
Randa Wahba
@randawahba
I build compliant clinical operations, medical coding, and insurance-rule systems.
What I'm looking for
At Kayan HealthCare Technologies, I develop clinical edits and insurance-rule solutions using ICD, CPT, and HCPCS standards. I translate complex benefits, exclusions, and UAE guidelines into system-ready rules for insurance providers and contribute foundational data for machine learning and a Pharmacy Benefit Management solution.
Previously at Al-Jalila Children’s Hospital, I led hospital-system setup, supervised insurance workflows, and managed end-to-end coding and claims processes. I trained reception, billing, clinical, and new team members to improve patient flow, accurate insurance handling, and error-free operations.
My background also includes medical claims coordination at BUPA Medmark, employee medical insurance at Orange, customer service for Vodafone UK, and pharmaceutical care at El-Marwa Pharmacy. I bring hands-on experience in claims, underwriting support, client relations, documentation, and healthcare operations.
Experience
Work history, roles, and key accomplishments
Clinical Operation Supervisor
Kayan HealthCare Technologies
Oct 2021 - Present (4 years 11 months)
Led development of clinical edits and insurance rule solutions, ensuring compliance with coding standards. Converted insurance benefits into system-ready codes and rules, and trained new team members.
Education
Degrees, certifications, and relevant coursework
Cairo University
Bachelor of Science, Pharmaceutical Sciences
2005 - 2011
Grade: Good (71.8%)
Pursued a Bachelor of Science in Pharmaceutical Sciences, graduating with a grade of Good (71.8%).
Pyramids Language School
High School Diploma, General Secondary
2002 - 2005
Grade: 97.6%
Completed the General Secondary stage with a score of 97.6%.
Availability
Location
Authorized to work in
Salary expectations
Job categories
Skills
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