Medical Core System Transformation Lead I Dubai I Financial Services I

🏢 Al Futtaim Private Company (LLC)
📍 United Arab EmiratesFull-timeOn-site
📅 Posted: 1w ago🔄 Updated: 1w ago
CV%
✨ AI Summary
The Medical Core System Transformation Lead will be responsible for leading the strategy, design, and execution of the medical core system transformation program within the financial services sector in Dubai. This role requires ownership across key medical domains such as claims adjudication, policy configuration, provider management, and utilization management, driving modernization from legacy platforms to API-driven solutions. The lead will partner with various business and clinical teams, manage vendor engagements, establish strong program governance, and ensure regulatory compliance. Key objectives include driving business adoption, achieving value realization through metrics like reduced claims processing time and improved configurability, and safe decommissioning of legacy platforms. 1. Transformation LeadershipLead 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 OwnershipOwn transformation across key medical domains, including:Claims adjudication and paymentPolicy & benefits configurationProvider and network man
Required Skills
Business, Sales & Management
○Change Management○Risk Management○HR Management○Management Consulting
Engineering, Construction & Trades
○MEP Systems
Other
○Core System Replacement○System Implementation○Claims Adjudication○Policy Configuration○Medical Pricing○Insurance Core System Program Manager○Head Of Core Systems Transformation○Lead Core System Architect
Information Technology
○Data Transformation○REST API○Data Architecture
Soft Skills & Professional Competencies
○Stakeholder Management○Communication
Requirements

  • Essential Experience

    • 12+ years of experience in health insurance, payer operations, or healthcare technology.

    • Proven leadership of large-scale core system transformation programs in medical insurance.

    • Deep understanding of medical claims, benefits, pricing, provider networks, and utilization management.

    • Experience modernizing legacy medical core platforms to modern or SaaS-based solutions.


    Technical & Domain Expertise

    • Strong knowledge of health insurance core systems (claims/PAS/medical modules).

    • Experience with system migration, data conversion, and parallel run strategies.

    • Understanding of API-based integration, interoperability, and data architecture.

    • Comfort working with enterprise architects, security, and data teams.


    Leadership & Ways of Working

    • Strong stakeholder management across business, clinical, technology, and vendors.

    • Ability to lead through ambiguity and make pragmatic trade-offs.

    • Executive-level communication and decision facilitation skills.

    • Outcome-oriented mindset with strong delivery discipline.


    What equips you for the role


    • Core medical system migration delivered on time and within agreed scope.

    • Reduction in claims processing time, errors, and manual interventions.

    • Improved configurability of medical benefits and pricing.

    • Measurable improvement in member and provider experience.

    • Safe decommissioning of legacy platforms and technical debt reduction

Description
1. Transformation LeadershipLead 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 OwnershipOwn transformation across key medical domains, including:Claims adjudication and paymentPolicy & benefits configurationProvider and network managementAuthorizations and utilization managementMedical pricing, rules, and payment logicDrive modernization from monolithic/legacy platforms to configurable, API-driven core solutions.3. Business & Clinical AlignmentPartner 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 ManagementLead 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 ExecutionEstablish 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 ReadinessEnsure 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 RealizationDrive 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.
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🎯 Overalli74%
⚡ Skillsi85%
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Ontology Match: 85.0
Matched:✓ Requirements Matching✓ Ontology Skills Mapping
📜 Eligibilityi49%
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Local: 19600%
🏗️ Career Fiti91%
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Seniority: 91.0
📋 Requirementsi67%
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Domain: 67.0
🔥 Motivationi78%
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Title Fit: 78.00