Medical services Section Head

Maaden Saudi Arabian Mining Company; Riyadh; On-site; SAR 120,000 - 150,000; Full time

Job summary

A major mining company in Saudi Arabia is seeking a leader for their Medical Services Department. The role includes managing insurance renewals, overseeing clinic operations, and ensuring high-quality employee healthcare experiences. Candidates must be licensed by the Saudi Commission for Health Specialties and have extensive experience in medical services administration and management. Proficiency in Arabic and English is essential. This position offers a chance to impact employee wellness in a dynamic industry.

Qualifications

• 8–12+ years in medical services administration, health insurance/TPA management or clinical operations.
• 3–5 years in a leadership role.
• Proven track record in insurance renewals/negotiations and provider contracting.

Responsibilities

• Lead the Medical Services Department ensuring cost-effective insurance management.
• Manage insurance renewals, negotiations, and audits.
• Supervise company clinics ensuring quality service.

Skills

Medical Services Administration

Insurance Management

Vendor Management

Data Analysis

Communication in Arabic and English

Education

Licensed by Saudi Commission for Health Specialties (GP or higher)

BLS certification

Occupational Health certification

Job description

Employee Relations (ER), Contract Management (CM) and Medical Services

Reports To

Manager, ER, CM and Medical Services (Turki Rashed AlSuhaimi)

Location

Riyadh, KSA

Purpose

Lead the Medical Services Department to ensure cost‑effective insurance management, excellent employee healthcare experience, and high‑quality clinic operations.

Key Responsibilities

1. Insurance Finance & Governance

• Manage insurance renewals, negotiations, and audits.
• Monitor loss ratio and implement cost‑control measures.
• Ensure insurer compliance with contracts and SLAs.

2. Insurance Operations & Employee Support

• Oversee policy administration (additions/deletions).
• Handle rejected cases and coordinate with hospitals and insurer for best care.
• Review and approve medical reimbursements.
• Contract providers for pre‑employment medical checks.

3. Clinics Management

• Supervise company clinics and ensure quality service.
• Manage vendor performance, invoices, and pharmacy operations.
• Promote health awareness and occupational health programs.

Qualifications

• Licensed by Saudi Commission for Health Specialties (GP or higher).
• BLS certification (mandatory).
• Preferred: Occupational Health certification.

Experience

• 8–12+ years in medical services administration, health insurance/TPA management, or clinical operations, including 3–5 years in a leadership role.
• Proven track record in insurance renewals/negotiations, loss‑ratio management, provider contracting, and multi‑site clinic operations.

Skills

• Strong knowledge of insurance and clinical operations.
• Vendor and contract management.
• Data analysis and reporting.
• Excellent communication in Arabic and English.