2 Medical Director jobs in Saudi Arabia
CMO - Director of Medical Affairs
Posted today
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Job Description
Company: A Leading Healthcare Provider in Riyadh
Location: Riyadh, Saudi Arabia
Job Type: Full-time, Senior Leadership
About Us
Client is a premier, state-of-the-art medical facility in the heart of Riyadh, renowned for its exceptional patient care, cutting-edge technology, and world-class medical expertise. We are committed to advancing healthcare in the Kingdom of Saudi Arabia through innovation, research, and the highest standards of clinical excellence. As we continue to grow and shape the future of healthcare, we are seeking a visionary and strategic leader to join our executive team as the Director of Medical Affairs.
The Opportunity
This is a unique opportunity to play a pivotal role at the intersection of clinical medicine, administration, and strategic leadership. As the Director of Medical Affairs, you will be the key link between our medical staff and executive management, ensuring the delivery of superior patient care while driving medical governance, quality improvement, and clinical research initiatives. Your work will directly impact our reputation, our patients' outcomes, and the professional development of our medical staff.
Key Responsibilities:
Strategic Leadership & Governance:
- Develop and execute the medical affairs strategy in alignment with the hospital's overall mission and vision.
- Chair and provide secretariat support to key medical committees (e.g., Medical Advisory, Credentials, Ethics).
- Oversee the implementation and adherence to hospital medical bylaws, rules, and regulations, ensuring compliance with Saudi Council for Health Specialties (SCFHS) and Saudi Central Board for Accreditation of Healthcare Institutions (CBAHI) standards.
- Manage the medical staff credentialing, privileging, and re-appointment processes.
Quality & Patient Safety:
- Lead hospital-wide quality improvement and patient safety programs in collaboration with the Quality Department.
- Analyze clinical outcomes data, identify trends, and implement initiatives to enhance the quality of care.
- Promote a culture of continuous quality improvement and evidence-based practice among all medical staff.
Medical Staff Management & Development:
- Serve as the primary administrative liaison for all physicians, fostering a collaborative and positive working environment.
- Address and mediate professional practice concerns and conflicts.
- Oversee the planning and accreditation of Continuous Medical Education (CME) and professional development programs for medical staff.
Clinical Research & Academia:
- Provide strategic direction and administrative support for the hospital's clinical research activities.
- Foster partnerships with academic institutions and promote a research-oriented culture.
- Ensure all research activities comply with ethical guidelines and regulatory requirements.
Regulatory & Accreditation:
- Act as the primary point of contact for all matters related to SCFHS and CBAHI.
- Lead the preparation for and ensure successful passage of all national and international accreditation surveys.
Qualifications & Experience:
Essential:
- Medical Doctor (MD) or Bachelor of Medicine, Bachelor of Surgery (MBBS) degree from an accredited institution.
- Valid SCFHS license and classification as a Consultant (or eligibility for the same).
- Minimum of 10 years of post-qualification clinical experience, with at least 5 years in a significant medical leadership or medical affairs role within a large, acute care hospital.
- Proven track record in medical governance, quality management, and accreditation processes (CBAHI, JCI, etc.).
- Exceptional understanding of the Saudi Arabian healthcare landscape and regulatory framework.
- Strong financial and budgetary management skills.
- Outstanding leadership, communication, and interpersonal skills with the ability to influence and engage senior stakeholders.
Desirable:
- Master's degree in Healthcare Administration (MHA), Business Administration (MBA), or a related field.
- Experience in developing and launching clinical research programs.
Job Type: Full-time
Medical Approval Specialist – Medical Insurance Management
Posted today
Job Viewed
Job Description
Job Brief:
Are you a medically qualified professional experienced in handling medical approvals and insurance coordination? Do you have a strong understanding of clinical evaluation and policy compliance?
If so, you are the one we are looking for
This is an excellent opportunity to join a reputed medical insurance management team, where you will evaluate treatment requests, ensure compliance with medical guidelines, and maintain accuracy in medical authorization processes while working closely with healthcare providers.
Key Responsibilities:
- Evaluate prior authorization requests for medical necessity based on provided medical reports and documentation.
- Code medical services accurately and classify cases (inpatient, outpatient, emergency, etc.) as per standard clinical practices.
- Verify that all requested services comply with best medical practices and insurance policy terms.
- Identify, document, and report misuse or potential fraud cases, ensuring necessary preventive actions are implemented.
- Monitor utilization patterns, detect early warning signs, and recommend cost-control measures.
- Respond promptly to inquiries from hospitals, clinics, and pharmacies to ensure smooth case coordination.
- Handle second opinion and case management requests and escalate complex cases to senior medical officers.
- Participate in night shifts and holiday rosters as assigned.
- Prepare daily and monthly activity reports as required by management.
- Validate the accuracy of services and pricing, identifying areas for cost optimization.
- Communicate with clients and providers in a professional and timely manner in accordance with company guidelines.
- Perform any other duties assigned by the direct supervisor related to the role.
Required Qualification / Experience / Skills:
- Bachelor's or Master's Degree in General Medicine & Surgery .
- Min 1 year of Saudi experience in medical approvals, insurance claims, or healthcare administration
- Familiarity with medical coding systems (ICD, CPT, etc.)
- Strong understanding of clinical practices and medical policy interpretation
- Proficiency in Microsoft Office and healthcare management systems
- Excellent communication and coordination abilities
- Strong analytical and decision-making skills
- Ability to handle multiple cases efficiently under pressure
Job Location: Saudi Arabia
Type of Employment: Permanent / Full-time
Salary Range: 7,000 – 12,000 SAR based on experience
What you can expect from the employer:
Competitive salary package based on experience
Dynamic and growth-oriented work environment
Training and career advancement opportunities
All other benefits as per Saudi Employment Law
Job Types: Full-time, Permanent
Pay: ﷼7, ﷼12,000.00 per month
Application Question(s):
- Do you hold a Bachelor's or Master's degree in General Medicine & Surgery?
- How many years of experience do you have in medical approvals or insurance management?
- Are you familiar with medical coding systems (ICD, CPT, etc.)?
- Are you willing to work rotational night shifts and on official holidays?
- Do you have prior experience in coordinating with hospitals, clinics, or insurance providers?
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