# Manager - Medical Pre Authorisation — Bupa Arabia

Canonical: https://jobxdubai.com/jobs/li-4464512636-manager-medical-pre-authorisation
Location: Riyadh, Saudi Arabia
Type: full_time · Level: lead
Monthly salary: not disclosed (UAE salaries are tax-free)
Posted: 2026-10-01
Apply: https://www.linkedin.com/jobs/view/manager-medical-pre-authorisation-at-bupa-arabia-4464512636?_l=en

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## Description

Job Description

Ensure clinically appropriate, evidence-based preauthorization decisions through effective utilization management, regulatory compliance, and provider engagement, while safeguarding patient outcomes, enhancing customer experience, and optimizing healthcare resource utilization.

Medical Cost & Service Management

• Apply evidence-based medicine, clinical guidelines, and policy terms during preauthorization review.

• Ensure appropriate utilization of healthcare services while preventing unnecessary costs.

• Support cost-containment initiatives through effective medical adjudication and utilization management.

Quality Medical Decision & Patient Safety

• Ensure clinically sound and consistent medical decisions.

• Monitor decision quality and adherence to medical protocols.

• Promote provider satisfaction through effective communication and partnership management.

Business Support & Stakeholder Management

• Manage and escalate high-value, complex, or critical cases when required.

• Participate in complaint resolution and support business continuity efforts.

• Maintain effective communication with internal and external stakeholders.

• Report operational risks and critical incidents in a timely manner.

Compliance, Governance & Risk Management

• Ensure adherence to Bupa policies, medical protocols, and regulatory requirements.

• Comply with CHI regulations and governance standards.

• Identify, escalate, and report suspected fraud, waste, abuse, and anti-selection activities.

• Support audit readiness and compliance monitoring activities.

Skills

Minimum 3 years of Experience – Medical

Clinical experience as General Practitioner / Emergancy / Family Medicine

Medical insurance practice

Language (English) and basic computer skills

Bachelor’s in medicine or equivalent

Postgraduate in Medicine

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