Medical services Section Head

Ma’aden; Riyadh; On-site; SAR 120,000 - 150,000; Full time

Job summary

A leading company in Saudi Arabia seeks a Medical Services Section Head to lead the Medical Services Department. This role includes managing cost-effective insurance operations, ensuring high-quality healthcare experiences, and overseeing clinic operations. Candidates should be licensed by the Saudi Commission for Health Specialties with 8–12 plus years in the field. Strong knowledge of insurance and clinical operations is essential, along with excellent communication skills in Arabic and English.

Qualifications

• Health professional licensed by Saudi Commission for Health Specialties.
• Mandatory BLS certification.
• Preferred certification in Occupational Health.

Responsibilities

• Manage insurance renewals, negotiations, and audits.
• Oversee policy administration and handle rejected cases.
• Supervise company clinics and ensure quality service.

Skills

Knowledge of insurance operations

Vendor management

Data analysis

Communication in Arabic

Communication in English

Education

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

BLS certification

Occupational Health certification

Job description

Job Title

Medical services Section Head

Department / Function

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.