Medical Core System Transformation Lead I Dubai I Financial Services I Orient Insurance PJSC - Al Futtaim Group

What you will do

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.

Job Details