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Director - Finance (Healthcare Industry Exp) - QHC0005

Qiddiya Investment Company
Riyadh, KSA
Contract
Director
Onsite
1 weeks ago
Revenue Cycle ManagementHealthcare FinancePayer ManagementData AnalyticsLeadershipPricing Strategy
Free

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Revenue Cycle ManagementHealthcare FinancePayer Management
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Role Summary

  • The Revenue Cycle Director leads the enterprise wide revenue cycle function across the Medical City ecosystem, driving revenue optimization, operational efficiency, payer strategy, and compliance.
  • The role ensures full integration between clinical, operational, and financial processes to maximize revenue realization.

Key Responsibilities

  • Define and execute the enterprise wide revenue cycle strategy across all Medical City assets
  • Lead pricing strategy, service monetization, and payer mix optimization initiatives
  • Identify and implement new revenue models including bundled care, subscription based services, and value based reimbursement
  • Establish a fully integrated, standardized revenue cycle model across hospitals, clinics, sports medicine, and wellness services
  • Oversee patient access, eligibility verification, coding, billing, claims processing, collections, and denials management
  • Ensure seamless coordination between clinical, administrative, and finance functions to optimize revenue capture
  • Own revenue forecasting, budgeting inputs, and financial planning related to revenue streams
  • Analyze performance trends including denials, write offs, underpayments, and collection efficiency
  • Lead performance reviews and present insights to executive leadership
  • Lead payer negotiations and contract structuring in collaboration with finance and leadership
  • Monitor payer performance, reimbursement structures, and compliance requirements
  • Develop strategies to enhance competitive positioning within the payer ecosystem

Key Responsibilities (continued)

  • Lead implementation of advanced RCM systems, automation tools, and analytics platforms
  • Develop real time dashboards and predictive analytics capabilities
  • Drive continuous innovation in revenue cycle processes
  • Ensure adherence to coding standards, regulatory requirements, and billing compliance
  • Establish internal controls to mitigate financial and compliance risks
  • Lead audit readiness and response for internal and external audits
  • Build and lead a high performing revenue cycle team
  • Develop internal capabilities in coding, billing, analytics, and payer management
  • Foster a culture of accountability, performance, and continuous improvement

Qualifications

  • Bachelor's in Finance, Accounting, or Healthcare Administration
  • 12–15+ years in healthcare RCM

Core Competencies

  • Revenue Strategy
  • Healthcare Finance
  • Payer Management
  • Data Analytics
  • Leadership

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