Senior Medical Reviewer - Rule Engine MedNet Global Healthcare Solutions LLC Posted on November 6, 2019 4 - 5 years Cairo - Egypt MBBS(Medicine). Any Nationality Send Me Jobs Like This SEND Alert Set Successfully Opening 01 Job Description EMAIL JOB SEND Email sent successfully. SHARE JOB For MedNet EgyptAs a member of Munich Re the MedNet Group is a leading TPA across the MEA region. We are currently seeking to hire a Senior Medical Reviewer Rule Engine with the following tasks and responsibilities:Your Job:• Ensure delivering medical rules in the highest standards within the agreed targets.• Ensure the quality of the medical rules delivered to My Detect is update Identification of obstacles and implementations of solutions in liaison with stakeholders for the project, operational managers,business partners and Vendors.• Liaise with claims department to ensure the MRE performance is up to the highest standards.•Liaise with the respective Manager and HoO in deployment of any POC or pilot project for any prospective clients.• Testing of all raised technical developments in Rule engine as well as supporting systems, medical rule engineautomation.• Rule development for MRHT shield client.• Ensure that the rule maintenance and development process abide to the governance structure shared.• Development of rules as per trends and analysis and implementation of rules are per operational requirements and in liaison with operational teams/committee.• Random audits of systems as well as data to ensure highest quality in functioning of the rule engine.Your Profile:• Medical Degree from a school recognized by the WHO.• Medical knowledge and proved medical practice.• Minimum of 4 to 5 years experience in health insurance field.• Should have a track record of having managed a team.• Experience in project management with successful implementation of at least one project in health insurance related field.• Clinical knowledge, including latest clinical guidelines.• Knowledge of medical coding ICD and CPT.• Industry knowledge related to local healthcare services system.• Strong leadership, planning and organizational skills.Munich Re not only stands for fairness with regard to its clients; it is also an equal opportunities employer Company Industry Insurance Department/Functional Area Doctor / Nurse / Paramedics / Hospital Technicians / Medical Research Keywords Senior Medical Reviewer - Rule Engine REPORT THIS JOB Disclaimer: Naukrigulf.com is only a platform to bring jobseekers & employers together. Applicants are advised to research the bonafides of the prospective employer independently. We do NOT endorse any requests for money payments and strictly advice against sharing personal or bank related information.We also recommend you visit Security Advice for more information. If you suspect any fraud or malpractice, email us at firstname.lastname@example.org People Looking for Medical Reviewer Jobs also searched Medical Reviewer Jobs Drug Safety Physician Jobs Doctor Jobs Medical Jobs Medical Coding Jobs Health Insurance Jobs TPA Jobs MedNet Global Healthcare Solutions LLC View Contact Details Contact Name/ Designation: - Website https://mednet.referrals.selectminds.com/jobs/senior-medical-reviewer-rule-engine-160 Additional Information Required Employer has requested some additional information along with your application for this job Cancel Login to Naukrigulf Continue using GOOGLE FACEBOOK All your activity will remain private or Forgot Password?