Insurance Program Manager

Major Responsibilities:

• Manage the overall operations of a national health insurance (NHI) program.
• Define, design, and implement program objectives, milestones, and budgets.
• Monitor and guide project managers on execution strategies, program policies, deliverables, risk mitigation plans, and successful project closure methods.
• Develop and implement evaluation toolkits to measure program performance and ensure quality outcomes.
• Serve as the liaison between executive management and implementation teams, ensuring alignment and smooth program execution.
• Collect, record, and analyze project data to generate insightful reports for senior leadership.
• Facilitate vendor management, including contracts, statements of work, and performance tracking.
• Act as an advisor on insurance-related contractual matters.
• Oversee change management processes to ensure benefits realization from implemented projects.
• Provide subject matter expertise on health insurance regulations, standards, and industry best practices.
• Coordinate with government bodies, healthcare organizations, and external stakeholders to align program objectives and maintain compliance.
• Lead operational transformation initiatives focused on automation (e.g., CIS/HIM/CRCM), process optimization, and control refinement.
• Ensure compliance with the organization’s project management framework.

Qualification:

• Bachelor’s degree in Medicine is mandatory.

Experience & Knowledge Requirements:

• Bilingual in English and Arabic is preferred.
• Minimum 15+ years of overall professional experience, including at least 5 years as a Program Manager in a medium-to-large healthcare setting.
• PMI certification or equivalent is preferred.
• Strong background in health insurance project management.
• Proven experience working across both healthcare providers and payors.
• Skilled in identifying project requirements, milestones, and critical deliverables.
• Budget management expertise.
• Technologically adept in using project management tools and healthcare systems.
• In-depth understanding of the healthcare sector and insurance workflows.
• Strong leadership qualities with exceptional interpersonal, communication, and stakeholder management skills.
• Strategic thinking and planning capabilities.
• Public speaking and presentation proficiency.
• Sound knowledge of medical coding is a plus.
• Experience with Cerner (CIS), CRCM platforms, is preferred.
• Arabic language skills are an added advantage.

Skills Requirements:

• Strong interpersonal and communication skills.
• Advanced analytical and problem-solving abilities.
• Excellent planning and organizational capabilities with the ability to prioritize multiple initiatives.
• Proficiency in Microsoft Office (Word, Excel, PowerPoint) and project management software.