The Director of Revenue Management leads all revenue-related functions of a multi-specialty ambulatory surgery center in Dubai, from pricing, payer contracting and pre-authorization through coding, billing, claims submission, denial management and collections. The Director is accountable for maximizing net revenue, protecting margin, and ensuring compliant, transparent billing in line with Dubai Health Authority (DHA) requirements and the UAE insurance framework.
Key Responsibilities
Revenue Strategy and Performance
- Develop and execute the revenue management strategy, annual revenue budget and KPI targets (net revenue per case, case mix, payer mix, days in A/R, clean-claim rate, denial rate, net collection rate).
- Analyze procedure-level profitability and operating room utilization; advise leadership on service line growth, case mix and capacity decisions.
- Produce monthly and quarterly revenue dashboards, forecasts and variance analyses for the CEO, CFO and Board.
Payer Contracting and Pricing
- Lead negotiations and renewals with insurers, third-party administrators (TPAs), government and corporate payers, and medical tourism intermediaries.
- Own the charge master and package pricing for surgical procedures, ensuring competitiveness and alignment with DHA tariff and pricing guidance.
- Monitor contract compliance and underpayments, and pursue recovery of variances.
Revenue Cycle Operations
- Oversee patient access, insurance eligibility verification, pre-authorization, coding, charge capture, billing and collections.
- Manage electronic claims submission and remittance through the DHA e-claims platform (Shafafiya) and payer portals.
- Lead denial prevention and appeals, root-cause analysis and resubmission workflows, with a focus on rejections and resubmission deadlines.
- Establish self-pay and package-based billing processes, including transparent patient estimates, deposits and payment plans.
Coding, Compliance and Governance
- Ensure accurate coding (ICD-10-CM, CPT, and applicable DHA coding and DRG standards) through audits and clinician education.
- Ensure compliance with DHA regulations, UAE health data and privacy laws, VAT requirements, and anti-fraud, waste and abuse standards.
- Support JCI-aligned accreditation and internal and external audits related to financial and billing processes.
Systems and Process Improvement
- Drive optimization of the hospital information system, billing and analytics tools, including automation, claim scrubbing and reporting.
- Integrate with the DHA Health Information Exchange requirements and coordinate with IT on system upgrades.
Leadership
- Lead, coach and develop the revenue cycle, coding and patient-financial-services teams.
- Collaborate with surgeons, nursing, scheduling, clinical operations and finance to improve documentation, scheduling and throughput.
Qualifications
Required
- Bachelor's degree in Finance, Accounting, Healthcare Administration, Business or a related field.
- 10+ years of progressive experience in healthcare revenue cycle or revenue management, including at least 5 years in a senior leadership role.
- Proven experience with UAE payer environments, DHA e-claims and insurance billing (Dubai experience strongly preferred).
- Demonstrated success negotiating payer contracts and reducing denials and days in A/R.
- Strong command of healthcare analytics, financial modeling and revenue cycle technology.
- Fluency in English; Arabic is an advantage.
Preferred
- Master's degree (MBA, MHA or equivalent).
- Experience in an ambulatory surgery, day-surgery or specialty hospital setting, including package pricing and medical tourism.
- Professional certification such as CHFP, CRCR, CPC or equivalent.
- Experience working in JCI-accredited facilities.
Core Competencies
- Strategic and financial acumen with strong attention to detail.
- Negotiation, relationship management and stakeholder influence.
- Data-driven decision making and problem solving.
- Leadership, team development and cross-functional collaboration.
- Integrity, compliance mindset and cultural sensitivity in a multinational environment.
Working Conditions
Full-time, on-site role in Dubai, with regular interaction with clinical and executive leadership. The role requires eligibility for a DHA professional or administrative registration where applicable and a valid UAE work visa. Compensation, allowances and benefits are in line with UAE labor law and company policy.