Medical Network Coordinator - Medical Case Management

Al Ahly Medical Company

Employer Active

Posted 4 hrs ago

Experience

2 - 4 Years

Job Location

Giza - Egypt

Education

Bachelor of Pharmacy(Pharmacy)

Nationality

Any Nationality

Gender

Not Mentioned

Vacancy

1 Vacancy

Job Description

Roles & Responsibilities

  • Coordinate and manage the medical network to ensure seamless case management and service delivery.
  • Serve as the primary liaison between healthcare providers, patients, and internal teams to facilitate effective communication and resolution of medical cases.
  • Monitor and evaluate the performance of network providers to ensure compliance with company standards and contractual obligations.
  • Oversee the end-to-end process of medical case management, including case registration, assessment, authorization, and follow-up.
  • Maintain accurate and up-to-date records of all medical cases and network activities in accordance with company policies.
  • Analyze case data and generate regular reports to support decision-making and continuous improvement initiatives.
  • Assist in the onboarding and credentialing of new healthcare providers into the medical network.
  • Handle escalated cases and resolve complex issues by coordinating with relevant stakeholders.
  • Support the development and implementation of network expansion strategies to enhance service coverage.
  • Ensure adherence to regulatory requirements and best practices in medical case management.

Desired Candidate Profile

  • Bachelor s degree in Medicine or Pharmacy.
  • 2-4 years of experience in medical case management, healthcare coordination, or a similar role.
  • Strong understanding of healthcare networks, insurance processes, and medical terminology.
  • Excellent organizational and multitasking abilities to manage multiple cases simultaneously.
  • Exceptional communication and interpersonal skills for effective stakeholder engagement.
  • Proficiency in using healthcare management software and Microsoft Office Suite.
  • Demonstrated ability to analyze data and prepare comprehensive reports.
  • Attention to detail and commitment to maintaining high standards of accuracy.
  • Ability to work independently and collaboratively within a fast-paced office environment.
  • Familiarity with regulatory requirements and industry best practices in healthcare management.

Company Industry

Department / Functional Area

Keywords

  • Medical Network Coordinator - Medical Case Management

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