Qureos Mentor

Nextcare

<div>
 
 Job Overview
 
 
 
 The Team Leader will oversee a dual function team supporting Pulse training and medical coding across the MEA region. This role combines operational leadership, stakeholder management, and technical oversight of both Pulse training and medical coding quality.
 
 
 Based in Cairo, the Team Leader will manage a team of platform trainers responsible for onboarding and upskilling providers on Pulse, alongside medical coders who ensure accurate and compliant medical coding services. The role requires a balance of people leadership, process optimisation, and regional coordination to ensure high service quality, regulatory compliance, and continuous improvement in provider experience and coding accuracy.
 
 
 
 What You Do
 
 
 
 Responsibilities will include, but are not limited to, the following:
 
 
 
 Team Leadership &amp; Management
 
 
 
 <ul>
 <li>
 Lead, coach and develop a team of platform trainers and medical coders ensuring cross capability amongst team members
 </li>
 <li>
 Set clear performance objectives and monitor KPIs related to training effectiveness, coding accuracy and service delivery
 </li>
 <li>
 Foster a collaborative, high performance team culture across the team
 
 
 </li>
 </ul>
 
 Pulse Training &amp; Support
 
 
 
 <ul>
 <li>
 Oversee delivery of training programs for providers on Pulse
 </li>
 <li>
 Ensure training materials are accurate, up to date and aligned with system enhancements
 </li>
 <li>
 Monitor provider adoption, engagement and feedback to improve training approaches
 
 
 </li>
 </ul>
 
 Medical Coding
 
 
 
 <ul>
 <li>
 Supervise coding activities to ensure accuracy, consistency and compliance with coding standards
 </li>
 <li>
 Implement quality assurance processes, including audits and feedback loops
 </li>
 <li>
 Support resolution of complex coding queries and escalations
 
 
 </li>
 </ul>
 
 Operational Excellence
 
 
 
 <ul>
 <li>
 Drive continuous improvement initiatives across training and coding workflows including the cross training of all staff in the team
 </li>
 <li>
 Identify inefficiencies and implement scalable solutions to enhance productivity and quality
 </li>
 <li>
 Maintain documentation of processes, guidelines and best practices
 
 
 </li>
 </ul>
 
 Stakeholder Management
 
 
 
 <ul>
 <li>
 Collaborate with internal teams including Claims Automation, Quality, Policy Management and others
 </li>
 <li>
 Act as a key point of contact for regional stakeholders
 </li>
 <li>
 Support communication of system updates, code changes and operational impacts
 
 
 </li>
 </ul>
 
 Reporting &amp; Governance
 
 
 
 <ul>
 <li>
 Track &amp; report on key performance indicators, including training outcomes and coding accuracy
 </li>
 <li>
 Ensure compliance with internal policies and external regulatory requirements
 </li>
 <li>
 Provide insights and recommendations to senior management
 </li>
 <li>
 AI READINESS Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data, analytics and cloud-based tools, using insights responsibly with our standards of data governance, security and ethical use.
 
 
 </li>
 </ul>
 At Allianz Partners, Artificial Intelligence (AI) is transforming service delivery and innovation. By leveraging Business Intelligence and Data Analytics, we enhance strategic decision-making and customer experiences. Our commitment to Ethical AI ensures responsible deployment, maintaining data integrity and trust. Conversational AI improves communication, while Emerging Technologies and Generative AI drive industry leadership and new opportunities. With robust Information Security Management, we protect sensitive information, ensuring compliance and security. Embrace the future of AI with Allianz Partners, where possibilities become realities.
 
 
 
 What You Bring
 
 
 
 To be successful in this position you will need to have the following skills / experience:
 
 
 
 Essential
 
 
 
 <ul>
 <li>
 Minimum degree level qualification in relevant healthcare or related field
 </li>
 <li>
 Previous experience in medical coding, healthcare operations or medical insurance
 </li>
 <li>
 Strong knowledge of coding standards
 </li>
 <li>
 Previous experience in a leadership or supervisory role
 </li>
 <li>
 Fluency in English and Arabic
 
 
 </li>
 </ul>
 
 Desirable
 
 
 
 <ul>
 <li>
 Professional certification in medical coding
 
 
 </li>
 </ul>
 
 Personal Attributes
 
 
 
 <ul>
 <li>
 Results driven and pragmatic, focused on achieving measurable outcomes.
 </li>
 <li>
 Confident communicator and facilitator, able to build trust across diverse stakeholder groups.
 </li>
 <li>
 Collaborative and resilient, thriving in a dynamic and fast moving environment.
 
 
 </li>
 </ul>
 
 How We Hire
 
 
 
 
 
 Agency Statement
 
 
 
 Allianz Partners does not accept unsolicited CV&rsquo;s or approaches from agencies. We only work with partners on our approved supplier list, under contract. Any unsolicited submission will not be considered.
 
 
 
 
 What We Offer
 
 
 
 Allianz Partners is a world leader in B2B2C insurance and assistance, offering global solutions that span international health and life, travel insurance, automotive and assistance. Customer driven, our innovative experts are redefining insurance services by delivering future-ready, high-tech high-touch products and solutions that go beyond traditional insurance. Our products are embedded seamlessly into our partners&rsquo; businesses or sold directly to customers, and are available through four commercial brands: Allianz Assistance, Allianz Automotive, Allianz Travel and Allianz Care.
 
 
 97278 | Project Management | Professional | Non-Executive | Allianz Partners | Full-Time | Permanent
 
 
 Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us.
 
 
 At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. And the foundation for this is our inclusive workplace, where people and performance both matter, and nurtures a culture grounded in integrity, fairness, inclusion and trust.
 
 
 We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.
 
 
 
 Join us.
 
 Let's care for tomorrow.
 
 
 Note: Having different strengths, experiences, perspectives and approaches is an integral part of Allianz&lsquo; company culture. One means to achieve this is a regular rotation of Allianz Executive employees across functions, Allianz entities and geographies. Therefore, the company expects from its employees a general openness and a high motivation to regularly change positions and collect experiences across Allianz Group.
</div>

Team Lead - Pulse & Medical Coding

<div>
 Medical Officer &ndash; Outpatient Precertification is responsible for managing the Outpatient Precertification claims while ensuring that departmental goals, timeline of activities, and compliance measures are met.
 
 
 
 What You Do
 
 
 
 <ul>
 <li>
 Precertification team is functional on 24/7 basis. Therefore, the Medical Officer will work on a flexible shift basis as per the schedule provided by the Team Leader.
 </li>
 <li>
 Adjudicates - outpatient medical claims by evaluating each case from both the technical and clinical perspectives, ensuring all decisions comply with policy terms and conditions and are delivered within the stipulated turnaround time and quality standards.
 </li>
 <li>
 Performs a comprehensive review of outpatient documentation, including consultation notes, diagnostic reports, laboratory results, radiology findings, prescriptions, treatment plans, and follow‑up notes to validate medical necessity and appropriateness of care.
 </li>
 <li>
 Assesses the necessity and justification of proposed treatment plans, ensuring alignment with evidence‑based guidelines and outpatient benefit structures
 </li>
 <li>
 Requests additional medical documentation or identifies missing information essential for accurate decision‑making, coordinating with providers when clarification is required
 </li>
 <li>
 Conducts utilization review for outpatient services, including but not limited to evaluation of billed items, non‑covered services, overutilization patterns, and appropriateness of investigations or procedures.
 </li>
 <li>
 Performing review of claims as per CPT and ICD coding guidelines in line with insurance regulators (DHA,DOH/HAAD,MOH).
 </li>
 <li>
 Adheres to cost‑containment protocols by ensuring outpatient services are medically justified, appropriately billed, and aligned with network rules and negotiated tariffs
 </li>
 <li>
 Maintains daily productivity and service level targets, ensuring timely adjudication and consistent workflow management
 </li>
 <li>
 AI READINESS Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data, analytics and cloud-based tools, using insights responsibly with our standards of data governance, security and ethical use.
 
 
 </li>
 </ul>
 
 What You Bring
 
 
 
 <ul>
 <li>
 Bachelor&rsquo;s of Pharmacy / Dentistry / Medicine / Nursing / Physiotherapist / Paramedics
 </li>
 <li>
 01-02 years of Medical Practical Experience (reputable insurance provider, broker or a TPA experience a plus) OR Entry Level
 </li>
 <li>
 Physically fit to carry out duties.
 </li>
 <li>
 Certified Medical Coder [Preferable]
 </li>
 <li>
 Legally permitted to work in the country of operations.
 </li>
 <li>
 Physically fit to carry out duties.
 </li>
 <li>
 Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills.
 
 
 </li>
 </ul>
 
 How We Hire
 
 
 
 
 
 Agency Statement
 
 Allianz Partners does not accept unsolicited CV&rsquo;s or approaches from agencies. We only work with partners on our approved supplier list, under
 
 
 contract. Any unsolicited submission will not be considered
 
 
 
 
 Key Benefits/What We Offer
 
 
 
 Allianz Partners is a world leader in B2B2C insurance and assistance, offering global solutions that span international health and life, travel insurance, automotive and assistance. Customer driven, our innovative experts are redefining insurance services by delivering future-ready, high-tech high-touch products and solutions that go beyond traditional insurance. Our products are embedded seamlessly into our partners&rsquo; businesses or sold directly to customers, and are available through four commercial brands: Allianz Assistance, Allianz Automotive, Allianz Travel and Allianz Care.
 
 
 At Allianz Partners, Artificial Intelligence (AI) is transforming service delivery and innovation. By leveraging Business Intelligence and Data Analytics, we enhance strategic decision-making and customer experiences. Our commitment to Ethical AI ensures responsible deployment, maintaining data integrity and trust. Conversational AI improves communication, while Emerging Technologies and Generative AI drive industry leadership and new opportunities. With robust Information Security Management, we protect sensitive information, ensuring compliance and security. Embrace the future of AI with Allianz Partners, where possibilities become realities.
 
 
 Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us.
 
 
 At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. And the foundation for this is our inclusive workplace, where people and performance both matter, and nurtures a culture grounded in integrity, fairness, inclusion and trust.
 
 
 We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.
 
 
 
 Great to have you on board.
 
 Let's care for tomorrow.
 
 
 Note: Having different strengths, experiences, perspectives and approaches is an integral part of Allianz&lsquo; company culture. One means to achieve this is a regular rotation of Allianz Executive employees across functions, Allianz entities and geographies. Therefore, the company expects from its employees a general openness and a high motivation to regularly change positions and collect experiences across Allianz Group.
</div>

Medical Assessor - Outpatient Precertification

Join Nextcare 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.

Nextcare

About Company

Team Lead - Pulse & Medical Coding

Medical Assessor - Outpatient Precertification