Provider Medical Qc

7 months ago


Jeddah, Saudi Arabia Bupa Arabia Full time

Building Quality Control Models that capture the required transactions in any given stream.
- Perform the Quality Control Process: that includes, and not limited to, sampling, validation and releasing the related scorecards across all the functions under the scope of the Medical Quality (Preauthorization, Claims, Re-Imbursement and CS).
- Perform all NPS related activities such as case validation and members recovery.
- Improving BUPA members’ experience and satisfaction levels.
- Leads on improvement activities across all the functions under the scope of the Medical Quality such as Coaching, communicating quick fixes and OPLs and structuring Kaizens.
- Conduct the needed data analysis/management to understand the performance trends.
- Good communication skills with all involved stakeholders to enable smooth function progress.
- Quarterly presentation showing function performance level and drive actions for raising the customer experience.

**Skills**:

- Excell & PowerPoint Advance use.
- Excellent medical knowledge
- Analytic thinking
- Presentation and communication skills.

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



  • Jeddah, Saudi Arabia Bupa Arabia Full time

    Role Purpose: To be responsible for the commercial and medical management of the portfolio providers in order to resolve the identified trends ,unit cost control and obtain competitive commercial terms and reconciliation outcome within the agreed target forecasting ,timescales and quality standards. Key Accountabilities: 1- Reconciliation of the accounts; -...


  • Jeddah, Saudi Arabia Arbete Careers Full time

    **Our client who is in the Construction industry is hiring for the position of QAQC Mechanical Engineer.** **Years of Experience: 5-6** **Notice Period: Immediate joiners or a maximum one-month notice period.** Ensuring QC team maintain standards IAW-(ln Accordance With) the Approved Method Statements, Technical Orders/Manuals and ISO Standards. -...

  • Medical Representative

    5 months ago


    Jeddah, Saudi Arabia Andalusia Group For Medical Services Full time

    We are looking for a persuasive medical representative to promote and sell Company services to doctors, clinics, and other relevant healthcare professionals. The medical representative’s responsibilities include persuading potential customers to purchase company medications, identifying prospective business opportunities for the company, and providing the...

  • Medical Representative

    5 months ago


    Jeddah, Saudi Arabia Andalusia Group For Medical Services Full time

    We are looking for a persuasive medical representative to promote and sell Company services to doctors, clinics, and other relevant healthcare professionals. The medical representative’s responsibilities include persuading potential customers to purchase company medications, identifying prospective business opportunities for the company, and providing the...

  • Senior Specialist

    5 months ago


    Jeddah, Saudi Arabia Parsons Full time

    Parsons is seeking a highly skilled Senior QA/QC Specialist to join our team for a prestigious project involving the construction of a Stadium. The Senior QA/QC Specialist will play a pivotal role in ensuring that all aspects of the project meet the highest standards of quality, safety, and compliance with stadium regulatory body standards. This position...


  • Jeddah, Saudi Arabia Chenega MIOS Full time

    **Summary** **Construction QA/QC - HSE Manager** **Jedda, Saudi Arabia** Are you ready to enhance your skills and build your career in a rapidly evolving business climate? Are you looking for a career where professional development is embedded in your employer’s core culture? If so, Chenega Military, Intelligence & Operations Support (MIOS) could be the...


  • Jeddah, Saudi Arabia Chenega Corporation Full time

    Overview: **Construction QA/QC - HSE Manager** **Jedda, Saudi Arabia** Are you ready to enhance your skills and build your career in a rapidly evolving business climate? Are you looking for a career where professional development is embedded in your employer’s core culture? If so, Chenega Military, Intelligence & Operations Support (MIOS) could be the...

  • Medical Analyst

    5 months ago


    Jeddah, Saudi Arabia Bupa Arabia Full time

    Role Purpose: Perform medical analysis and the inflation drivers from medical point of view, along with underwriting and pricing cases. Key Accountabilities: 1- Medical Underwriting; - Estimate cost of the medical conditions declared under the retail products based on medical reports and test results submitted by the member for new retail business. -...

  • Medical Delegate

    5 months ago


    Jeddah, Saudi Arabia Nestle Operational Services Worldwide SA Full time

    Position Title: Medical Delegate Location: Jeddah Saudi Arabia Full-Time Position Summary: The medical delegate is responsible for the ethical detailing of Nestlé Infant Nutrition products in assigned territory by clearly communicating to medical / paramedical contacts accurate information about these products, their features and benefits and their...

  • Medical Professional

    3 weeks ago


    Jeddah, Makkah Province, Saudi Arabia Antal International Network - IME Full time

    Job Title: RegistrarJob Summary:We are seeking a highly skilled and experienced Registrar to join our team at Antal International Network - IME. As a Registrar, you will be responsible for providing primary medical care to patients, diagnosing and treating various medical conditions, and conducting routine examinations and health assessments.Main Duties and...


  • Jeddah, Makkah Province, Saudi Arabia Antal International Network - IME Full time

    Job Title : Oncology RegistrarJob SummaryAntal International Network - IME invites applications for a highly skilled Oncology Registrar to join our esteemed medical team. In this challenging yet rewarding role, you will contribute to the comprehensive care of oncology patients, supporting research endeavors, and assisting in training and development...

  • Medical Specialist

    1 month ago


    Jeddah, Makkah Province, Saudi Arabia Antal International Network - IME Full time

    Job Title: Egyptian RegistrarJob Summary:We are seeking an experienced Egyptian Registrar to join our prestigious hospital in Saudi Arabia. As a key member of our healthcare team, you will provide primary medical care to patients, diagnose and treat various medical conditions, and develop comprehensive treatment plans.Main Responsibilities:Provide...


  • Jeddah, Saudi Arabia Bupa Arabia Full time

    To ensure that assigned provider’s Inpatient and Outpatient claims are medically & commercially adjudicated within the specified timeframe and within the targeted quality to achieve the business objective of ensuring that BUPA delivers high quality claim statements. Adjudication - Process all the daily batches of claims assigned in line with medical...


  • Jeddah, Makkah Province, Saudi Arabia Antal International Network - IME Full time

    Job Title: Medical Oncology SpecialistDepartment: OncologyJob Summary:We are seeking a highly skilled Medical Oncology Specialist to join our team at Antal International Network - IME. As a key member of our oncology department, you will be responsible for providing comprehensive care to patients with cancer. Your expertise in diagnosing and treating various...


  • Jeddah, Makkah Province, Saudi Arabia Antal International Network - IME Full time

    Job Title: Oncology RegistrarJob Summary:We are seeking a highly skilled and dedicated Oncology Registrar to join our team at Antal International Network - IME. As a key member of our oncology department, you will play a vital role in providing comprehensive care to patients with cancer.Main Responsibilities:Provide primary medical oncology care to patients,...


  • Jeddah, Saudi Arabia Novo Nordisk Full time

    Regional Medical Advisor **Category**:Clinical Development**Location**:Jeddah, Makkah, SA- Are you passionate about making a difference in the field of rare diseases? Do you have strong medical and scientific knowledge? If yes, we have an interesting opportunity for you.- **The position** **As an RMA, you** will be providing medical and scientific support...


  • Jeddah, Makkah Province, Saudi Arabia Antal International Network - IME Full time

    Job Title: Registrar and Senior RegistrarAn exciting opportunity has arisen for a highly skilled and experienced Registrar or Senior Registrar to join our prestigious hospital in Saudi Arabia.Job Summary:We are seeking a talented and dedicated medical professional to fill the role of Registrar or Senior Registrar. The successful candidate will have a strong...

  • Medical Technologist

    6 months ago


    Jeddah, Saudi Arabia King Faisal Specialist Hospital and Research Centre Full time

    Performs a variety of chemical, microscopic, immunological and/or bacteriological testing in the Clinical Laboratory to obtain accurate data for diagnosis and treatment of disease. **Essential Responsibilities and Duties**: Performs a variety of Chemical,Microscopic,Immunological and/or Bacteriological testing in the Clinical Laboratory to obtain accurate...

  • Medical Specialist

    3 weeks ago


    Jeddah, Makkah Province, Saudi Arabia Antal International Network - IME Full time

    Job Title: Internal Medicine ConsultantLocation: Jeddah, Saudi ArabiaJob Summary:We are seeking an experienced Internal Medicine Consultant to join our team at Antal International Network - IME. The ideal candidate will have a strong background in internal medicine and excellent communication skills.Key Responsibilities:Provide high-quality care to patients...


  • Jeddah, Saudi Arabia Bupa Arabia Full time

    Role Purpose: Oversee the medical quality control, quality assurance and quality improvement within the overall Medical Quality Management System of Care Connect to ensure that the medical decisions being made by doctors in medical functions are of the highest quality in compliance with internal medical policy, clinical best practices, guidelines and...