintenance & Development of Medical Provider Network in the Region
  • Support the Medical Provider Managers to deliver best cost-based provider agreements in applicable region, notably by conducting and overseeing the following data analysis initiatives and periodic provider reporting
  • Support on implementation of regional and local Medical Provider Network capacity
  • Ensures close, professional and efficient relations with existing Medical Provider networks.
  • Negotiates Direct Provider tariffs to maintain a comprehensive network at an optimized cost as per line manager
  • Maintains and updates the existing Medical Provider contract agreement records in alignment with Company legal and compliance policy.

Job Requirements

  • Bachelor of Pharmacy or any discipline but has insurance experience)
  • 3+ years experience in a similar role in a network administration environment ( preferably gained in hospitals, insurance companies, TPAs).
  • Flexible to work IN and OUTDOORS.
  • 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.
  • Customer Focused
  • Strong communication (verbal & written) & interpersonal skills
  • Strengths in the following areas
  • Analytical skills
  • Problem solving skills
  • Organization and planning skills
  • Time management skills
  • Strong attention to detail & accuracy

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