PBM/OP Pre-Approval Officer
Job Description
AccuMed is actively Hiring a PBM/OP Pre-Approval Officer to join a Government Hospital in Ajman.
Interested candidates can send me your CV
Key Responsibilities:
Process medication pre-authorization requests
Verify insurance coverage & patient eligibility
Coordinate with doctors, pharmacies & insurers
Ensure compliance with UAE regulations and payer guidelines
Meet SLAs and maintain accurate documentation
Requirements:
▪︎ 2–3 years in PBM / insurance / healthcare pre-approvals
▪︎ Experience in Riyaati Portal
▪︎ Strong knowledge of medication workflows & insurance policies
▪︎ Healthcare or pharmacy background preferred
Immediate joiner preferd
▪︎ Preferd Male candidate due to rotational night shifts
