Senior Manager - Insurance Business Rules/RCM/Denial Management
SANTECHTUREAl Ahsa Governorate, Eastern Province, Saudi Arabia
Posted January 6, 2026
Full Time
About the Company
SANTECHTURE is a healthcare technology company that delivers AI‑driven, cloud‑based SaaS solutions to streamline Revenue Cycle Management across the Middle East, North Africa, and Asia. Its platform automates medical coding, claims scrubbing, and billing, reducing errors and operational costs while accelerating collections for hospitals and clinics of all sizes. By combining advanced analytics with industry‑specific best practices, SANTECHTURE helps public and private sector clients achieve RCM excellence and boost profitability. Since its 2019 founding, the company has expanded to KSA, UAE, India, and Egypt, serving blue‑chip healthcare providers with a focus on accuracy, efficiency, and revenue protection.
Job Description
Responsible for managing the product image and its development through client Interface by connecting Content and Business teams (BDU) simultaneously. Ensuring and supporting the development for rules content by providing support to internal team by reviewing, guiding, and validating the activities performed in the same regard.
Requirements
- Minimum 10 years experience in the claim adjudication lifecycle and payer/TPA is a must.
- Previous work experience with Data Analytics packages such as Power BI will be preferred.
- Excellent Analytical skills and an eye for detail is a must.
- Understanding of insurance adjudication guidelines and protocols in a way to comprehend best to enrich KSA Rules repository.
- Recognized Professional Certification in Medical Coding will be a plus but not mandatory.
- Should be well versed in KSA local market regulations and adjudication protocols.
- Excellent verbal/written communication and presentation skills.
- Proficiency in Healthcare Information Systems
- Medical training as Doctor/Nurse/Pharmacist is highly desirable.
- Certifications in Insurance and project management is highly desired