متخصص إدارة الصحة

Job Purpose
Manage and administer employee medical insurance services, work injury processes, and healthcare coordination activities while ensuring compliance with regulatory requirements and company policies. The role supports employees’ medical needs through effective insurance administration, claims management, healthcare provider coordination, and occupational health compliance.
Key Accountabilities
Administer employee medical insurance programs in compliance with Health Insurance Council (CHI) regulations.
Coordinate insurance approvals, coverage inquiries, escalations, and monitoring of medical coverage limits.
Review, validate, and process employee medical expense claims in accordance with company policies.
Manage GOSI registration, reporting, and follow-up for all work-related injury cases.
Coordinate pre-employment medical examinations for new hires.
Maintain accurate medical insurance and employee healthcare records.
Support employees with medical insurance inquiries and healthcare service requirements.
Ensure quality and effectiveness of healthcare providers, including company clinics and external medical facilities.
Conduct site visits to hospitals and medical facilities to monitor service quality and compliance with approved healthcare standards.
Coordinate medical travel arrangements for employees requiring specialized treatment within and outside the Kingdom.
Minimum Qualifications
Bachelor’s degree in healthcare administration, Business Administration, Human Resources, or a related field.
Minimum Experience
Minimum 2 years of experience in medical insurance administration, healthcare services, employee medical support, or a related healthcare field.
Skills
Knowledge of Health Insurance Council (CHI) Regulations
GOSI Platform Management
Patient Service Experience and Employee Medical Support
Knowledge of Medical Terminology
Medical Insurance Coordination and Provider Management
Hospital and Healthcare Industry Experience
Microsoft Office (Excel, Word, PowerPoint, Outlook)
Strong Communication and Stakeholder Management Skills
Analytical Thinking and Problem Solving
Time Management, Planning, and Organization
English Language Proficiency
Competencies
Teamwork
Integrity
Care
Ownership
Communication
Accountability
Customer Focus
Analytical Thinking
Problem Solving
Planning and Organizing
Service Excellence

Apply directly at معادن