Medical Doctor

3 weeks ago


المملكة العربية السعودية, Saudi Arabia Bupa Arabia Full time

In this role you will support Bupa to ensure medical spend (In-Patient & Out-Patient services) is controlled by ensuring that pre-authorization decisions are within defined SAMA & CCHI regulations, accepted guidelines and high quality medical standards, safeguarding the member's health & safety and aligned to BUPA Values.You will be responsible for the following:

- Medial cost & Service Management: Adjudicate the cases (In-Patient & Out-Patient) based on common medical practice and in line with Bupa protocols and policy. Ensure the decisions are according to the best medical standards and agreement terms & conditions in order to prevent abuse, fraud and overtreatment. High quality medical decision & patient safety: Ensure working with high quality of decision making with Zero QDI (Quality Demerit Index) A or B. Ensure the medical decisions are consistent and are implemented based on clinical and practice guidelines signed off by the organization. Ensure high customer satisfaction in line with BUPA values and business strategy. Efficiency management: Ensure achieving the daily targets in terms of productivity & speed of response. Ensure proper interpretation and usage of clinical skills. Compliance to policy and Regulation: Report all high value claims as per agreed process. Highlight and report fraud, abuse, and anti-selection.

**Skills**:

- Ability to conduct business in English language. Ability to work under pressure. Strong communication skills. Clinical experience in general practitioner or Emergency or Family Medicine.

**Education**:
MBBS (Bachelor of Medicine & Surgery) with some expertise of Insurance is preferred


  • Doctor

    4 days ago


    المملكة العربية السعودية, Saudi Arabia Smart Resourcing International (SRI) Full time

    Reputed Client of Smart Resourcing International KSA, Saudi ArabiaOne of our reputed Hospital in KSA Doctor Interview Mode: CV Selection followed by Video conferencing Doctor: - Specialist Pediatrics (NICU) Qualification: - MBBS+MD/DNB Salary Range - 20,000 SAR Plus Accommodation Transportation and Medical Insurance ***: Updated CV Education...

  • Medical Doctor

    9 months ago


    المملكة العربية السعودية, Saudi Arabia Bupa Arabia Full time

    In this role you will support Bupa to ensure medical spend (In-Patient & Out-Patient services) is controlled by ensuring that pre-authorization decisions are within defined SAMA & CCHI regulations, accepted guidelines and high quality medical standards, safeguarding the member's health & safety and aligned to BUPA Values. You will be responsible for the...


  • المملكة العربية السعودية, Saudi Arabia Hikma Full time

    Description: The jobs in this level are the link between the company and healthcare professionals. Aim is it to increase the awareness and use of Hikma’s pharmaceutical and medical products through the sales and marketing activities and services including field activities. Job holders promote a defined set of products to customers and/or key accounts, in...


  • المملكة العربية السعودية, Saudi Arabia Hikma Full time

    Description: The jobs in this level are the link between the company and healthcare professionals. Aim is it to increase the awareness and use of Hikma’s pharmaceutical and medical products through the sales and marketing activities and services including field activities. Job holders promote a defined set of products to customers and/or key accounts, in...


  • المملكة العربية السعودية, Saudi Arabia Bupa Arabia Full time

    In this role you will support Bupa to ensure medical spend (In-Patient & Out-Patient services) is controlled by ensuring that pre-authorization decisions are within defined SAMA & CCHI regulations, accepted guidelines and high quality medical standards, safeguarding the member's health & safety and aligned to BUPA Values. You will be responsible for the...

  • Medical Representative

    7 months ago


    المملكة العربية السعودية, Saudi Arabia Talent Pal Full time

    The jobs in this level are the link between the company and healthcare professionals. Aim is it to increase the awareness and use of Hikma’s pharmaceutical and medical products through the sales and marketing activities and services including field activities. Job holders promote a defined set of products to customers and/or key accounts, in accordance...

  • Medical Doctor

    9 months ago


    المملكة العربية السعودية, Saudi Arabia Talent Pal Full time

    **Pre-Authorization** In this role you will support Bupa to ensure medical spend (In-Patient & Out-Patient services) is controlled by ensuring that pre-authorization decisions are within defined SAMA & CCHI regulations, accepted guidelines and high quality medical standards, safeguarding the member's health & safety and aligned to BUPA Values. You will be...

  • Pulmonology Doctor

    3 weeks ago


    المملكة العربية السعودية, Saudi Arabia Vezeeta Full time

    About Us Vezeeta is the leading Digital Healthcare Platform in Middle East and Africa that is transforming healthcare accessibility across the region. Having served to date more than 10 Million patients across 78 cities in 6 countries through cutting-edge digital solutions, we empower patients throughout the entirety of their healthcare journey allowing them...


  • المملكة العربية السعودية, Saudi Arabia Bupa Arabia Full time

    Supervise daily administrative operations. - Monitor expenses and suggest cost-effective alternatives. - Develop and implement effective policies for all operational procedures. - Prepare work schedules. - Maintain organized medical and employee records. - Monitor administrative staff’s performance. - Ensure prompt ordering and stocking of office...


  • المملكة العربية السعودية, Saudi Arabia ACCUMED Full time

    Medical Claims Adjudicator - Chiefly responsible for achieving and maintaining minimum Denial rates by contributing in market payer, regulator protocols and Denial and Bypass trends analysis. This is aim to achieve in collaboration with Business Rules Analyst position being reported to him. Furthermore, reviewing medical records in order to abstract relevant...


  • المملكة العربية السعودية, Saudi Arabia King Faisal Specialist Hospital and Research Centre Full time

    Develops plans, organizes and coordinates the Hospital’s overall medication safety programs. Provides leadership for medication safety assessments, coordinates the medication safety activities, educates others on the system-based cause for medical error, consults with concerned areas and communicates literature-based programs that ensure medication safety...

  • Medical Representative

    7 months ago


    المملكة العربية السعودية, Saudi Arabia Dermazone trading LLC Full time

    **Qualifications**: - At least 1-2 year experience in a geographically widespread pharmaceutical company as a medical representative or a product specialist. - Teamwork skills, communication skills and interpersonal skills. - Persistent, enthusiastic, self-motivated and teamwork skills. **Key Responsibilities** Achievement the target through: - Convincing...


  • المملكة العربية السعودية, Saudi Arabia Qureos Inc Full time

    **Job Title**: Medical Representative (Pharmaceutical Manufacturing Industry) **Company**: Alpha Pharma **Location**: 3289 - Industrial Valley Phase II, King Abdulaziz Economic City 23994 - 8711, Rabigh KSA **Employment Type**: Full-time Alpha Pharma, a leading pharmaceutical company committed to providing innovative and high-quality healthcare products,...


  • المملكة العربية السعودية, Saudi Arabia Cpl Healthcare Full time

    **Do you want to work in one of the best NHS Trusts in the UK?** Cpl Healthcare in partnership with Cambridge University Hospital is looking to recruit nurses for their medical and surgical wards across the hospital. Cambridge University Hospitals NHS Foundation Trust - known as CUH - runs Addenbrooke’s Hospital and the Rosie Hospital. Both are...

  • General Doctor

    2 days ago


    المملكة العربية السعودية, Saudi Arabia Al-shablan Medical Center Full time

    We announce the availability of a job vacancy نوع الوظيفة: دوام كامل, عقد, عمولة مدة العقد: 12 شهر الراتب: ﷼6,000.00 - ﷼9,000.00 لكل شهر


  • المملكة العربية السعودية, Saudi Arabia Talent Pal Full time

    About the job Would you like to join Danone Middle East and contribute to bringing health through food to as many people as possible? If YES, Danone Middle East is looking for a talented** HealthCare Nutrition Specialist **(medical representative) to be based in **Riyadh, Saudi Arabia **, like you! In the context of Specialized Nutrition Middle East, you...


  • المملكة العربية السعودية, Saudi Arabia Etminan Medical Company Full time

    Clinical pathology consultant diqgnose patient results review lab tests QC, lab standards, answe patients questions an **Salary**: ﷼10,000.00 - ﷼18,000.00 per month Ability to commute/relocate: - Jizan: Reliably commute or planning to relocate before starting work (required) **Education**: - Doctorate (preferred)

  • Orthopedician saudi

    4 days ago


    المملكة العربية السعودية, Saudi Arabia Medisol Placements Full time

    **Job Information**: Industry **Medical** *** Work Experience **4-5 years** *** Salary **10 K+** *** City **HAIL SAUDI** *** State/Province **Ha'il** *** Country **Saudi Arabia** *** Zip/Postal Code **11564** Our Reputed Medical Centre or Clinic is looking for a compassionate Specialists doctor to join our Orthopedic - be responsible for the...


  • المملكة العربية السعودية, Saudi Arabia Ferring Pharmaceuticals, Inc. Full time

    Job Description: Medical Representative - Saudi Arabia/ Madinah region Job Role: Presents and informs healthcare professionals (doctors, pharmacists and hospitals) about the company products in order to obtain the prescription in his/ her territory, and as much maintains and generates new business to achieve target sales. Main Accountabilities: - Visit...


  • المملكة العربية السعودية, Saudi Arabia Danone Full time

    About the job Would you like to join Danone Middle East and contribute to bringing health through food to as many people as possible? If YES, Danone Middle East is looking for a talented** HealthCare Nutrition Specialist **(Medical representative ) to be based in **Abha, Saudi Arabia **, like you! In the context of Specialized Nutrition Middle East, you...