8 Bupa Arabia jobs in Saudi Arabia

Job Title : Medical Manager

Industry : Insurance

Location : GCC (Willing to relocate)

Our client is seeking Medical Manager to lead underwriting and claims operations, ensuring compliance and exceptional service quality through Third-Party Administrators (TPAs).

• Underwriting & Claims Management : Oversee underwriting and claims processes, ensuring smooth operations and optimal performance.
• Client & Business Development : Support new business acquisition, client servicing, and prepare quotations and policy terms.
• Operational & Financial Oversight : Manage premium registers, claims summaries, and follow-ups on receivables.
• Medical Network & Service Coordination : Liaise with healthcare providers to ensure efficient customer service.
• Strategic & Market Analysis : Conduct market studies, provide strategic insights, and generate MIS reports.

• Experience : 5-6 years of relevant experience in the insurance industry, preferably in a similar environment, with at least 2+ years in a managerial role.
• Certifications : Professional certification / membership in a relevant field (e.g., insurance, healthcare management) from a recognized institution.
• Strong understanding of underwriting and claims processes.
• Familiarity with insurance regulations and compliance.

University graduate with a degree in a relevant field (e.g., medicine, healthcare, business, finance).

We are looking for a professional employee in the field of medical insurance to join our team. The candidate must have at least two years of experience in the field of medical insurance management. His role will be essential in ensuring the implementation of policies and procedures related to medical insurance with high efficiency.

Tasks

1. Contracting with insurance companies .

2. Negotiating with insurance companies to conclude contracts and ensuring comprehensive and satisfactory coverage for customers.

3. Claims management.

4. Coordinate and manage all aspects of medical insurance in the medical complex.

5. Follow up on insurance policy updates and apply them according to the latest standards and regulations.

6. Follow up on patient transactions and synchronize with insurance companies to ensure prompt and accurate compensation.

7. Cooperate with the billing and finance team to ensure effective collection of fees.

8. Provide advice and guidance to patients on insurance details and costs.

Required experience:

At least 2-3 years of experience in the field of medical insurance

Requirements:

1. A degree in health services management or a related field.

2 At least two years of experience in medical insurance management.

.3 Excellent communication skills and ability to deal with the public and insurance companies.

1. Strong knowledge of health insurance regulations and policies in the Kingdom of Saudi Arabia.

.5 Teamwork skills .

6 Familiarity with technology and electronic systems used in the field of medical insurance.

Job Types: Full-time, Contract

Pay: ﷼4, ﷼6,000.00 per month

Key Responsibilities:

1.
Managing Medical Insurance Policies:

• Oversee employee medical insurance contracts and ensure timely renewals.

• Ensure all policies comply with agreed-upon terms and conditions with insurance providers.

• Maintain accurate and up-to-date records of insurance policies.

2.
Coordination with Insurance Companies:

• Communicate with insurance providers to resolve issues related to coverage or approvals.

• Negotiate with insurance companies to improve terms, coverage, and costs during renewals or additions.

• Follow up on medical claims to ensure accuracy and adherence to policy terms.

3.
Employee Support:

• Provide employees with guidance on insurance benefits and coverage details.

• Assist employees in submitting medical claims or obtaining necessary approvals.

• Address employee inquiries and resolve concerns related to medical insurance.

4.
Claims Management:

• Review medical claims submitted by employees to ensure compliance with policy terms.

• Follow up on claim reimbursements with insurance providers.

• Prepare periodic reports on claims and insurance costs.

5.
Employee Awareness:

• Conduct workshops or orientation sessions to educate employees on medical insurance policies.

• Explain the claims process and coverage benefits.

6.
Reporting and Analysis:

• Prepare regular reports on medical insurance performance, including costs and utilisation rates.

• Provide recommendations for improving insurance efficiency and reducing costs.

Qualifications and Experience:

1. Bachelor's degree in Business Administration, Insurance, or a related field.

2. 3 years of experience in medical insurance or human resources management.

3. Strong communication and problem-solving skills.

4. Good knowledge of medical insurance laws and related policies.

5. Proficiency in computer skills and insurance management software.

((English speaking and writing))

Key Personal Attributes:

1. Attention to detail and accuracy.

2. Ability to work under pressure.

3. Strong negotiation skills.

4. Commitment to maintaining confidentiality.

We are USC – Join us and make your career future ready!

Think bigger scale. Think higher profile. Think ground-breaking. Join USC, and you’ll be at the heart of a team of international experts all dedicated to growing and sharing their expertise and working on projects that transform society for all of us. Investing in the human element, enhancing its belonging and releasing its energies is one of the priorities of our company, and we seek to achieve this by following various strategies, including continuous training, applying the latest technologies and management theories, and talking courageous initiatives, USC looks to the future with an optimistic view compared to its present, and in order to advance its aspirations, it works to prepare a professional staff and is keen to develop it professionally , knowledgeably and administratively.

Head of employee Relations.

Supervising the management of medical insurance operations, providing the best medical services to employees, and contributing to achieving the company’s goals.

Your new role, what’s involved?

• Follow-up and attention to the direct relationship with the medical insurance company or the intermediary (Broker).
• Adding Saudi employees to the company and excluding them in the event of resignation from the insurance company.
• Follow-up the financial claims submitted by the workers to the insurance company.
• Follow-up of bills addition and deletion with the insurance company.
• Follow-up promotions for the company’s employees and their cost after fulfilling the promotion requirements.
• Preparing periodic and annual reports for the services provided by the medical insurance company.
• Communicate with medical insurance companies before the end of the contract to get the offers through the intermediary (Broker) or Search in person for better medical insurance offers.
• Coordinating with the communications officer to conduct a questionnaire for the company’s employees to seek their views on the services provided by the insurance company.
• Follow-up the notes and complaints of the company’s employees regarding the service provided by the insurance company.
• Coordinating with the employment official regarding new appointments to issue the medical insurance cards for them according to the internal regulations and for non-Saudis follow-up on the transfer of their sponsorship to exclude them from the insurance.
• Coordinating with the internal auditor to reviews the insurance invoices and submitting them to the financial department for disbursement.
• Coordinating with the medical insurance company in preparing features, benefits and networks for the insurance grade.
• Carrying out the work assigned to him by the direct manager and related to the nature of his work.

• Internal relations.
• Functional relations with the director of Human Resources Department.
• Coordinating relations with the rest of the directors of the various departments of the company.
• External relations with the broker and insurance company.

• Supervision ability.
• Communication and reporting ability.
• Ability to make decisions and assume responsibilities.
• Knowledge of policies and procedure.

• University degree or experience in Human Resources Management, Administrative Affairs, it is preferable to obtain a specialized certificate in Human Resources.

We are USC – Join us and make your career future ready!

Think bigger scale. Think higher profile. Think ground-breaking. Join USC, and you’ll be at the heart of a team of international experts all dedicated to growing and sharing their expertise and working on projects that transform society for all of us. Investing in the human element, enhancing its belonging and releasing its energies is one of the priorities of our company, and we seek to achieve this by following various strategies, including continuous training, applying the latest technologies and management theories, and talking courageous initiatives, USC looks to the future with an optimistic view compared to its present, and in order to advance its aspirations, it works to prepare a professional staff and is keen to develop it professionally , knowledgeably and administratively.

Head of employee Relations.

Supervising the management of medical insurance operations, providing the best medical services to employees, and contributing to achieving the company’s goals.

Your new role, what’s involved?

• Follow-up and attention to the direct relationship with the medical insurance company or the intermediary (Broker).
• Adding Saudi employees to the company and excluding them in the event of resignation from the insurance company.
• Follow-up the financial claims submitted by the workers to the insurance company.
• Follow-up of bills addition and deletion with the insurance company.
• Follow-up promotions for the company’s employees and their cost after fulfilling the promotion requirements.
• Preparing periodic and annual reports for the services provided by the medical insurance company.
• Communicate with medical insurance companies before the end of the contract to get the offers through the intermediary (Broker) or Search in person for better medical insurance offers.
• Coordinating with the communications officer to conduct a questionnaire for the company’s employees to seek their views on the services provided by the insurance company.
• Follow-up the notes and complaints of the company’s employees regarding the service provided by the insurance company.
• Coordinating with the employment official regarding new appointments to issue the medical insurance cards for them according to the internal regulations and for non-Saudis follow-up on the transfer of their sponsorship to exclude them from the insurance.
• Coordinating with the internal auditor to reviews the insurance invoices and submitting them to the financial department for disbursement.
• Coordinating with the medical insurance company in preparing features, benefits and networks for the insurance grade.
• Carrying out the work assigned to him by the direct manager and related to the nature of his work.

• Internal relations.
• Functional relations with the director of Human Resources Department.
• Coordinating relations with the rest of the directors of the various departments of the company.
• External relations with the broker and insurance company.

• Supervision ability.
• Communication and reporting ability.
• Ability to make decisions and assume responsibilities.
• Knowledge of policies and procedure.

• University degree or experience in Human Resources Management, Administrative Affairs, it is preferable to obtain a specialized certificate in Human Resources.

Job Brief:

Are you a medically qualified professional experienced in handling medical approvals and insurance coordination? Do you have a strong understanding of clinical evaluation and policy compliance?

If so, you are the one we are looking for

This is an excellent opportunity to join a reputed medical insurance management team, where you will evaluate treatment requests, ensure compliance with medical guidelines, and maintain accuracy in medical authorization processes while working closely with healthcare providers.

Key Responsibilities:

• Evaluate prior authorization requests for medical necessity based on provided medical reports and documentation.
• Code medical services accurately and classify cases (inpatient, outpatient, emergency, etc.) as per standard clinical practices.
• Verify that all requested services comply with best medical practices and insurance policy terms.
• Identify, document, and report misuse or potential fraud cases, ensuring necessary preventive actions are implemented.
• Monitor utilization patterns, detect early warning signs, and recommend cost-control measures.
• Respond promptly to inquiries from hospitals, clinics, and pharmacies to ensure smooth case coordination.
• Handle second opinion and case management requests and escalate complex cases to senior medical officers.
• Participate in night shifts and holiday rosters as assigned.
• Prepare daily and monthly activity reports as required by management.
• Validate the accuracy of services and pricing, identifying areas for cost optimization.
• Communicate with clients and providers in a professional and timely manner in accordance with company guidelines.
• Perform any other duties assigned by the direct supervisor related to the role.

Required Qualification / Experience / Skills:

• Bachelor's or Master's Degree in General Medicine & Surgery .
• Min 1 year of Saudi experience in medical approvals, insurance claims, or healthcare administration
• Familiarity with medical coding systems (ICD, CPT, etc.)
• Strong understanding of clinical practices and medical policy interpretation
• Proficiency in Microsoft Office and healthcare management systems
• Excellent communication and coordination abilities
• Strong analytical and decision-making skills
• Ability to handle multiple cases efficiently under pressure

Job Location: Saudi Arabia

Type of Employment: Permanent / Full-time

Salary Range: 7,000 – 12,000 SAR based on experience

What you can expect from the employer:

Competitive salary package based on experience

Dynamic and growth-oriented work environment

Training and career advancement opportunities

All other benefits as per Saudi Employment Law

Job Types: Full-time, Permanent

Pay: ﷼7, ﷼12,000.00 per month

Application Question(s):

• Do you hold a Bachelor's or Master's degree in General Medicine & Surgery?
• How many years of experience do you have in medical approvals or insurance management?
• Are you familiar with medical coding systems (ICD, CPT, etc.)?
• Are you willing to work rotational night shifts and on official holidays?
• Do you have prior experience in coordinating with hospitals, clinics, or insurance providers?