Senior RCM Consultant

About the role

At Trifork, Oman, we are looking for a senior RCM consultant who would like to join our team! 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.

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
  • 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 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 with in 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).

You are structured, collaborative, and comfortable working in regulated environments where clarity, accountability, and stakeholder alignment are essential.

The transformation of Revenue Cycle Management in Oman is a foundational step toward building a more transparent, accountable, and efficient public healthcare system.

As a Senior RCM Consultant, you will be integral to making sure that national digital solutions are both technically robust and operationally sustainable, enabling hospitals to provide high‑quality care while maintaining their financial integrity.

• A central role in a…