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  • Medical Claims Adjudication Lead

    A leading healthcare provider in Jeddah is seeking a skilled individual for a claims adjudication role. Responsibilities include processing inpatient and outpatient claims while ensuring high-quality standards and accuracy. The candidate will utilize their medical background... 

    BUPA Arabia

    Jeddah
    4 days ago

  • Contract Manager

     ...extensions of time ~“Daywork” claims ~ Consequences of acceleration ~ Assessment of Loss and expense, save in connection with adjudication, arbitration, litigation, or any other formal dispute resolution procedure Advise and assist the Project Manager with all... 

    Rider Levett Bucknall

    Medina
    2 days ago

  • Manager - Medical Pre Authorization

     ...medical standards, safeguarding the member's health & safety and aligned to BUPA Values. 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... 

    BUPA Arabia

    Riyadh
    2 days ago

  • Sr Test Engineer - Riyadh

     ...compliance, and end-to-end validation across core Social Insurance systems including contributions, benefits processing, claims adjudication, employer management, and reporting. The position requires governance oversight, domain expertise, stakeholder coordination, and... 

    K20S Information Technology LLC

    Riyadh
    2 days ago

  • Pre-Authorization Manager — Medical Quality & Compliance

     ...organization in Jeddah is seeking a professional to ensure compliance with medical spend regulations and standards. The role includes adjudicating in-patient and out-patient cases according to established protocols while maintaining high customer satisfaction. Candidates... 

    BUPA Arabia

    Jeddah
    4 days ago

  • Manager - Medical Claims Operations (Pipeline)

     ...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.... 

    BUPA Arabia

    Jeddah
    9 hours ago

  • Senior Medical Pre-Authorization & Compliance Lead

    A leading healthcare provider in Riyadh seeks a candidate for medical cost and service management. The role involves adjudicating in-patient and out-patient cases based on medical best practices, ensuring compliance with CCHI and SAMA regulations, and enhancing customer... 

    BUPA Arabia

    Riyadh
    2 days ago

  • Manager- Healthcare Services (MCU) (TPA) - Pipeline

     ...Direct interaction with clients through phone calling for explanation of decision, process and obtain necessary data for proper adjudication. Respond to the internal stakeholders queries via CMTEmails. To perform oubound calls for members experince assessment.... 

    BUPA Arabia

    Jeddah
    2 days ago