الموافقة الطبية العليا

Requirements

Review and make decisions on complex medical approval cases based on medical necessity, appropriateness, and coverage policies?

Ensure patient care considerations are appropriately addressed while maintaining compliance with medical and insurance guidelines?

Handle escalated cases and provide sound medical recommendations and decisions?

Support the quality and consistency of the medical approvals process?

Collaborate effectively with internal teams and relevant stakeholders to ensure timely and appropriate case resolution?

Bachelor's degree in medicine.

Minimum of 3 years of experience in Medical Approvals.

Strong knowledge of medical insurance and approval processes.

Strong analytical and decision-making skills.

Excellent problem-solving and communication skills.

Proficient in Microsoft Office Suite.

Desired Candidate Profile