Medical Officer

MedNet Oman (MN-OMN) BU; Muscat; In loco; OMR 12.000 - 18.000; Tempo pieno

Descrizione del lavoro

Munich Re Oman MedNet Group is seeking a Medical Officer to handle pre-authorizations for outpatient and inpatient cases, coordinating with network providers to secure timely pre-approvals and ensure policy alignment.

The role emphasizes clinical policy knowledge, accurate coding, documentation, and timely processing, with a strong focus on quality, ethics, and fraud prevention while meeting productivity targets.

Competenze

• Bachelor’s degree in Nursing or Pharmacy (preferred).
• Experience in UAE managed care or healthcare payer environments.
• Proficient MS Office suite; good written English.

Mansioni

• Review outpatient and inpatient pre-authorization requests per medical policies and benefits.
• Assess medical necessity using clinical data, guidelines, and policy terms.
• Ensure accurate coding, approvals, documentation, and system updates.

Conoscenze

English proficiency

Interpersonal skills

Negotiation skills

Analytical thinking

Formazione

Bachelor’s degree in Nursing or Pharmacy

Strumenti

MS Office

Excel

PowerPoint

Descrizione del lavoro

Job Description - Medical Officer (2600000W)

Job Description

Medical Officer - ( 2600000W )

Description

As a member of Munich Re the Oman MedNet Group is a leading Third-Party Administrator across the MEA region. We are currently looking for a “Officer -Medical Care Unit” the job holder is expected to handle pre-approvals pertaining to outpatient Or In-patient cases and correspond with network providers for pre-approval requisitions.

Your Job:

• Review and process outpatient and inpatient pre-authorization requests in line with medical policies and benefits.
• Assess medical necessity based on clinical information, medical guidelines, and policy terms.
• Ensure accurate medical coding, approvals, documentation, and system updates.
• Process pharmacy authorization requests within required turnaround times.
• Provide clear rationale for decisions while maintaining accuracy, quality, and medical ethics.
• Identify and elevate suspected fraud or abuse and unusual medical trends.
• Handle provider queries, second opinions, and case management efficiently.
• Manage changing workloads and shift-based duties while meeting quality and productivity targets.

Qualifications

Your Profile:

Minimum Qualifications & Experience:

• Bachelor’s degree in Nursing or Pharmacy, preferred.
• Minimum 2–3 years of experience in the UAE managed care industry.
• Good knowledge of health insurance concepts and the UAE healthcare system.
• Proficient in MS Office, including Excel and PowerPoint.
• Good command of written English.
• Strong interpersonal and negotiation skills.

Good analytical, problem-solving, planning, and organizational skills.

*Munich Re not only stands for fairness with regard to its clients; it is also an equal opportunity employer.

Primary Location

OM-OM-Muscat

Work Locations

MN Oman Head Office Hatat Complex-A, 2nd Floor, # 213, PC-131, Al Hamriya Muscat 518

Job

Professional

Schedule

Regular

Shift

Standard

Job Type

Full-time

Day Job