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account management specialist

account manager

approval specialist

Fakeeh Care Group

<div>
 
 Description
 
 
 
 Key Responsibilities and Duties:
 
 
 <ul>
 <li>
 Ensure full adherence to the Council of Health Insurance (CHI) Preauthorization Policy, NPHIES standards, and
 
 
 </li>
 </ul>
 individual payer coverage protocols.
 
 
 <ul>
 <li>
 Prevent unauthorized, uncovered, or non-contracted services from being initiated.
 </li>
 <li>
 Support the implementation and compliance of NPHIES downtime contingency procedures.
 </li>
 <li>
 Verify the completeness of clinical documentation and utilization of the Minimum Data Set (MDS) for every
 
 
 </li>
 </ul>
 request.
 
 
 <ul>
 <li>
 Review the treating physician&rsquo;s progress notes, diagnostics, prescriptions, and clinical justifications for
 
 
 </li>
 </ul>
 accuracy and adequacy.
 
 
 <ul>
 <li>
 Validate medical necessity in alignment with evidence-based guidelines, CHI standards, and payer criteria.
 </li>
 <li>
 Ensure accurate clinical coding and scheme linkage to prevent claim denials.
 </li>
 <li>
 Escalate incomplete or inaccurate documentation for correction prior to submission.
 </li>
 <li>
 Liaise with treating physicians, nurses, and roving doctors to secure approvals and clarify case details.
 </li>
 <li>
 Communicate approvals, denials, and payer queries within CHI-mandated timelines.
 </li>
 <li>
 Respond to payer or insurer queries within 30 minutes of receipt.
 </li>
 <li>
 Escalate urgent or high-priority cases (ER, ICU, Oncology, or high-cost procedures) immediately to the
 
 
 </li>
 </ul>
 Preauthorization Manager.
 
 
 <ul>
 <li>
 Monitor HIS/NPHIES queues to follow up on pending or queried cases in real time.
 </li>
 <li>
 Maintain updated approval status in both HIS and the patient&rsquo;s record.
 </li>
 <li>
 Ensure 100% completion of approvals for all discharges within the same day.
 </li>
 <li>
 Confirm that same-day discharge and high-cost cases are fully approved prior to billing.
 </li>
 <li>
 Document all approvals, denials, and payer communications in the patient&rsquo;s medical record.
 </li>
 <li>
 Participate in the daily discharge reconciliation process and report pending approvals to the Preauthorization
 
 
 </li>
 </ul>
 Manager.
 
 
 <ul>
 <li>
 Review all preauthorization rejections received through NPHIES, payer portals, or HIS at least twice per shift.
 </li>
 <li>
 Categorize rejections based on cause (missing justification, duplication, non-covered service, exceeded limit,
 
 
 </li>
 </ul>
 coding error, or late submission).
 
 
 <ul>
 <li>
 Record all rejections in the Rejection Tracker Log with patient MRN, preauthorization number, payer,
 
 
 </li>
 </ul>
 rejection reason, and physician name.
 
 
 <ul>
 <li>
 Coordinate with the Preauthorization Supervisor to ensure each rejection is reviewed and analyzed within the
 
 
 </li>
 </ul>
 assigned TAT.
 
 
 <ul>
 <li>
 Engage directly with the treating physician for clarification or missing documentation related to rejected
 
 
 </li>
 </ul>
 cases.
 
 
 <ul>
 <li>
 Provide constructive feedback and guidance to physicians to avoid recurrence, referencing insurer
 
 
 </li>
 </ul>
 preauthorization protocols, CHI guidelines and NPHIES dataset requirements.
 
 
 <ul>
 <li>
 Conduct same-day briefings for rejections involving high-cost services.
 </li>
 <li>
 Resubmit corrected documentation within the payer&rsquo;s appeal window as per the regulations.
 </li>
 <li>
 Liaise with the insurance representative or roving doctor for urgent or high-priority resubmissions.
 </li>
 <li>
 Confirm acknowledgment of resubmitted cases in both HIS and payer portals.
 </li>
 <li>
 Identify root causes for all rejections and document corrective recommendations.
 </li>
 <li>
 Distinguish between avoidable and non-avoidable rejections during end-of-day analysis.
 </li>
 <li>
 Submit a daily rejection summary to the Preauthorization Manager, covering:
 </li>
 <li>
 Total rejections received
 </li>
 <li>
 Avoidable vs non-avoidable ratio
 </li>
 <li>
 High-value or repetitive rejection patterns
 </li>
 <li>
 Breakdown by payer, physician, and service category
 </li>
 <li>
 Recommend corrective actions such as MDS checklist updates, justification templates, or focused physician
 
 
 </li>
 </ul>
 sessions.
 
 
 <ul>
 <li>
 Collaborate with Fakeeh Tech to improve HIS alerts (e.g., auto-flagging incomplete documentation or
 
 
 </li>
 </ul>
 incorrect scheme linkage).
 
 
 <ul>
 <li>
 Participate in weekly Preauthorization Group performance meetings to present rejection trends and lessons
 
 
 </li>
 </ul>
 learned.
 
 
 <ul>
 <li>
 Ensure complete transparency of all rejection cases to the Preauthorization Manager and Group
 
 
 </li>
 </ul>
 Preauthorization leadership.
 
 
 <ul>
 <li>
 Support the preparation of a Weekly Rejection Dashboard, including:
 </li>
 <li>
 Total rejection count
 </li>
 <li>
 Avoidable vs non-avoidable percentage
 </li>
 <li>
 Average approval turnaround time
 </li>
 <li>
 Top 10 contributing services, physicians, or payers
 </li>
 <li>
 Highlight immediate corrective actions taken and propose follow-up actions for recurring issues.
 </li>
 <li>
 Uphold professional communication standards and maintain formal documentation of all internal and
 
 
 </li>
 </ul>
 external correspondences.
 
 
 <ul>
 <li>
 Ensure continuous compliance with CHI, NPHIES, and contractual payer regulations in every stage of
 
 
 </li>
 </ul>
 preauthorization and rejection management.
 
 
 <ul>
 <li>
 Report any non-compliance or process deviation to the Preauthorization Manager for immediate rectification
 
 
 </li>
 </ul>
 and inclusion in preauthorization Group review.
 
 
 <ul>
 <li>
 Other duties as assigned within the scope of responsibility and requirements of the job.
 
 
 </li>
 </ul>
 
 Requirements
 
 
 
 Experience: 3&ndash;5 years clinical practice, with at least 2 years in preauthorization/insurance or
 
 
 utilization management
 
 
 Education: Bachelor&rsquo;s degree in medicine and surgery, Pharmacy, Dental or related field.
 
 
 Language: Excellent command of oral and written English and Arabic.
 
 
 
 Licenses / Certifications
 
 
 
 Preferred license for practice as per the regional health regulatory authority e.g.
 
 
 (SCFHS / DHA).
</div>

Approval Specialist

Yalla Group Limited (NYSE:YALA)

<div>
 
 
 Company Overview
 
 
 
 Yalla Group Limited is the leading MENA-based online social networking and gaming company, renowned for its innovative platforms like Yalla (voice-centric group chat) and Yalla Ludo (casual gaming with voice chatting feature). Our ecosystem also includes YallaChat, Yalla Baloot, and 101 Okey Yalla, designed to foster vibrant online communities. Expanding beyond MENA, we&rsquo;re exploring new markets with products like Yalla Parchis for South America. At Yalla, we&rsquo;re committed to delivering seamless, localized experiences that resonate deeply with users, building loyal and engaged communities worldwide.
 
 
 
 
 
 
 Job Overview
 
 
 
 We are looking for a creative and execution-driven Content Design &amp; PR Specialist to support our marketing and communication efforts. This role combines content creation, visual design, and PR coordination, ensuring consistency across brand communication, social media presence, and external partnerships. We are specifically looking for a professional Arabic speaker with strong English communication skills, who understands local culture and can effectively collaborate in an international work environment.
 
 
 
 
 
 
 Key Responsibilities
 
 
 
 
 
 1. Content Creation (Visual &amp; Video)
 
 
 
 <ul>
 <li>
 Create visual assets for social media, campaigns, and PR materials
 </li>
 <li>
 Shoot and edit video content for campaigns, events, and seasonal promotions
 </li>
 <li>
 Maintain a consistent visual style and storytelling across all content outputs
 </li>
 </ul>
 
 
 
 
 
 
 2. Social Media Management
 
 
 
 <ul>
 <li>
 Manage and publish content across platforms (Instagram, LinkedIn, Facebook, X)
 </li>
 <li>
 Plan and execute content calendars aligned with campaigns and brand messaging
 </li>
 <li>
 Track performance and optimize content based on engagement insights
 </li>
 </ul>
 
 
 
 
 
 
 3. PR Coordination
 
 
 
 <ul>
 <li>
 Coordinate PR workflows with internal teams and external agencies
 </li>
 <li>
 Support content review, approval, and media publication processes&nbsp;
 </li>
 <li>
 Ensure timely execution of PR initiatives and deliverables
 </li>
 </ul>
 
 
 
 
 
 
 4. Platform Communication
 
 
 
 <ul>
 <li>
 Manage communication with platform partners (e.g., Apple App Store)
 </li>
 <li>
 Handle featuring submissions, follow-ups, and product-related inquiries
 </li>
 <li>
 Align with platform opportunities and ensure timely updates
 </li>
 </ul>
 
 
 
 
 
 
 5. Campaign &amp; Event Support
 
 
 
 <ul>
 <li>
 Support key campaigns and events (e.g., Suhoor events, Opening Ceremony)
 </li>
 <li>
 Coordinate across teams to ensure smooth execution and delivery
 </li>
 <li>
 Assist in content production and on-site/remote coordination when needed
 </li>
 </ul>
 
 
 
 
 
 Requirements
 
 
 
 
 
 Core Skills
 
 
 
 <ul>
 <li>
 Proficient in graphic design tools (Photoshop, Illustrator, Figma, etc.)
 </li>
 <li>
 Skilled in video shooting and editing (Premiere, CapCut, Final Cut, etc.)
 </li>
 <li>
 Strong sense of visual storytelling and content aesthetics
 </li>
 </ul>
 
 
 
 
 
 
 Experience
 
 
 
 <ul>
 <li>
 Experience in social media management across multiple platforms
 </li>
 <li>
 Background in PR, marketing, or content-related roles
 </li>
 <li>
 Experience working with cross-functional teams or external agencies
 </li>
 </ul>
 
 
 
 
 
 
 Soft Skills
 
 
 
 <ul>
 <li>
 Strong communication and coordination abilities
 </li>
 <li>
 Detail-oriented with strong execution skills
 </li>
 <li>
 Able to manage multiple projects in a fast-paced environment&nbsp;
 </li>
 </ul>
</div>

Content Design & PR Specialist

Wood

<div>Wood is currently seeking an Area Lead &ndash; Process Plant (PT &amp; TBT) to support our Projects business. This role will play a key part in the development of a new gold mining and processing facility during the construction and pre-commissioning phases.
The position may initially be office-based in Al Khobar, Riyadh, or Jubail, prior to mobilising to a site-based assignment in Saudi Arabia on an 8/2 rotation.</div>
 <div>What we can offer
<ul><li>Medical Insurance - Ensures specialist care is available to you and eligible family members residing in country. Pre-existing medical conditions are covered. No limit on number of children covered under the policy however age and coverage limits apply in line with KSA CCHI rules. Option to select higher medical cover payable at employees own expense.
</li><li>Employee Assistance Programme - Allows you to feel comfortable knowing that you or your immediate family members can confidentially discuss any work or personal issues that are an inevitable part of life. The program helps support your mental, physical, social &amp; financial well-being.
</li><li>GOSI (Social Insurance) - Payable to KSA employees, social insurance contributions are paid by the company in line with Government legislation to cover occupational hazards.
</li><li>End of Service Gratuity - In line with KSA Labour Law, all employees are eligible for an End of Service benefit.
</li><li>Examination Leave - Upon company approval to enroll in an education institute or to continue within such institution, employees have the right to fully paid leave to sit for an examination of an unrepeated year. Leave duration is based on the days of actual examination and must be applied for no less than fifteen days prior exam
</li><li>Professional Memberships - One professional membership, registration, subscription, certification and/or license cost per annum for all active Wood employees. The membership must be relevant to the role you are currently employed in or be part of a development plan. Reimbursement should be claimed via the expenses procedure system, with supporting evidence.
</li><li>Inspire Awards - Our annual awards programme is all about recognising and celebrating our inspirational colleagues &ndash; those designing the future, upholding our values and playing a pivotal role in delivering our strategy. Employees can recognise those who inspire them and make their day by nominating them for their hard work, innovation and tenacity.
</li><li>Long Service Award - Wood values the commitment and loyalty of our people. Celebrating Long Service provides an opportunity for the business to demonstrate their appreciation of the hard work, dedication and many years&rsquo; service of our employees at 5 year service milestones.
</li><li>Career Development Champions - Prioritizes structured growth through goal setting and resource utilization. Employees use tools for planning and feedback, with managers actively coaching and mentoring to support advancement. Continuous learning and development are emphasized to help employees achieve their career goals effectively. 
</li></ul>Key Responsibilities:
<ul><li>Lead the construction of process tanks and internal components, ensuring compliance with design specifications and project standards.
</li><li>Coordinate all structural, mechanical, piping, and E&amp;I (Electrical &amp; Instrumentation) activities to maintain alignment across disciplines.
</li><li>Manage mechanical completion activities, including inspections, punch list resolution, and system readiness.
</li><li>Facilitate seamless handovers to commissioning teams.</li></ul></div>
 <div>What makes you remarkable
At Wood, we are committed to equal opportunities and welcome all talented individuals to consider joining our team. If you don&rsquo;t meet every requirement listed, but believe you have relevant experience, knowledge, or transferable skills, we encourage you to apply.
Some roles may include mandatory qualifications or legislative requirements that cannot be adjusted. Where this applies, these criteria will be clearly highlighted. For all other aspects of the role, we are open to considering a wide range of backgrounds and experiences. It will take all of us working together to deliver solutions to the world&rsquo;s most critical challenges.
Qualifications &amp; Experience:
<ul><li>Minimum 15 years of relevant industry experience
</li><li>Bachelor's degree in engineering
</li><li>Experience in large process tank construction within mining plants, or in Oil &amp; Gas tank farms, process vessels, and tank-based treatment systems.</li></ul></div>
 <div><div>Wood is a global leader in consulting and engineering, helping to unlock solutions to critical challenges in energy and materials markets. We provide consulting, projects and operations solutions in 45 countries, employing around 25,000 people. www.woodplc.com 
</div><div></div> 
<div>Diversity Statement
</div><div>We are an equal opportunity employer that recognises the value of a diverse workforce. All suitably qualified applicants will receive consideration for employment on the basis of objective criteria and without regard to the following (which is a non-exhaustive list): race, colour, age, religion, gender, national origin, disability, sexual orientation, gender identity, protected veteran status, or other characteristics in accordance with the relevant governing laws.</div></div>

Area Lead, Process Plant (PT & TBT)

Wood PLC

Sadat Consulting

Sen your CV across mohammed.sadatgac@gmail.com with below details1. Notice period 2. Current salary 3. Expected salary 4. Do you have Transferable IQAMARole Purpose Develop AI-enabled automation aligned with roadmap including automation workflows, AIassisted reporting, anomaly detection, and enterprise AI integration patterns.Key Responsibilities<ul><li>Develop automation pipelines and workflow automations</li><li>Integrate enterprise AI services (LLM APIs, automation endpoints)</li><li>Develop anomaly detection logic and operational intelligence rules</li><li>Build AI-assisted reporting components aligned with dashboards</li><li>Maintain AI/automation documentation and reproducibility</li><li>Ensure governance-aligned AI implementation (approval where required)</li><li>Support integration of AI outputs into enterprise apps (Frappe, dashboards)</li></ul>Mandatory Technical Requirements<ul><li>Python (ML/automation stack)</li><li>Experience integrating enterprise AI APIs</li><li>Familiarity with RAG architecture concepts</li><li>Automation frameworks and scripting (job scheduling, pipelines)</li><li>Strong integration skills (API-based orchestration)</li></ul>Minimum Experience<ul><li>8+ years experience</li><li>Proven delivery of AI/automation in enterprise environments</li></ul>Job Types: Full-time, PermanentWork Location: In person

AI Automation (LLMs, RAG) Engineer

Alsalimi Company Limited

<div>
 
 
 Candidate Responsibilities and Duties:
 
 
 <ul>
 <li>
 Assist teams when needed.
 </li>
 <li>
 Review and design the Issued for Construction drawings (IFC), including interior and exterior.
 </li>
 <li>
 Develop precise and error-free shop drawings, ensuring alignment with the expectations and requirements of consultants and clients.
 </li>
 <li>
 Collaborate with MEP &amp; Site Consultants to solve any issue that occurs.
 </li>
 <li>
 Prepare and submit modifications on design.
 </li>
 <li>
 Prepare initial 3D renderings perspectives.
 </li>
 <li>
 Create Building information Modeling (BIM) to display the picture for site teams, clients, and other departments as needed.
 </li>
 <li>
 Prepare and submit modification on design- Request for Information/Approval (RFIA).
 </li>
 <li>
 Conduct initial QS to support Procurement in determining subcontractor quantities and provide ongoing clarification to the QS team as required.
 </li>
 <li>
 Study the buildings from sustainability to energy wise &amp; suggest the best technical alternatives which may reduce the cost.
 </li>
 <li>
 Perform site visits for dimension verification or coordination (as required).
 </li>
 </ul>
 
 
 
 
 
 Qualifications and skills:
 
 
 <ul>
 <li>
 Organization, Communication, and Collaboration.
 </li>
 <li>
 Technical skills in Auto CAD and Building Information Modeling (BIM).
 </li>
 <li>
 Multi-tasking.
 </li>
 <li>
 Adaptability.
 </li>
 <li>
 Ensure the project is fulfilling the Saudi Building Code (SBC) .
 </li>
 </ul>
 
 
 
 
 
 Experience:
 
 At least 2+ years of experience in a technical field.
 
 
 
 
 
 
 Education requirements:
 
 Bachelor&rsquo;s degree in Architect Engineering or any other related field.
 
</div>

Architectural Engineer

Julphar

<div></div><div><div><div><div><div>Detailed Job Description:

Main Responsibilities:
<h3 class="jobSectionHeader">
1. Technical &amp; Quality Leadership</h3>
<ul><li>Manage all technical- related functions and departments within the plants as per the SFDA Guidelines.</li>
<li>Final approval of suppliers of semi-finished/ Raw Material and packaging materials, technical agreements for outsourcing activities and all changes of building, utilities, production lines and products variation</li>
<li>Oversee the implementation, monitoring, and continuous improvement of the Quality Management System (QMS).</li>
<li>Review and approve critical quality and technical documentation (e.g., Site Master File, Quality Manual, Validation Master Plan).</li>
<li>Approve process validation, equipment qualification, and change control activities.</li>
<li>Authorize investigations related to deviations, out-of-specifications (OOS), and product complaints.</li>
<li>Manage product recall processes and ensure proper documentation and corrective actions.</li>
<li>Final approval of the organogram and the job description.</li>
</ul><h3 class="jobSectionHeader">2. Regulatory &amp; Compliance</h3>
<ul><li>Ensure full adherence to cGMP, GLP, GDP, and SFDA regulatory requirements.</li>
<li>Responsible for representing the plant during the SFDA inspection along with the QA.</li>
<li>Approve responses and CAPA plans related to internal, external, and regulatory audits.</li>
<li>Oversee management of controlled and narcotic substances in compliance with Saudi regulations.</li>
<li>Ensure accuracy and completeness of all technical documents submitted for product registration and renewal.</li>
<li>In Case of Recall, Responsible to manage the investigation the Recall Process in coordination with the QA department.</li>
</ul><h3 class="jobSectionHeader">3. Operational &amp; Strategic Management</h3>
<ul><li>Approve supplier/vendor qualifications for raw materials, packaging materials.</li>
<li>Ensure proper execution of technology transfer and product lifecycle management activities.</li>
<li>Conduct internal audits and management reviews to assess QMS performance and drive continual improvement.</li>
</ul><h3 class="jobSectionHeader">4. Leadership &amp; Staff Development</h3>
<ul><li>Define roles, responsibilities, and performance expectations for technical staff.</li>
<li>Identify competency gaps and implement training and development programs.</li>
<li>Evaluate employee performance and promote a culture of accountability, quality, and safety.</li>
<li>Foster effective communication and collaboration across technical and quality functions.</li>
</ul><h3 class="jobSectionHeader">5. Additional Duties:</h3>
<ul><li>Prepare and present technical and operational performance reports for senior management.</li>
<li>Support external audits, inspections, and regulatory visits.</li>
Perform any other job-related duties as assigned in line with business needs. 
<li>
</li>
</ul><h5 class="jobSectionHeader">6. Environmental, Health and Safety Responsibilities:</h5>
<ul><li>Follow the company&rsquo;s Environmental Management System (ISO 14001:2015) and HSE policies in daily work.</li>
<li>Follow and ensure compliance with Saudi Safety Guidelines like, NCOSHA, SASO, OSH, NEBOSH,</li>
<li>Actively minimize environmental impacts, maintain a safe workplace, and handle tasks responsibly (e.g. proper disposal of waste, safe use of equipment).</li>
<li>Report hazards, non-conformities, or environmental issues to supervisors and support continual improvement initial.</li></ul> 


Core Competency:
<ul>
<li>In terms of competency, you are highly result-oriented with an intense sense of accountability &amp; ownership.</li>
<li>High compliance adherence, having strong diligence, initiative-taking, and flexibility.</li>
<li>Excellent communication, interpersonal, and collaboration skills.</li>
<li>Having demonstrated skills in leadership and people management</li>
<li>Motivated, organized, focused &amp; overall compliance.</li>
<li>Must be able to manage tasks, plan workload effectively, prioritize, and easily adapt to changing situations.</li>
<li>Identify, reduce, and prevent environmental impacts and operational risks.</li>
<li>Contribute to EHS activities, audits, and continual improvement initiatives.</li></ul> 


Qualification/Functional Knowledge:
<ul>
<li>Education: Bachelor&rsquo;s or Doctorate degree in Pharmaceutical Sciences / Pharmacy (B.Pharm or PharmD) &ndash; mandatory as per SFDA regulations</li>
<li>Experience: Minimum 10 years in pharmaceutical manufacturing, quality assurance, or related technical fields, including leadership experience in a cGMP-regulated environment, with minimum 5 years of Similar Role</li>
<li>Comprehensive understanding of GMP, GDP, ISO 9001 and ISO 14001 requirements.</li>
<li>Strong familiarity with regulatory guidelines (e.g. SFDA, FDA, WHO, EU).</li>
<li>Experience in audits, CAPA, risk management, and QMS systems.</li>
<li>Excellent leadership and team management skills.</li>
<li>Analytical thinking and problem-solving skills.</li>
<li>Proficiency in MS Office and electronic QMS platforms</li></ul></div></div></div></div></div>

Manager-Technical

Explore 73+ Approval specialist in Saudi Arabia this May. Find roles across top companies and apply now to boost your career.

73 approval specialist jobs In Saudi Arabia

Approval Specialist

Content Design & PR Specialist

Area Lead, Process Plant (PT & TBT)

Area Lead, Process Plant (PT & TBT)

AI Automation (LLMs, RAG) Engineer

Architectural Engineer

Manager-Technical