Job Purpose
The 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 Responsibility
- Develop 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 Experience
10+ Years of Experience
Nature of Experience
Prior 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 Band
Director
Knowledge and Skills
- Knowledge of internal operational and business processes
- Extensive knowledge of employee health insurance, healthcare benefits, claims management, and insurance-provider operations
- Knowledge of HR practices related to compensation, benefits, and employee services
- Knowledge of Saudi labor laws and relevant healthcare and insurance regulations
- Strategic planning and leadership skills
- Business and financial acumen
- Budgeting, forecasting, and cost-optimization skills
- Data analysis and performance-management skills
- Practical innovation and critical-thinking skills
- Stakeholder and vendor-management skills
- Contract negotiation and persuasion skills
- Risk-management and governance skills
- Problem-solving and conflict-resolution skills
- Strong analytical, quantitative, and conceptual skills
- Effective communication and presentation skills
Education
Bachelor's Degree in Business Administration, Human Resources, Insurance, Healthcare Management, Finance, or a related field
