Transformation Lead - Medical Insurance Systems

AlFuttaim; Dubai; On-site; AED 45,000 - 65,000; Full time

Job summary

Al-Futtaim in Dubai seeks a Transformation Lead to drive a multi-workstream medical core-system modernization program, covering claims, pricing, provider networks, and authorizations. You will steer governance, adoption, and business readiness while safeguarding continuity of payer operations.

The ideal leader has 12+ years in health insurance or healthcare tech, with expert knowledge of API integration, SaaS modernization, and regulatory compliance.

Qualifications

• At least 12 years in health insurance, payer operations, or healthcare technology.
• Proven leadership of a large-scale medical insurance core-system transformation.
• Experience with API-based integration and SaaS modernization.

Responsibilities

• Lead a multi-workstream transformation covering strategy, solution design, migration, governance, and adoption.
• Define strategy and roadmap for medical core-system modernization.
• Lead program design, migration, MVP delivery, and legacy decommissioning.
• Maintain accountability for scope, timelines, risks, and value realization.
• Direct transformation across claims adjudication, payments, policy administration, benefits configuration, provider networks, and authorizations.
• Modernize pricing, utilization-management rules, payment logic, and clinical integrations.
• Guide transition from monolithic platforms to API-driven, SaaS-based cores.
• Partner with Medical, Operations, Finance, Actuarial, Compliance, and Provider Relations teams.

Skills

Core-system transformation

Health payer operations

Claims adjudication

Policy administration

Benefits configuration

Provider networks

Authorization workflows

Utilization management

Core-platform modernization

SaaS modernization

API-driven integration

Healthcare interoperability

Data architecture

System migration

Data conversion

Parallel-run planning

Legacy decommissioning

Vendor governance

Regulatory compliance

Data privacy controls

Business process redesign

Change management

Executive communication

Job description

Role Context

Medical insurance systems must process complex claims, benefits, pricing, provider, and authorization rules accurately while meeting regulatory and data-privacy requirements. Modernizing these platforms requires coordinated change across business operations, clinical workflows, technology, data, vendors, and employees. The Transformation Lead will provide a single point of accountability for program outcomes, delivery timelines, risk control, and value realisation. The role will ensure that new capabilities are introduced without disrupting ongoing payer operations or compromising member and provider services.

Job Details

Country: United Arab Emirates
City: Dubai
Industry: Insurance
Function: Program Management
Salary: 45000-65000
Estimated salary range based on similar jobs in the job city; please confirm the final offer with the employer.
Gender: Any
Candidate Nationality: Any
Job Type: Full-time

Role Context (continued)

Medical insurance systems must process complex claims, benefits, pricing, provider, and authorization rules accurately while meeting regulatory and data-privacy requirements. Modernizing these platforms requires coordinated change across business operations, clinical workflows, technology, data, vendors, and employees. The Transformation Lead will provide a single point of accountability for program outcomes, delivery timelines, risk control, and value realisation. The role will ensure that new capabilities are introduced without disrupting ongoing payer operations or compromising member and provider services.

Key Responsibilities

• The position will lead a multi-workstream transformation covering strategy, solution design, migration, business readiness, governance, and adoption.
• Define the strategy and roadmap for medical core-system modernization.
• Lead program design, execution, phased migration, minimum viable product delivery, and legacy decommissioning.
• Maintain accountability for scope, business outcomes, timelines, risks, dependencies, and value realisation.
• Direct transformation across claims adjudication, payments, policy administration, benefits configuration, provider networks, and authorizations.
• Modernize medical pricing, utilization-management rules, payment logic, and clinical integrations.
• Guide the transition from monolithic platforms to configurable, API-driven, and SaaS-based core solutions.
• Partner with Medical, Operations, Finance, Actuarial, Compliance, and Provider Relations teams.
• Ensure clinical workflows, business rules, regulatory requirements, and control needs are digitized accurately.
• Resolve trade-offs between standard platform capabilities and necessary local customization.
• Lead engagement with core-system vendors, system integrators, and specialized solution providers.
• Govern vendor design, delivery quality, security alignment, compliance, and contractual commitments.
• Establish milestones, decision forums, risk controls, escalation procedures, and program reporting.
• Coordinate technology, data, migration, testing, business-readiness, and change-management workstreams.
• Develop data-conversion, reconciliation, and parallel-run strategies.
• Maintain business continuity and minimize disruption during implementation and migration.
• Ensure the new platform supports payer regulations, audit requirements, reporting, and data privacy.
• Drive employee adoption through process redesign, training, communication, and operational enablement.
• Define and monitor measures covering claims speed, cost, accuracy, configurability, scalability, and manual intervention.
• Prepare the platform for future analytics, intelligent automation, and AI-driven capabilities.
• Oversee the safe retirement of legacy systems and reduction of technical debt.

Ideal Profile

Applicants should have at least 12 years of experience across health insurance, payer operations, or healthcare technology. Proven leadership of a large-scale medical insurance core-system transformation is essential. The successful candidate will possess deep knowledge of medical claims, policy administration, benefits, pricing, provider networks, authorization workflows, and utilization management. Experience replacing legacy medical platforms with modern or SaaS-based solutions is required. Candidates should understand system migration, data conversion, parallel-run planning, API-based integration, interoperability, and data architecture. Strong stakeholder management across business, clinical, technology, security, data, and vendor teams is critical. The ideal leader can work through ambiguity, make pragmatic trade-offs, facilitate executive decisions, and maintain disciplined delivery. Success requires an outcome-focused approach supported by clear communication and strong program governance.

Skills Set

• Medical core-system transformation
• Health insurance payer operations
• Claims adjudication and payment
• Policy administration systems
• Benefits configuration
• Provider network management
• Authorization workflows
• Utilization management
• Medical pricing and payment rules
• Core-platform modernization
• SaaS-based insurance systems
• API-driven integration
• Healthcare interoperability
• Data architecture
• System migration
• Data conversion
• Parallel-run planning
• Legacy-system decommissioning
• Multi-workstream delivery
• Vendor governance
• Regulatory compliance
• Data privacy controls
• Business process redesign
• Change management
• Value-realisation measurement
• Executive stakeholder communication

Why Join Us

This position offers the opportunity to lead a transformation that will influence nearly every stage of medical insurance operations. The successful candidate will shape how claims, benefits, providers, authorizations, and clinical data are managed while creating the foundation for future automation and AI capabilities. Al-Futtaim provides the scale and stability of an established regional group together with continued investment in digital modernization. The role offers senior-level visibility and the ability to deliver measurable improvements in processing speed, accuracy, cost, member experience, and provider service.

About the Company

Al-Futtaim Group is a diversified, privately held regional business headquartered in Dubai, United Arab Emirates. Established in the 1930s, the group operates across automotive, financial services, real estate, retail, and healthcare in more than 20 countries. Its financial services portfolio includes established insurance operations supported by an extensive regional presence and continued investment in modern digital capabilities.