Save the Children is hiring a Senior Medical Claims Officer (Grade 3, Operations & Health Programme, permanent, full-time) based in Cairo, Egypt. Contract length is pending donor approval.
Role purpose: Lead the claims team in controlling and monitoring total project medical expenditure, including verifying and checking invoices and claims from providers, suppliers, vendors and subcontractors so that all project expenditure is captured and properly recorded. Reports to the Senior Program Manager and supervises 3 Medical Claims Coordinators and 1 admin, working closely with the Health Team, Finance Unit and contracted healthcare providers.
Key accountabilities:
- Lead a medical claims structure that is autonomous from the medical team responsible for service delivery and case management
- Manage the medical claims review process and provide reports on cost control and planning
- Supervise the medical claims coordinators who review claims submitted by hospitals
- Approve medical reports and documents received from health providers; review price lists and compare providers during contracting
- Review and sign off final claims reports, including comments and deductions; set corrective actions for claims documentation
- Coordinate with Finance on claims review, communicating deductions to hospitals, payment approval and processing
- Monitor the status of all referrals, commitments and claims until project closure
- Ensure compliance with Egyptian law, Save the Children policies and donor requirements
- Prepare monthly spending and forecast reports with the health programme manager; provide cost-control support, forecasting and variation reporting
- Sign off medical cash payments for beneficiaries; participate in medical audits and improve claims documentation
Qualifications and experience:
- Bachelor of Medicine and Surgery (required); certificate in auditing or cost control highly desirable
- 5-7 years' experience in medical claims auditing, project cost planning and reporting; healthcare setting experience highly desirable
- Strong MS Office skills, especially Excel; strong analytical, problem-solving, interpersonal, communication and technical writing skills
- Good command of written and spoken English
Child safeguarding level 2: a police check or equivalent will be required, and selection includes rigorous background checks.
Closing date: 2026-11-05
HOW TO APPLY:
Apply online via the Save the Children careers portal: https://hcri.fa.em2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/jobs/preview/18019/apply/email?lastSelectedFacet=POSTING_DATES&selectedPostingDatesFacet=30