Medical Core System Transformation Lead I Dubai I Financial Services I Orient Insurance PJSC

• 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).

• 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.

• 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.

• 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.

• 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.

• Ensure core systems meet health insurance regulatory, payer, and data privacy requirements.
• Support audits, reporting, and compliance validation through system design and controls.

• 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.

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