Director - Revenue Cycle Management (Healthcare Industry Exp) - QHC0005

Overview

• Job Title: Director, Revenue Cycle Management

• Department: Finance

• Reporting Line: TBC

• Location: King Faisal Specialized Hospital / Riyadh, KSA

Role Summary

• Enterprise Revenue Strategy & Value Optimization

• 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

• Integrated Revenue Operations Leadership

• 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

• Financial Performance Ownership & Forecasting

• 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

• Payer Strategy, Contracting & Market Positioning

• 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

• Digital Transformation & Data-Driven Excellence

• 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

• Governance, Compliance & Risk Management

• 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

• Leadership & Organizational Development

• 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

Key Performance Matrix

• Improve revenue realization and overall collection efficiency across all services
• Reduce AR days and improve cash flow performance
• Maintain denial rates below benchmarks through effective processes
• Minimize revenue leakage through strong controls and audit mechanisms
• Enhance efficiency and turnaround time across the full revenue cycle

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