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Medical Supervisor

2 months ago

مصر, Egypt TRANSMAR Full time

**Responsibilities**:

- Source medical service providers to prepare for the annual pitch
- Negotiate quotations from medical suppliers to select the best competitive quotation
- Negotiate the terms of contracts with medical providers
- Receive employees’ requests for family members addition or deletion from medical service
- Receive new medical cards - yearly
- from medical provider and assure distribution to employees
- Review quarterly payments to medical supplier (claim vs actual list of employees + extra medical services served)
- Follow up & expedite medical approvals for staff with the medical provider
- Update list of chronic medications required (for both employees and family members) and communicate updated lists to medical provider and pharmacies
- Educate employees on how to refund out of Network claims and settle similar claims
- Overlook the settlements for medical refund invoices and follow up on cash delivery to staff
- Escalate uncovered cases to admin manager and follow up on approvals required

**Qualifications**:

- 5+ years of total relevant experience with medical insurance
- 3 +years of experience in Supervisory level
- V Good knowledge of dealing with medical providers
- Excellent Ability to set up and organize database and spreadsheets
- Bachelor's degree or equivalent
- Knowledge of MS Office, with a particular focus on MS Advanced Excel
- Excellent command of English (Spoken & Written)

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