Requirements
The role holder is responsible for leading the strategic planning, governance, and performance optimization of employee health insurance programs. This includes overseeing insurance-provider selection, contract negotiations, policy design, budgeting, risk management, performance measurement, and data-driven analytics. The role requires 10+ years of experience in employee health insurance, medical insurance, healthcare benefits, or employee services, with experience in insurance-provider management, contract negotiation, budgeting, analytics, and team leadership. A Bachelor's Degree in Business Administration, Human Resources, Insurance, Healthcare Management, Finance, or a related field is required. Knowledge of Saudi labor laws and relevant healthcare and insurance regulations is also essential.
Description
Job PurposeThe role holder is responsible for leading the strategic planning, governance, and performance optimization of employee health insurance programs across the company. This includes overseeing insurance-provider selection, contract negotiations, policy design, budgeting, risk management, performance measurement, and data-driven analytics. The role aims to ensure cost efficiency, high-quality healthcare services, improved employee outcomes, regulatory compliance, and informed decision-making. The role holder shall carry out job duties in accordance with stipulated business policies and procedures.Job ResponsibilityDevelop and oversee the employee health insurance strategy across the company, ensuring alignment with organizational objectives and employee needs.Lead the identification and evaluation of medical insurance providers in collaboration with Supply Chain and other relevant stakeholders.Participate in contract negotiations with insurance providers and healthcare service vendors to secure competitive premiums, appropriate coverage, and high-quality services.Design and establish strategic KPIs and service-level agreements to measure and manage the performance of employee health insurance programs.Oversee the design, implementation, and continuous improvement of medical insurance policies and benefit structures.Identify and assess financial, operational, and compliance risks associated with medical insurance policies and implement appropriate mitigation measures.Collaborate with Finance teams to develop, review, and finalize healthcare budgets and forecasts.Monitor medical insurance utilization, claims trends, loss ratios, service quality, and overall financial performance.Leverage data and analytics to identify trends, risks, cost-saving opportunities, and areas for service improvement.Provide accurate reports, dashboards, and actionable insights to support management decisions and optimize insurance performance.Ensure that medical insurance policies and practices comply with applicable Saudi laws, regulations, and internal governance requirements.Manage escalated insurance cases and ensure their timely resolution in coordination with insurance providers and internal stakeholders.Drive initiatives that improve employee experience, healthcare outcomes, cost management, and operational efficiency.Maintain effective relationships with insurance providers, healthcare networks, regulators, and relevant internal stakeholders.Lead, develop, and guide the employee health insurance team while promoting accountability, collaboration, and continuous improvement.Monitor market developments and emerging practices in employee healthcare and insurance to identify opportunities for innovation.Present medical insurance performance, key risks, financial impact, and recommendations to senior management.Support the development of sustainable insurance models that balance employee needs, service quality, and financial efficiency.Act as the primary point of contact and subject-matter expert for employee health insurance matters across the company.Years of Experience10+ Years of ExperienceNature of ExperiencePrior experience in employee health insurance, medical insurance, healthcare benefits, or employee services, including experience in insurance-provider management, contract negotiation, budgeting, analytics, and team leadership. Experience within a large and complex organization is preferred.Job BandDirectorKnowledge and SkillsKnowledge of internal operational and business processesExtensive knowledge of employee health insurance, healthcare benefits, claims management, and insurance-provider operationsKnowledge of HR practices related to compensation, benefits, and employee servicesKnowledge of Saudi labor laws and relevant healthcare and insurance regulationsStrategic planning and leadership skillsBusiness and financial acumenBudgeting, forecasting, and cost-optimization skillsData analysis and performance-management skillsPractical innovation and critical-thinking skillsStakeholder and vendor-management skillsContract negotiation and persuasion skillsRisk-management and governance skillsProblem-solving and conflict-resolution skillsStrong analytical, quantitative, and conceptual skillsEffective communication and presentation skillsEducationBachelor's Degree in Business Administration, Human Resources, Insurance, Healthcare Management, Finance, or a related field