Transformation Lead - Medical Insurance Systems
Posted date [2026-07-29]
(ID: 48789)
 |
Established in the 1930s as a trading business, Al-Futtaim is one of the most progressive regional family business houses headquartered in Dubai, United Arab Emirates. |
Job Description and Requirements
Transformation Lead - Medical Insurance SystemsJob Snapshot
Role: Transformation Lead - Medical Insurance Systems
Location: Dubai, United Arab Emirates
Industry: Insurance
Function: Program Management
Experience: Minimum 12 years
Job Type: Full-time
Position Overview
The Transformation Lead - Medical Insurance Systems role in Dubai, United Arab Emirates, is an Insurance hiring opportunity responsible for end-to-end modernization across policy administration, claims, benefits, provider management, and clinical integrations.
The position will lead the business-driven transition from legacy medical platforms to a scalable, compliant, and digital-first core system. Successful delivery will improve operational efficiency, member and provider experiences, regulatory readiness, and the organization\'s ability to adopt analytics, automation, and AI-enabled operations.
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
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.
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.
