Specialist Medical Management

About Ma'aden

Ma'aden, established in 1997, is recognized as one of the fastest-growing mining companies globally and stands as the largest multi-commodity mining and metals company in the Middle East. The company is instrumental in developing the mining industry, aiming to establish it as the third pillar of Saudi Arabia’s economy through the construction of a world-class, fully integrated mining value chain.

The Role: Specialist, Medical Management

Ma'aden is seeking a Specialist, Medical Management to join its team in Riyadh. This full-time position involves managing and administering employee medical insurance services, overseeing work injury processes, and coordinating healthcare activities. The role is critical in ensuring compliance with regulatory requirements and company policies related to employee medical needs.

Key Responsibilities

• Administer employee medical insurance programs in compliance with Health Insurance Council (CHI) regulations.
• Coordinate insurance approvals, manage coverage inquiries, handle escalations, and monitor 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 the 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 both within and outside the Kingdom.

Role Purpose and Contribution

The primary purpose of this role is to support employees' medical needs through effective insurance administration, claims management, and healthcare provider coordination. The Specialist ensures occupational health compliance and contributes to the overall well-being of the workforce by maintaining high standards in medical management services.

Required Experience

Candidates for this position should possess 2 to 5 years of relevant experience in medical management, insurance administration, or a related healthcare coordination field.

Application Information

We invite qualified professionals to apply for this opportunity to contribute to Ma'aden's continued growth and impact on the mining industry in Saudi Arabia.