Medical Director And Insurance Consultant

Company Description Shamlan International Hospital is a modern healthcare facility located in Sana‘a, committed to delivering high-quality medical services to the community. The hospital focuses on patient-centered care, safety, and clinical excellence across a range of specialties. It strives to integrate advanced medical practices with compassionate service, supporting both inpatient and outpatient needs. Shamlan International Hospital values collaboration among healthcare professionals and encourages continuous learning and improvement. The organization aims to attract experienced medical leaders who can help shape its clinical standards and long-term strategy.Role Description The Medical Director and Insurance Consultant is a full-time, on-site position based at Shamlan International Hospital in Sana‘a. This role oversees clinical governance, ensures adherence to medical standards, and provides leadership to physicians and clinical teams. Daily responsibilities include reviewing and updating clinical protocols, monitoring quality of care and patient safety indicators, and collaborating with department heads on case management and resource allocation. The role also involves managing relationships with insurance providers, reviewing medical claims, advising on coverage and utilization, and ensuring accurate clinical documentation to support reimbursement. The Medical Director and Insurance Consultant participates in strategic planning, supports physician education, and contributes to continuous quality improvement initiatives across the hospital.Qualifications Strong foundation in Medicine with demonstrated clinical experience in hospital settings.Clinical expertise in one or more specialties such as Cardiology, Neurology, or Oncology.Proven experience working with physicians and multidisciplinary clinical teams to improve care quality and coordination.Experience in medical insurance consulting, including claim review, coverage assessment, and utilization management.Medical degree (MD or equivalent) with relevant board certification and valid licensure as required.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.Strong analytical, communication, and decision-making skills, with the ability to manage complex cases and policies.Ability to work on-site in Sana‘a and collaborate effectively with hospital leadership, clinicians, and insurance representatives.