Sr. Business Rules Analyst

7 hours ago


المملكة العربية السعودية, Saudi Arabia ACCUMED Full time

Senior Business Rules Analyst - Chiefly responsible for achieving and maintaining minimum Denial rates by contributing in market payer, regulator protocols and Denial and Bypass trends analysis. This is aim to achieve in collaboration with Business Rules Analyst position being reported to him. Furthermore, reviewing medical records in order to abstract relevant data to support the creation/maintenance of Rules. THYNK Rules will support billing integrity and provide best practice support through working closely with payers, regulators, and healthcare providers revenue cycle departments to resolve coding/billing issues, Investigating and resolving issues and incidents leading to incompliance with regulatory policies or denials with payers in the market of Saudi Arabia.
**Requirements**:

- Managing Business Rules Analyst and ensuring set targets are achieved.
- Monthly analysis and review of **Remittance reports** across all the payers and simultaneous provision of feedback suggesting updates for the Rule engine thereby decreasing denial trends for the clients and maximising remittance output.
- Monthly analysis and review of **Bypass reports** and simultaneous provision of input to improve rules. Hence, scrubbing and updating quality of Rule engine (THYNK)and optimizing end user experience.
- Analysing potential and new clients remittance reports and protocols.
- Reviewing different trends of analysis thus contributing to automation of Rules engine.
- Contributing in strengthening of THYNK as a complete product offered in markets to its clients.

**Benefits**
- Minimum 4-5 years’ experience in the said field.
- Excellent Analytical skills and an eye for detail is a must.
- Medical Billing knowledge within private healthcare insurance sector required
- Recognised Professional Certification in Medical Coding highly desirable.
- Should be well versed KSA local market regulations like CCHI, Health Council and SEBAHI
- Excellent verbal/written communication and leadership skills
- Proficiency in Healthcare Information Systems and Microsoft Office (Word, Excel, PowerPoint, etc.)
- Bi-lingual Arabic/English preferred
- Medical training as Doctor/Nurse/Pharmacist is highly desirable



  • المملكة العربية السعودية, Saudi Arabia 247Labs Full time

    **Key Responsibilities**: - **Requirement Gathering**: - Conduct thorough requirements gathering sessions with stakeholders to understand business needs and document detailed business requirements. - **BPMN Standards and Business Process Modeling**: - Utilize BPMN (Business Process Model and Notation) standards to model business processes, ensuring...

  • Sr IT Analyst

    2 days ago


    المملكة العربية السعودية, Saudi Arabia Eli Lilly Full time

    At Lilly, we unite caring with discovery to make life better for people around the world. We are a global healthcare leader headquartered in Indianapolis, Indiana. Our 35,000 employees around the world work to discover and bring life-changing medicines to those who need them, improve the understanding and management of disease, and give back to our...

  • Business Analyst

    2 weeks ago


    المملكة العربية السعودية, Saudi Arabia IQVIA Full time

    **Purpose of the Role**: Business analysts are the drivers for continued growth and success. With Business analysts’ commitment to innovation, they support in developing, and implementing strategic initiatives for improved efficiency and productivity. Business Analysts review, analyze and evaluate business systems and user needs, document requirements,...

  • Sr Financial Analyst

    7 months ago


    المملكة العربية السعودية, Saudi Arabia aramcoservices Full time

    Job Req ID: 13328- Description: - **Aramco energizes the world economy.** Aramco occupies a unique position in the global energy industry. We are the world's largest producer of hydrocarbons (oil and gas), with the lowest upstream carbon intensity of any major producer. With our significant investment in technology and infrastructure, we strive to...

  • Investment Analyst

    2 weeks ago


    المملكة العربية السعودية, Saudi Arabia Aseel Capital Full time

    To ensure success as an investment analyst, you must be well versed in portfolio management, be attentive to detail, and be proactive in finding investment opportunities. A top-tier investment analyst works well under pressure, possesses creative and analytical capabilities, and can adapt his or her thinking to rapidly evolving scenarios. Investment Analyst...


  • المملكة العربية السعودية, Saudi Arabia Messilat Full time

    **Location: Riyadh, Saudi Arabia** **Department: Fraud Prevention** **Position Overview**: We are looking for a talented and motivated **Fraud Technology Business Analyst** to join our dynamic team and play a critical role in our fight against fraud. As a Fraud Technology Business Analyst, you will be at the intersection of business and technology, working...


  • المملكة العربية السعودية, Saudi Arabia Talent Zone Consultants Full time

    achelor of Science in Computer & Information Systems, Computer Science, Computer Engineering, Management Information Systems, Information Technology, Information Security, or related degrees. Assists in all basic activities that related to the analysis and evaluation of current systems and supports in the identification of business, organizational, and/or...

  • Sr Financial Analyst

    7 months ago


    المملكة العربية السعودية, Saudi Arabia aramcoservices Full time

    Job Req ID: 13231- Description: - **Aramco energizes the world economy.** Aramco occupies a unique position in the global energy industry. We are the world's largest producer of hydrocarbons (oil and gas), with the lowest upstream carbon intensity of any major producer. With our significant investment in technology and infrastructure, we strive to...

  • IT Business Analyst

    7 days ago


    المملكة العربية السعودية, Saudi Arabia Norconsult Telematics Full time

    ID: 1318 | 10 - 15 yrs | careers **Position Objectives**: Responsible for evaluating business processes, anticipating requirements, uncovering areas for improvement, and developing and implementing solutions. **Job Description & Responsibilities**: Business requirement gathering, preparing business requirement documents (BRD) Running A/B tests and...


  • المملكة العربية السعودية, Saudi Arabia Petroplan Full time

    Business Systems Analsyt **Location**: Saudi Arabia Permenant Staff Posiiton Petroplan are seeking a seasoned Business Systems Analyst to join the Accounting Systems Division(ASD) with experince in the Oil and GAs industry. ASD is mainly responsible for Finance business cycles enhancements, Financial systems support and administration. In addition to...


  • المملكة العربية السعودية, Saudi Arabia S3, Inc. Full time

    Job Code: **4161** **S³ Arabia has an immediate opening for a Senior (Lead) Program Control Analyst (PCA) to support the Program Management Office of the Aviation Training Support Services (ATSS) contract in support of the Ministry of the National Guard (MNG) Aviation Directorate in Riyadh, Kingdom of Saudi Arabia.** Position Description: The Senior...


  • المملكة العربية السعودية, Saudi Arabia MECS Africa Full time

    Middle East, Saudi Arabia - (Market related, Negotiable) We are seeking an Analyst to join the Capital Programs Division (CPD) in Capital Programs & Contracting Compliance Department within Controller’s. Controller’s is a part of the Finance business line in the business and reports to the Sr. Vice President of Finance, Strategy & Development. **Key...

  • Business Analyst

    7 months ago


    المملكة العربية السعودية, Saudi Arabia Talent Pal Full time

    **Overview**: Are you Business Analyst who excels in gathering facts and analyzing data? Do you enjoy supporting a team and satisfying clients? If so, we want you to consider joining our **Arthur D. Little **team in Saudi Arabia! We are looking for talented individuals to fill Business Analyst positions in our Riyadh office. **Responsibilities**: The...

  • Sr Financial Analyst

    7 months ago


    المملكة العربية السعودية, Saudi Arabia aramcoservices Full time

    Job Req ID: 13177- Description: - **Aramco energizes the world economy.** Aramco occupies a unique position in the global energy industry. We are the world's largest producer of hydrocarbons (oil and gas), with the lowest upstream carbon intensity of any major producer. With our significant investment in technology and infrastructure, we strive to...

  • Business Analyst

    9 months ago


    المملكة العربية السعودية, Saudi Arabia Talent Pal Full time

    **Overview**: Are you Business Analyst who excels in gathering facts and analyzing data? Do you enjoy supporting a team and satisfying clients? If so, we want you to consider joining our **Arthur D. Little **team in Saudi Arabia! We are looking for talented individuals to fill Business Analyst positions in our Riyadh office.

  • Business Analyst

    2 days ago


    المملكة العربية السعودية, Saudi Arabia AECOM Full time

    Company Description **At AECOM, we’re delivering a better world.** We believe infrastructure creates opportunity for everyone. Whether it’s improving your commute, keeping the lights on, providing access to clean water or transforming skylines, our work helps people and communities thrive. Our clients trust us to bring together the best people, ideas,...


  • المملكة العربية السعودية, Saudi Arabia Saudi Telecom Full time

    هدف الوظيفة: المسؤليات: المؤهلات: الدرجة العلمية : Bachelor Degree التخصص : Business Administration, Finance سنوات الخبرة : 2-4 سنوات طبيعة الخبرة: - Prior experience in Finance and Mergers & Acquisitions in a telecom industry مستوي اللغة الإنجليزية :...

  • Business Analyst

    7 months ago


    المملكة العربية السعودية, Saudi Arabia Talent Pal Full time

    We are entrepreneurs in disruptive technology, at Devoteam, we deliver innovative technology consulting for business. Digital Transformakers, we are 7,000+ professionals across EMEA dedicated to ensuring our clients win their digital battle. We improve business performance making their companies truly digital. We advise our clients and build IT...


  • المملكة العربية السعودية, Saudi Arabia Spinebiz Services Full time

    Spinebiz Permanent Employment Saudi Posted 5 hours ago Location - Saudi ( Must relocate to Saudi) Experience - 8- 10 yrs Skills required - 2-3 years in the middle east onsite experience - Extensive experience in working as a Technical Business Analyst across - Core Banking, retail banking, and corporate banking. - Cash Management/Loan Management


  • المملكة العربية السعودية, Saudi Arabia Jameson Legal Full time

    A global leader in the energy sector is continuing their huge expansion plans, and have a unique opportunity for a Business System Analyst to join this highly valued innovative team, based in Saudi Arabia. This lucrative position sits within the Downstream Business Support Department. **Responsibilities**: **Minimum Requirements**: - You will have worked...