About the role
We are looking for an experienced Senior RCM Consultant to join our team in Muscat as part of Oman's national Revenue Cycle Management (RCM) and Billing Transformation program for the Ministry of Health.
The position is central to the designing, testing, delivering and rollout of digital RCM and billing solutions across government hospitals. The program aims to strengthen financial transparency, regulatory compliance, and operational efficiency across the public healthcare system.
You will work at the intersection of healthcare operations, policy, and digital product development, ensuring that systems are aligned with Ministry standards while remaining practical and effective in real hospital environments.
You will act as a functional and domain expert, guiding software teams during product development, validating enhancements against real-world hospital workflows, and supporting government hospitals in claiming, coding, and reimbursement processes. This is a hands-on role focused on product guidance, functional validation, governance, and capacity building, rather than pure advisory work.
Your Responsibilities
RCM product and functional leadership
Serve as the RCM domain lead throughout system design, enhancement, and rollout phases
Translate end-to-end hospital revenue cycle workflows – including patient registration, medical coding, billing, claiming, reconciliation, and reporting – into structured functional and system requirements
Review solution designs and validate that RCM and Billing modules reflect operational realities and Ministry standards
Provide continuous functional guidance to business analysts and software development teams during product evolution
Testing, validation, and structured implementation
Lead functional testing, scenario-based validation, and User Acceptance Testing.
Validate complete claiming workflows, including pre-authorisation, billing rules, submissions, rejections, and resubmission processes.
Ensure outputs meet financial, regulatory, and clinical governance requirements.
Support hospitals during onboarding, go-live, and post-implementation phases.
Claiming, coding, and compliance
Provide subject matter expertise on insurance models, reimbursement mechanisms and post-office insurance workflows.
Guide hospitals and medical coders in applying recognised coding standards (ICD, CPT, HCPCS, or equivalent).
Support alignment between local practices and internationally recognised standards.
Promote coding accuracy, consistency, and compliance across institutions.
Governance and stakeholder engagement
Contribute to the development and refinement of national RCM, Billing, and Claiming policies and procedures.
Act as a trusted functional advisor to Ministry stakeholders on RCM governance and operating models.
Facilitate structured workshops and design sessions.
Identify operational gaps and recommend system or process improvements.
Coordinate across hospitals, IT teams, and external partners to ensure alignment.
You are an experienced RCM professional with both operational depth and strategic awareness. You are comfortable navigating complex healthcare environments and working with both clinical and technical stakeholders.
About you
You bring:
10+ years of experience in Hospital Revenue Cycle Management.
Proven expertise in billing, claiming, reimbursement, and medical coding operations.
Strong understanding of end-to-end hospital financial workflows.
Experience working closely with software development and IT teams.
Experience within government or large healthcare institutions (preferred).
Previous leadership roles such as RCM Director, RCM Manager, or Senior Consultant (advantage).
Experience in ministry-level or national healthcare programs (advantage).
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