Summary
Dallah Health is seeking a Contract Governance Manager to establish and oversee governance frameworks for payer contracts. The role covers contract lifecycle processes, compliance with CCHI regulations and NPHIES requirements, contract audits, revenue integrity, risk controls, and performance reporting. The manager will coordinate with internal teams and external payers, and support contract systems and documentation standards. Applicants should have 8–11 years of relevant experience, including 3–5 years in a governance or leadership role, and a bachelor's degree in a related field.
The posting
As published on dallahhealth.com. Pulled from the employer's site and shown as they wrote it.
Job Purpose
responsible for establishing, implementing, and overseeing governance frameworks for payer contracts to ensure compliance, consistency, and financial optimization. The role ensures that all contracts are aligned with CCHI regulations, NPHIES requirements, and internal policies, while safeguarding revenue integrity, minimizing risk, and enhancing transparency across the organization.
Organizational Accountabilities
- Establishing and maintaining contract governance frameworks across all payer agreements
- Ensuring compliance with CCHI regulations, NPHIES standards, and internal policies
- Enhancing revenue integrity by ensuring proper implementation and monitoring of contract terms
- Minimizing financial, legal, and operational risks associated with payer contracts
- Ensuring standardization and consistency of contract management practices across the organization
- Supporting audit readiness and regulatory compliance Promoting transparency, accountability, and control in contracting processes
Functional Accountabilities
- Develop and implement contract governance policies, procedures, and standards
Establish contract lifecycle management processes (creation, approval, renewal, termination)
Define roles, responsibilities, and approval matrices for contract management
Ensure all contracts comply with CCHI regulations, payer requirements, and healthcare laws
Align contracts with NPHIES workflows and digital health requirements
Monitor regulatory changes and ensure contract updates accordingly
Oversee contract implementation and ensure accurate system configuration in HIS and billing systems
Ensure proper interpretation and application of contract terms across RCM functions
Monitor adherence to contract terms and identify deviations
Identify risks related to contract gaps, pricing errors, or misinterpretation
Implement controls to prevent revenue leakage and ensure correct reimbursement
Conduct regular contract audits and compliance reviews
Develop dashboards and KPIs to monitor contract performance and compliance
Analyze reimbursement trends, variances, and payer performance
Provide insights and recommendations to senior management
Act as the primary governance liaison between RCM, Finance, Legal, and Commercial teams
Coordinate with payer contracting teams and external stakeholders
Provide guidance and training to internal teams on contract governance
Ensure proper maintenance of centralized contract repository
Implement version control, audit trails, and documentation standards
Ensure accessibility and security of contract records
Identify opportunities to automate contract management and governance processes
Support implementation of contract management systems
Enhance efficiency and control through digital tools and analytics
Key Internal Stakeholders
- Revenue Cycle Management (Billing, Coding, Claims, and Collections).
- Finance and Accounting.
- Medical and Clinical Departments.
- Commercial / Business Development.
- IT and Systems Teams.
Key External Stakeholders
- Insurance companies and TPAs.
- Council of Cooperative Health Insurance (CCHI).
- NPHIES platform stakeholders.
- External auditors and consultants.
Knowledge and Experience
- 8–11 years of experience in healthcare contracting, RCM, or financial governance
Minimum 3–5 years in a governance, managerial, or leadership role
Strong experience in payer contracts and contract lifecycle management
In-depth knowledge of CCHI regulations and Saudi insurance frameworks
Strong understanding of NPHIES workflows and claims ecosystem
Experience in financial controls, audit, and compliance frameworks
Familiarity with contract management systems and ERP/HIS platformsEducation and Certifications
- Bachelor’s degree in Healthcare Administration, Law, Finance, Business Administration, or related field . (required)
Master’s degree MBA or Healthcare Management. (preferred)
CPA / CMA / SOCPA (Preferred)
Contract Management Certification (e.g., CCCM, CPCM) (Preferred)
Healthcare Revenue Cycle certification (Preferred)
Training in CCHI and NPHIES(Preferred)
Risk management or governance certifications (Preferred)Skills
- Strong negotiation and communication skills
Analytical and financial assessment skills
Attention to detail and contract accuracy
Understanding of healthcare revenue cycle processes
Ability to interpret legal and contractual language
Problem-solving and decision-making skills
Stakeholder management and coordination
Proficiency in Microsoft Excel and reporting tools
Knowledge of healthcare systems (HIS, billing systems)
Attitude:
Strong Work Ethic
Dependability and Responsibility
Possessing a Positive Attitude
Adaptability
Honesty and Integrity
Self-Motivated
Motivated to Grow and Learn
Strong Self-Confidence
Competency:
Accountability
Communication
Collaboration
Integrity & Confidentiality
Contract Management
Payer & Insurance Knowledge
NPHIES Knowledge
Revenue Cycle Understanding
Financial & Pricing Analysis
Regulatory Compliance
Analytical Thinking
Problem Solving
Negotiation Skills
Time Management
Adaptability