Skip to main content
RW
Looking for a job

Randa Wahba

@randawahba

I build compliant clinical operations, medical coding, and insurance-rule systems.

Egypt
Message

What I'm looking for

I'm looking to lead clinical operations, medical coding, insurance-rule, and revenue-cycle initiatives where I can improve compliant workflows, configure healthcare systems, support teams, and help build scalable healthcare technology solutions.

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

KT
Current

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 logoCU

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%).

PS

Pyramids Language School

High School Diploma, General Secondary

2002 - 2005

Grade: 97.6%

Completed the General Secondary stage with a score of 97.6%.

Tech stack

Software and tools used professionally

Get matched with your dream remote job

Sign up now and join over 250,000+ remote workers who receive personalized job alerts, curated job matches, and more for free!

Sign up
Himalayas profile for an example user named Frankie Sullivan