Company Overview

Established in the 1930s as a trading business, Al-Futtaim Group today is one of the most diversified and progressive, privately held regional businesses headquartered in Dubai, United Arab Emirates. Structured into five operating divisions: automotive, financial services, real estate, retail, and healthcare; employing more than 35,000 employees across more than 20 countries in the Middle East, Asia, and Africa, Al-Futtaim Group partners with over 200 of the world's most admired and innovative brands. Al-Futtaim Group’s entrepreneurship and relentless customer focus enables the organisation to continue to grow and expand; responding to the changing needs of our customers within the societies in which we operate.

By upholding our values of respect, excellence, collaboration, and integrity, Al-Futtaim Group continues to enrich the lives and aspirations of our customers each and every day.

Job Description

The Medical Core System Transformation Lead is responsible for end-to-end delivery of the health insurer’s core medical system modernization, including policy administration, claims, benefits, provider management, and clinical integrations.

This role owns the business-led transformation of legacy medical systems into a modern, scalable, compliant, and digital-first platform that enables operational efficiency, better member and provider experience, regulatory compliance, and future AI/analytics capabilities.

What you will do

1. Transformation Leadership

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).

2. Core Medical Systems Ownership

Own transformation across key medical domains, including:

Claims adjudication and payment

Policy and 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.

3. Business and Clinical Alignment

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 versus local customization.

4. Vendor and Partner Management

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.

5. Governance and Delivery Execution

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.

6. Regulatory and Compliance Readiness

Ensure 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 and Value Realization

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.

Required Skills to be Successful

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 and 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 and 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