We are seeking an experienced Denial Management Manager to lead our Denial Management Unit (DMU) and drive denial prevention, appeals, and revenue recovery initiatives.Key Responsibilities:Lead and oversee the Denial Management Unit across all denial categories.Develop and implement denial prevention, appeal, and recovery strategies.Monitor denial trends, root causes, and recovery performance across payers and facilities.Ensure timely submission and follow-up of appeals in line with payer and regulatory requirements.Collaborate with Medical, Coding, Billing, Claims, and Medical Coordination teams to reduce avoidable denials.Share in payer escalation discussions and support contractual and operational dispute resolution.Develop denial dashboards, KPIs, and executive reports to drive performance improvement.Ensure compliance with Saudi healthcare insurance regulations, NPHIES requirements, and payer policies.Lead and develop denial management teams to maximize revenue recovery and operational efficiency.Qualifications5+ years of experience in Healthcare Revenue Cycle Management and Denial Management.Previous experience in Saudi healthcare insurance, denial management, appeals, and revenue recovery is mandatory.Strong knowledge of NPHIES, Saudi healthcare insurance regulations, payer policies, and reimbursement methodologies.Proven experience in denial analysis, root cause analysis, appeals management, and revenue optimization.Experience working with major KSA payers is highly preferred.Physician (MBBS/MD) background is preferred.Strong leadership, analytical, communication, and stakeholder management skills.
Magrabi Health is a Saudi-Egyptian network of specialty eye and dental hospitals operating across the Middle East and North Africa. The group provides ophthalmic surgery, optical retail, and dental services through a network of hospitals, clinics, and retail locations.