Authorization jobs in Riyadh

Job Description 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 Val

-Review in-patient & out-patient approval requests in accordance with medical guidelines, CCHI and policy coverage -Review a healthcare service that another clinical professional might propose to a plan member -Determine whether the service is medically necessary and appropriate and whether the heal

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. Medial Cost

Job Overview: Location: Riyadh, Saudi Arabia Experience: Around 10 years Job Summary: CodeNinja is seeking an experienced Cards Payment Consultant / Developer to support and enhance its banking client card payment operations. The candidate will have deep knowledge of Mada, Visa, and Mastercard netwo

Bupa

#### **Job Description** Enhancing the CX of clients concerned with non-approved cases through applying the PA decision review, case management process, direct contact with clients, and coordination with both internal and external stakeholders within a defined time frame and restrictions of TOB. Mor

Bupa

#### **Job Description** 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 an