Qureos Mentor

MedNet Egypt L.L.C

<div>
 
 
 MedNet Egypt
 
 is one of the leading managed care service organizations that caters to healthcare needs. We are looking for a skilled
 
 Data Governance Specialist
 
 who will be responsible for establishing, implementing, and maintaining a comprehensive data governance framework across the organization. The role ensures that enterprise data is accurate, consistent, secure, compliant, and strategically aligned with business needs, particularly across claims, prior authorization, membership, provider, and financial domains.
 
 
 
 
 
 
 Your Job
 
 
 
 
 
 <ul>
 <li>
 Develop and maintain enterprise data governance policies, standards, and procedures.
 </li>
 <li>
 Define data ownership, stewardship models, classification standards, and data lifecycle rules.
 </li>
 <li>
 Establish governance processes supporting the data warehouse and analytics ecosystem.
 </li>
 <li>
 Define enterprise data quality KPIs.
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 <li>
 Implement data quality monitoring and issue resolution processes.
 </li>
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 Lead root-cause analysis and continuous improvement initiatives across domains.
 </li>
 <li>
 Build and maintain an enterprise business glossary and data dictionary.
 </li>
 <li>
 Maintain metadata repositories and data lineage maps.
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 <li>
 Ensure consistency in terminology and KPI definitions.
 </li>
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 Ensure data practices comply with regulatory and internal security requirements.
 </li>
 <li>
 Partner with Compliance and IT Security to manage access controls and retention policies.
 </li>
 <li>
 Support audits and readiness activities.
 </li>
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 Work closely with Data Engineering to embed governance rules into pipelines.
 </li>
 <li>
 Collaborate with BI teams to standardize reporting and KPI definitions.
 </li>
 <li>
 Ensure governance alignment across operational, medical, network, and finance functions.
 </li>
 </ul>
 
 
 
 
 
 Your Profile
 
 
 
 
 
 <ul>
 <li>
 Bachelor&rsquo;s degree in Data Management, Information Systems, Computer Science, or related field.
 </li>
 <li>
 1 to 3 years of experience in data governance or related roles.
 </li>
 <li>
 Experience in health insurance or TPA environments preferred.
 </li>
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 Strong understanding of data governance frameworks (e.g., DAMA principles).
 </li>
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 Knowledge of data warehousing, ETL processes, and BI environments.
 </li>
 <li>
 Experience with metadata and data quality tools.
 </li>
 <li>
 Familiarity with structured and unstructured data flows.
 </li>
 <li>
 Understanding of health insurance operations, claims, authorizations, and provider data.
 </li>
 </ul>
</div>

Data Governance Specialist

<div>
 
 
 MedNet Egypt
 
 is one of the leading managed care service organizations that caters to healthcare needs. We are looking for a skilled
 
 Business Reporting
 
 
 Analyst
 
 who will be responsible for supporting medical insurance operations by transforming raw operational and financial data into actionable insights.
 
 
 
 
 
 
 
 Your Job
 
 
 <ul>
 <li>
 Build, maintain, and enhance reports and dashboards.
 </li>
 <li>
 Perform detailed analysis on claims submissions, adjudication outcomes, provider billing, remittance cycles, and prior authorization requests.
 </li>
 <li>
 Conduct trend analysis, SLA monitoring, utilization studies, and cost insights.
 </li>
 <li>
 Extract and model data from OBIEE (Oracle BI), Power BI, and Excel.
 </li>
 <li>
 Clean, reconcile, and transform medical insurance datasets into business‑ready models.
 </li>
 <li>
 Work extensively with claims submission data, remittance advice structures, and prior approval requests.
 </li>
 <li>
 Understand claim life‑cycle workflows, provider payment processes, and operational TATs.
 </li>
 <li>
 Monitor data accuracy and escalate discrepancies.
 </li>
 <li>
 Support automation initiatives and collaborate with IT, Operations, Medical, and Finance teams.
 </li>
 </ul>
 
 
 
 
 
 
 
 
 Your Profile
 
 
 
 
 
 <ul>
 <li>
 Bachelor&rsquo;s degree in a relevant field or equivalent experience
 </li>
 <li>
 1&ndash;3 years&rsquo; experience in health insurance analytics or business reporting
 </li>
 <li>
 Advanced Power BI and Excel skills
 </li>
 <li>
 Experience with OBIEE (Oracle BI)
 </li>
 <li>
 Good command of English
 </li>
 <li>
 SQL knowledge
 </li>
 <li>
 Healthcare or medical insurance domain exposure
 </li>
 <li>
 Automation or reporting optimization experience
 </li>
 <li>
 Strong analytical and structured thinking
 </li>
 </ul>
 
 
</div>

Business Reporting Analyst

Join MedNet Egypt L.L.C and explore 2   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

MedNet Egypt L.L.C

About Company

Data Governance Specialist

Business Reporting Analyst