Business Analyst - Revenue Cycle Management System

Position Overview:

The Business Analyst serves as the liaison between clinical operations, finance, and Information Technology (IT) teams for Revenue Cycle Management (RCM) system implementation at King's College Hospital Dubai and satellite locations. This Dubai-based role requires expertise in UAE healthcare revenue cycle combined with business analysis proficiency to ensure compliance with Dubai Health Authority (DHA) regulations and Network & Analysis Backbone for Integrated Dubai Health (NABIDH) standards. Working under the Application Manager, the Business Analyst translates clinical and financial workflows into technical specifications while ensuring seamless integration with insurance providers.

The role encompasses requirements gathering, process analysis, Network & Analysis Backbone for Integrated Dubai Health (NABIDH) integration design, payer connectivity specifications, testing coordination, and user training across King's College Hospital Dubai locations.

Key Accountabilities:

Business Analysis & Dubai Healthcare Requirements

• Gather and document requirements from clinical, finance, coding, and operations teams specific to Dubai operations.
• Conduct analysis of current workflows to identify inefficiencies in Dubai insurance processing and Dubai Health Authority compliance gaps. Create Business Requirements Documents and Functional Requirements Documents aligned with Dubai Health Authority standards.
• Take ownership of Revenue Cycle Management projects from requirements through User Acceptance Testing and go-live. Translate Dubai healthcare insurance workflows into functional specifications including Emirates ID integration.
• Analyze market trends and Dubai Health Authority regulatory changes to inform system enhancements.
• Provide actionable intelligence on billing performance by analyzing data from payers, Dubai Health Authority systems, and Network & Analysis Backbone for Integrated Dubai Health exchanges.

Performance & Billing Intelligence

• Monitor Dubai-specific Key Performance Indicators: claim acceptance with Dubai insurers, Dubai Health Authority compliance metrics, Network & Analysis Backbone for Integrated Dubai Health data quality, payer denial patterns.
• Prepare reports and dashboards for Dubai Health Authority regulatory compliance status, Network & Analysis Backbone for Integrated Dubai Health submission statistics, and Dubai payer performance.

Insurance & NABIDH Integration

• Document payer requirements: pre-authorization to insurers, payer portal specifications, Emirates ID verification, claim processing, submission, resubmissions and reconciliation requirements.
• Define comprehensive Network & Analysis Backbone for Integrated Dubai Health integration requirements as mandated by Dubai Health Authority:
• Network & Analysis Backbone for Integrated Dubai Health Minimum Data Set compliance
• Health Level Seven version 2.5.1 message specifications
• Real-time patient demographic synchronization
• Clinical data sharing (encounters, diagnoses, procedures, medications, labs)
• Software-Defined Wide Area Network connectivity with Dubai Health Authority infrastructure
• Patient consent management per Dubai Health Authority privacy regulations
• Network & Analysis Backbone for Integrated Dubai Health audit logging and compliance monitoring
• Ensure compliance with Dubai medical coding: International Classification of Diseases 10th Revision Australian Modification, Current Procedural Terminology, Diagnosis Related Group per Dubai Health Authority standards.

System Configuration & Design

• Collaborate with Information Technology teams and Dubai Health Authority compliance officers to design solutions meeting King's College Hospital requirements.
• Define system configuration for Dubai operations: insurance plan setup, payer contracts, Dubai Health Authority-approved fee schedules, authorization rules.
• Create functional specifications for Revenue Cycle Management modules: Emirates ID capture/verification, payer eligibility verification, Network & Analysis Backbone for Integrated Dubai Health encounter submission, claim generation.

Testing & Compliance Validation

• Develop test cases for Dubai healthcare workflows.
• Coordinate User Acceptance Testing with users: registration staff, authorization coordinators, coders, billing specialists across Dubai locations.
• Validate Network & Analysis Backbone for Integrated Dubai Health integration: Health Level Seven message exchange with Dubai Health Authority systems, Minimum Data Set compliance verification, real-time data synchronization.

Continuous Improvement & Change Management

• Stay current with Dubai Health Authority regulatory updates, insurance policy changes, Network & Analysis Backbone for Integrated Dubai Health technical specification revisions, and Dubai healthcare best practices.
• Support change management for staff including development of training materials.
• Document Dubai-specific Standard Operating Procedures: insurance verification, Network & Analysis Backbone for Integrated Dubai Health submission, authorization processes, Dubai Health Authority compliance protocols.

JCIA- Joint Commission International Accreditation-Aligned Safety, Quality, Governance and Professional Standards

• Ensure staff adherence to Joint Commission International Accreditation, safety, quality, and organizational requirements through supervision, guidance and performance monitoring.
• Support sustainability and Global Health Impact goals by practicing environmentally responsible behavior, reducing waste, following proper disposal and segregation processes, using resources efficiently, participating in related training, and reporting opportunities for improvement.

Education:

• Bachelor’s degree in business administration, Healthcare Management, Health Information Management, or IT (MANDATORY).
• Master's degree in MHA, MBA, or Health Informatics preferred.
• CBAP, CCBA, or PMI-PBA certification preferred.
• AAPC or AHIMA coding certification highly desirable.
• Bachelor’s degree in business administration, Healthcare Management, Health Information Management, or Information Technology (MANDATORY).
• Master’s degree in Master of Health Administration, Master of Business Administration, or Health Informatics preferred.
• CABP Certified Business Analysis Professional, Certification of Capability in Business Analysis, or Project Management Institute - Professional in Business Analysis certification preferred.
• AAPC American Academy of Professional Coders or AHIMA-American Health Information Management Association coding certification highly desirable.

Experience:

• 5-7 years as Business Analyst in healthcare Revenue Cycle Management (REQUIRED).
• 3-5 years Dubai healthcare experience with United Arab Emirates insurance (ESSENTIAL - Dubai experience mandatory).
• Hands-on experience with Dubai insurers: Daman, AXA, Oman Insurance, Dubai Insurance, Nex (ESSENTIAL).
• Network & Analysis Backbone for Integrated Dubai Health integration project experience in Dubai facility (ESSENTIAL).
• Experience with Dubai Health Authority regulations, licensing, and compliance (ESSENTIAL).
• Proven Revenue Cycle Management system implementation in Dubai/United Arab Emirates hospital settings.