Senior Business Rules and Operations Manager

Job Purpose

Key Responsibilities And Duties

• Lead enterprise-wide RCM process reviews to identify inefficiencies and redesign workflows for scalability and standardization.
• Support RCM functional leads in documenting current and future-state workflows, SOPs, and operational policies.
• Collaborate with department leads to ensure best practices are embedded across operations.
• Apply Lean, Six Sigma, or similar methodologies to structure and sustain improvements.
• Act as the RCM interface for compliance, audit, and governance-related meetings.
• Document meeting outcomes, track revisions, and coordinate responses to governance feedback.
• Ensure alignment between operational priorities and external oversight requirements.
• Develop and lead training programs, SOP documentation, and onboarding initiatives to institutionalize knowledge and reduce reliance on individuals.
• Promote a culture of learning and performance across the RCM team.
• Partner with site leads to cascade knowledge effectively across entities.
• Provide governance and oversight for clinical coding performance and compliance.
• Lead audits and corrective action plans in collaboration with billing and compliance teams.

Requirements

• Advanced knowledge of revenue cycle operations, analytics, and process improvement.
• Strong leadership and change management skills.
• Proven ability to translate insights into action and guide cross-functional teams.
• Excellent communication and stakeholder engagement abilities.
• Bachelor's degree in healthcare administration, Business, Engineering, or related field.
• 7 years of experience in revenue cycle, performance improvement, or healthcare operations.
• Master's degree or certification in process improvement (e.g., Lean Six Sigma) preferred.
• Excellent command of oral and written English and Arabic.