Medical Director & Insurance Consultant

About the role

The Medical Director and Insurance Consultant is a full‑time, on‑site role at Shamlan International Hospital in Sana’a. The position leads clinical governance, ensures adherence to medical standards, and manages relationships with insurance providers.

Key responsibilities

• Oversee clinical governance and ensure adherence to medical standards.
• Review and update clinical protocols, monitor quality of care and patient safety indicators.
• Collaborate with department heads on case management and resource allocation.
• Manage relationships with insurance providers, review medical claims, and advise on coverage and utilization.
• Ensure accurate clinical documentation to support reimbursement.
• Participate in strategic planning, support physician education, and contribute to continuous quality improvement initiatives.

Required profile

• Medical degree (MD or equivalent) with relevant board certification and valid licensure.
• Strong foundation in medicine with clinical experience in hospital settings, preferably in specialties such as Cardiology, Neurology, or Oncology.
• Proven experience working with physicians and multidisciplinary teams to improve care quality and coordination.
• Experience in medical insurance consulting, including claim review, coverage assessment, and utilization management.
• Experience in clinical leadership, medical administration, or medical directorship in an acute care environment.
• Knowledge of healthcare regulations, quality standards, and evidence‑based clinical guidelines.

Required skills

• Clinical governance and protocol development.
• Quality and patient safety monitoring.
• Insurance claim review and utilization management.
• Strategic planning and physician education.