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

Director – Revenue Cycle Management (Healthcare Industry Exp)

General Job Information

• Job Title: Director, Revenue Cycle Management
• Department: Finance
• Reporting Line: TBC
• Location: King Faisal Specialized Hospital / Riyadh, KSA
• Job Grade: TBC

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

1. 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

2. 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

3. 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

4. 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

5. 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

6. 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

7. 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