Company Description
GlobeMed Egypt, a part of the GlobeMed Group, is a pioneer in Third Party Administrator (TPA) services, with over 30 years of expertise in healthcare benefits management. With a wide network of providers globally, GlobeMed serves over 80 insurance companies, social security funds, and self-funded schemes.
Guided by commitment and innovation, GlobeMed Group has expanded to 12 countries in the Middle East and Africa, managing over 2.5 million lives. GlobeMed Egypt, established in August 2012, offers comprehensive healthcare benefits management solutions to the Egyptian market.
Role Description
1. Assists process owners/HoDs in the structuring and documentation of their standard processes.
2. Maintains and upkeeps the company’s knowledge base on the document management system and manages the access to this system based on the job role and the business need.
3.Acts as the interlocutor of the ICT department in regard to technical follow-up related to system changes, fixes or new system developments as required by the business in Egypt and based on clear business requirements. This covers the entire development cycle, from the creation of the request by the Egypt team, up to the final user acceptance testing and deployment of the system change, ensuring that the Group ICT team and the G-Egypt team are on the same page, resulting in proper deliverables.
4.Identifies any updates that need to be applied on existing internal manuals and documentation to remain in line with the changes applied at the level of the process and or systems considering his/her involvement in the system development cycle.
5.Identifies any document / manual that needs to be developed in line with any newly developed systems or features considering his/her direct involvement in the system development cycle.
6.Follows-up to make sure concerned team members have appropriate access on need to know-basis on mentioned manuals and internal documents to guarantee they are aware about the new/updated processes and systems.
7. Assists the process owners in the identification of risks related to their process, along with needed controls and Key Risk Indicators for proper monitoring.
8. Gather the KRI results from process owners on quarterly basis and report it to the risk management committee for review and action.
9. Assists process owners in identifying internal controls applied at the level of each process and specifying the details of each control, with a proper mapping to the related risk area.
10.Acts as the secretary of the risk management committee.
11.Acts as the secretary of the information governance committee and follows-up on all responsible parties having actions identified during those meetings.
12.Monitors all regulatory requirements related to the TPA business and ensures the organization is compliant at all times and liaise with concerned departments/ process owners to develop needed action plan for proper compliance.
13.Performs gap analysis with international standards when required and develop an action plan to comply with such standards.
14.Performs periodic reviews over the user access management and issues findings report for action.
15.Acts as the main interlocutor of the internal audit team to ensure all audit requirements are gathered and provided to the auditors on time.
16 Issues periodic report to top management in regard to compliance issues
Qualifications
- Bachelor's degree – master's is a plus
- Previous experience in project management, documentation development and risk management.
- Previous experience in the insurance field or healthcare field.
- Knowledge of ISO standards is a must.
- Six Sigma Certification is a plus.
- Advanced skills in Microsoft office including Visio.
- Fluent spoken and written English & Arabic language
- Excellent communication skills
- Active listening and problem-solving skills
- Teamwork skills