Medical Core System Transformation Lead I Dubai I Financial Services I

Tanqeeb; Abu Dhabi; On-site; AED 900,000 - 1,200,000; Full time

Job summary

Tanqeeb is seeking a Transformation Leader to steer the strategy, design, and execution of a comprehensive medical core system transformation. You will be the single point of accountability for outcomes, timelines, and value realization, translating enterprise strategy into a phased roadmap with MVPs and decommissioning plans.

You will own transformation across medical domains, from claims adjudication to pricing and network management, driving modernization from monolithic platforms to

Qualifications

• Executive-level communication and decision facilitation across business, clinical, tech and vendor groups.
• Strong delivery discipline with track record of on-time, on-scope delivery.
• Ability to lead through ambiguity and manage trade-offs across multi-workstreams.

Responsibilities

• Lead strategy, design, and execution of the transformation program.
• Own transformation across medical domains: claims, benefits, provider networks, pricing, authorizations.
• Partner with Medical, Operations, Finance, Actuarial, Compliance, and Provider Relations teams.

Skills

Executive communication

Stakeholder management

Delivery discipline

Ambiguity navigation

Cross-functional leadership

Job description

• 1. Transformation Leadership

  • Lead the strategy, design, and execution of the medical core system transformation program.

  • Act as the single point of accountability for business outcomes, timeline, and value realization.

  • Translate enterprise strategy into a clear transformation roadmap (phased migration, MVPs, decommissioning).

• 2. Core Medical Systems Ownership

  • Own transformation across key medical domains, including:

    • Claims adjudication and payment

    • Policy & benefits configuration

    • Provider and network management

    • Authorizations and utilization management

    • Medical pricing, rules, and payment logic

  • Drive modernization from monolithic/legacy platforms to configurable, API-driven core solutions.

• 3. Business & Clinical Alignment

  • Partner with Medical, Operations, Finance, Actuarial, Compliance, and Provider Relations teams.

  • Ensure business rules, clinical workflows, and regulatory requirements are accurately digitized.

  • Resolve trade-offs between standard product capability vs. local customization.

• 4. Vendor & Partner Management

  • Lead engagement with core system vendors, system integrators, and niche solution providers.

  • Oversee solution design, deployment quality, and contractual commitments.

  • Govern vendor delivery to ensure alignment with architecture, security, and compliance standards.

• 5. Governance & Delivery Execution

  • Establish strong program governance, including milestones, dependencies, and risks.

  • Manage multi-workstream delivery (technology, data, business readiness, migration, change).

  • Ensure transformation is delivered with minimal disruption to ongoing business operations.

• 6. Regulatory & Compliance Readiness

  • Ensure core systems meet health insurance regulatory, payer, and data privacy requirements.

  • Support audits, reporting, and compliance validation through system design and controls.

• 7. Change, Adoption & Value Realization

  • Drive business adoption through process redesign, training, and change management.

  • Define and track value realization metrics (speed, cost, accuracy, scalability).

  • Enable future capabilities such as analytics, automation, and AI-driven operations.

Desired Candidate Profile

• Essential Experience

  • 12+ years of experience in health insurance, payer operations, or healthcare technology.

  • Proven leadership of large-scale core system transformation programs in medical insurance.

  • Deep understanding of medical claims, benefits, pricing, provider networks, and utilization management.

  • Experience modernizing legacy medical core platforms to modern or SaaS-based solutions.

• Technical & Domain Expertise

  • Strong knowledge of health insurance core systems (claims/PAS/medical modules).

  • Experience with system migration, data conversion, and parallel run strategies.

  • Understanding of API-based integration, interoperability, and data architecture.

  • Comfort working with enterprise architects, security, and data teams.

• Leadership & Ways of Working

  • Strong stakeholder management across business, clinical, technology, and vendors.

  • Ability to lead through ambiguity and make pragmatic trade-offs.

  • Executive-level communication and decision facilitation skills.

  • Outcome-oriented mindset with strong delivery discipline.

• What equips you for the role

  • Core medical system migration delivered on time and within agreed scope.

  • Reduction in claims processing time, errors, and manual interventions.

  • Improved configurability of medical benefits and pricing.

  • Measurable improvement in member and provider experience.

  • Safe decommissioning of legacy platforms and technical debt reduction