Medical Governance Specialist

Job Purpose

At Emirates Group, we connect the world through our global hub in Dubai, ensuring our customers always ‘Fly Better.’ As one of the most recognised and admired brands globally, we’re driven by innovation and excellence. Join us and make a difference by delivering top-tier medical services that support our employees health and well-being. Experience a fast-paced, multicultural environment where your medical expertise will directly impact the success of our operations and contribute to our shared success on a global stage.

As Medical Governance Specialist, you will support the effective governance and operational delivery of Medical Benefits (MB) by ensuring policies, procedures, and regulatory requirements are consistently applied and maintained. The role involves administering projects, managing updates to schemes and processes, and supporting risk and compliance activities through data analysis and documentation.

In This Role You Will

• Support the development and implementation of the medical governance framework, including policies, audits, and eligibility criteria, ensuring alignment with external regulations (DHA, MOH, GCAA) and best practices.
• Apply evidence-based guidelines to support consistent policy application for pre-approvals, appeals, and claims adjudication, and contribute to updates in adjudication logic and benefit plans in response to regulatory or operational changes.
• Monitor compliance and risk by analysing trends, supporting disease management initiatives, and ensuring alignment with regulatory standards.
• Provide technical and analytical support to improve operational processes, enhance system integration, and design automated dashboards and reports for standardised management reporting.
• Assist with medical claims reconciliation processes, including coordination with direct billing network providers and ensuring accuracy in financial and claims data.
• Collaborate across teams to support policy and process improvements, manage provider tariffs, drive operational efficiency, and contribute to governance and ad hoc projects.
• Drive efficiency, cost control, and quality by ensuring timely implementation of changes, maintaining up-to-date materials, and collaborating effectively across teams and with external partners. Maintain accurate, compliant documentation on online platforms, ensuring all published content is up to date and audit-ready.
  
  

Qualification

To be successful in this role, you must meet the following requirements:

• Degree in a relevant healthcare field with relevant experience (medical, medical insurance etc.)
• Experience as a medical doctor, including 3 years of clinical practice experience and 2 years working in the medical insurance sector.
  
  

Youll Have An Edge If You Have

• Knowledge of claim examination procedures and standard insurance procedures.
• Knowledge of company insurance schemes and the reimbursement and benefits system would be an advantage.
• Knowledge of web based tools such as SharePoint and Business Intelligence
  
  

At Emirates Group, we’re committed to providing our employees with opportunities to grow and develop in their careers. So if you’re looking for a challenging and rewarding opportunity, apply today and join our team.

Salary & benefits

Join us in Dubai and enjoy an attractive tax-free salary and travel benefits that are exclusive to our industry, including discounts on flights and hotels stays around the world. You can find more information about our employee benefits in the Working Here section of our website www.emirates.com/careers. Further information on what it’s like to live and work in our cosmopolitan home city, can be found in the Dubai Lifestyle section.

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