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Medserv

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Rules Governance Lead

Haywards Heath, West Sussex, United KingdomOn-site

AI Summary

Owns and maintains the operational rules library for medical billing and practice management, ensuring rules are accurate, unambiguous, and suitable for AI ingestion while supporting governance expansion from the UK to Ireland.

About this role

About Medserv

Medserv, an Irish company, has quickly established itself as the market leader in providing Medical billing and Practice management services throughout Ireland and the UK. Our clients include individual and group consultants, GP practices as well as private clinics and hospitals. Inspired by our values of Always innovating, Being trustworthy, Collaborating positively and Delivering results, we strive to ensure on-going client satisfaction by combining our innovative technology solutions with highly skilled teams.


About the Role

As the Rules Governance Lead you will be responsible for the accuracy, clarity, consistency and ongoing maintenance of our operational rules used to accurately generate invoices for clients.

The initial priority is to take ownership of the rules already created and establish effective governance, and support expansion of the rules library where genuine gaps exist.

The role will ensure rules are clear, unambiguous, non-duplicative, traceable and suitable for ingestion and use by AI tools, while remaining aligned with the fees database/fees governance processes, operational processes, client & insurer contractual requirements and Medserv system logic.

What you'll be doing

  • Own and maintain the IE+UK operational rules library, supporting the phased implementation of consistent governance arrangements across Ireland.
  • Assess the completeness of the current library and coordinate the controlled creation of additional rules where operational or system gaps are identified.
  • Create and maintain a clear rule taxonomy, naming convention, ownership model and approval workflow.
  • Review rules for accuracy, clarity, completeness and usability, removing vague wording, unnecessary complexity, and ambiguity.
  • Identify and resolve duplicate, overlapping, obsolete, or conflicting rules.
  • Prepare rules for reliable AI and large language model ingestion by standardising language, separating distinct concepts and minimising dependence on implied knowledge.
  • Ensure rules are consistent with the fees database, client arrangements, insurer requirements and other authoritative business sources.
  • Implement controlled drafting, review, approval, publication and retirement processes for rules.
  • Maintain version history, audit trails, effective dates, source references and named business ownership for rule changes.
  • Manage a prioritised backlog of rule corrections, additions, clarifications and rationalisation work.
  • Provide clear reporting to the Quality Manager on risks, progress, backlog and material control weaknesses.
  • Work closely with Quality, Operations, Client Services, Fees Governance, IT, Product and other subject-matter experts.
  • Develop the governance model so it can be extended from the UK to Ireland and ultimately applied consistently across Medserv.

What we are looking for


Essential

  • Excellent written English with the ability to convert complex operational knowledge into precise, concise and unambiguous rules.
  • Strong analytical and critical-thinking skills, including the ability to identify contradictions, gaps, dependencies and unintended consequences.
  • Experience of data governance, quality assurance, knowledge management, business rules, process documentation or a comparable controlled-information environment.
  • Ability to work methodically across a large rules library while maintaining attention to detail and effective prioritisation.
  • Confidence working with multiple teams and subject-matter experts, challenging inconsistencies and driving decisions to closure.
  • Good understanding of change control, approval workflows, audit trails, document versioning and ownership controls.
  • Ability to understand relationships between rules, fees, data, system logic and operational processes.
  • Awareness of how structured, high-quality content supports AI and large language model use would be advantageous.


Desirable

  • Experience of medical billing, insurer rules or healthcare revenue-cycle processes would be advantageous.
  • Strong Excel and general data-handling skills; experience of databases, rule engines or knowledge-management platforms would be beneficial.


Measures of Success

  • A controlled, searchable and trusted UK rules library with clear ownership and review status.
  • Material reduction in duplicate, ambiguous, obsolete and conflicting rules.
  • Improved alignment between documented rules, the fees database and operational/system behavior.
  • A consistently structured rules catalogue suitable for controlled AI and large language model ingestion.
  • A sustainable governance framework that can be extended to Ireland and adopted company-wide.


What's in it for you?

We believe our people are our greatest asset and are committed to creating a supportive, rewarding, and engaging workspaces where you love where you work. Our benefits include:

🍎 Free breakfast, snacks and drinks together with comfortable on-site facilities

🎉 Regular Team Socials, Sporting Events & Company Activities

🎓 Professional Development & Career Growth Opportunities

👶 21 Days Annual Leave and half a day for your Birthday

🧠 Dedicated Employee Assistance Programme (EAP)

💷 Pension Contribution of 5%

And after Probation:

🏥 Private Medical Insurance

❤️ Life Assurance

🏋️ Gym Membership

🌴 Holiday Plus Scheme – Purchase Additional Annual Leave

🚲 Access to everyday discounts and Cycle to Work

🌍 Work abroad for two weeks as part of Workcation


Ready to Join Us?

Applicants must have the right to work in the UK. The closing date for applications is the 8th of November 2026.

Please read our Candidate-privacy notice before applying. This explains how we use your data, including AI-assisted shortlisting and your right to opt out. Final recruitment decisions are not made solely by AI.

Skills

AI/LLM Content StructuringAudit TrailsBusiness Rules ManagementChange ControlDatabasesData GovernanceDocument VersioningExcelKnowledge ManagementProcess DocumentationQuality AssuranceRule Engines