Medical services Section Head

Maaden; Saudi Arabia; On-site; SAR 120,000 - 150,000; Full time

Job summary

A prominent mining company in Saudi Arabia is seeking a Medical Services Section Head in Riyadh. The successful candidate will lead the Medical Services Department, focusing on insurance management and high-quality clinic operations while ensuring an excellent employee healthcare experience. Applicants should have extensive experience in medical services administration and must be licensed by the Saudi Commission for Health Specialties. Strong communication skills in Arabic and English are essential.

Qualifications

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

Responsibilities

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

Skills

Knowledge of insurance and clinical operations

Vendor and contract management

Data analysis and reporting

Communication in Arabic and English

Education

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

BLS certification

Occupational Health certification (preferred)

Job description

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

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