Manager - Medical Contract Compliance & Performance (Del-285)

The Medical Contract Compliance & Performance Manager is responsible for ensuring that Qiddiya’s contracted healthcare provider delivers services in full accordance with the terms of the agreement. The role sits within City Medical Services (CMS) and serves as the primary point of accountability for contract monitoring, financial verification, and performance oversight. The Manager reviews all timesheets and invoices before submission to procurement, tracks KPI compliance, documents deviations, and engages directly with the contracted provider to resolve discrepancies. This role is critical in ensuring that CMS pays accurately for what is delivered – no more, no less – and that the contracted provider is held to the staffing, quality, and service standards that Qiddiya’s guests and operations depend on.

Responsibilities

2.1 Staffing & Deployment Verification

• Maintain a real-time staffing tracker that maps actual deployed personnel against the contracted complement for every shift, role, and venue, identifying shortfalls, unauthorized substitutions, or uncovered positions as they occur.

• Verify provider-submitted timesheets against deployment records before any submission reaches procurement; reject or flag timesheets that do not match verified attendance and actual hours worked.

• Formally document all staffing deviations, including their duration, affected roles, and operational impact, creating an auditable compliance record that supports escalation and financial deduction calculations.

• Verify that all deployed personnel hold valid professional licences, SCFHS registration, and role-specific certifications as required under the contract, flagging any lapse immediately.

2.2 Invoice Review & Financial Verification

•Review all provider invoices in detail before submission to procurement, cross-checking billed amounts against contracted rates, verified deployment hours, approved variations, and applicable deductions.

•Calculate and apply financial deductions for staffing shortfalls, SLA breaches, non-compliance penalties, and any other contractually defined conditions, ensuring deductions are accurately reflected in the approved invoice before it is forwarded to procurement.

•Maintain a financial tracker covering all billing cycles – amounts submitted, amounts approved, amounts disputed, and amounts deducted – providing CMS with a clear and current view of contract expenditure versus contracted value.

•Liaise directly with the contracted provider to resolve invoice discrepancies, obtain supporting documentation, and ensure all submissions are accurate and complete before approval.

2.3 KPI & Service Performance Monitoring

•Monitor contracted KPIs on an ongoing basis, including clinical response times, staffing coverage hours, equipment readiness, licence validity, and any other indicators defined in the service agreement.

•Maintain a live compliance log capturing KPI performance against targets, with supporting evidence, trend analysis, and a running record of breaches and remediation actions.

•Conduct periodic contract performance reviews, producing structured scorecards that assess provider performance across all contractual dimensions and identify patterns of non-compliance requiring escalation.

•Develop and maintain a contract risk register, documenting active compliance risks, their likelihood, operational impact, and the status of mitigating actions.

2.4 Provider Liaison & Compliance Management

•Serve as CMS’s primary direct contact with the contracted healthcare provider on all matters relating to staffing compliance, invoice verification, performance monitoring, and documentation requests.

•Issue formal compliance notices, requests for corrective action, and supporting correspondence to the provider, maintaining a complete and auditable record of all formal communications.

•Track corrective action commitments made by the provider, follow up on implementation timelines, and verify that corrective actions have been effectively completed before closing findings.

•Coordinate with procurement on contract submissions, approved variations, and any matters requiring formal contract management action, ensuring CMS’s position is clearly documented and supported by evidence.

2.5 Regulatory & Licensing Compliance

•Monitor the contracted provider’s regulatory standing, including Ministry of Health facility licence validity, SCFHS registration status of all deployed staff, and compliance with any other applicable regulatory requirements.

•Maintain a licence and certification expiry tracker for all contracted staff and facility approvals, alerting the provider and escalating to CMS leadership when renewals are at risk of lapsing.

•Ensure CMS’s own contract management practices comply with Qiddiya Investment Company procurement policies, internal audit requirements, and applicable Saudi regulations.

2.6 Reporting & Performance Dashboards

•Prepare and present monthly contract performance reports to the Senior Manager, CMS, covering staffing compliance, KPI status, invoice verification outcomes, financial deductions applied, and open corrective actions.

•Develop and maintain Power BI or equivalent dashboards that give CMS leadership a real-time view of contract compliance status, financial position, and provider performance trends.

•Contribute contract performance data and financial analysis to CMS executive reporting cycles and any QIC-level governance or audit processes as required.

Requirements

•Bachelor’s degree in Healthcare Administration, Business Administration, Finance, Law, or a related discipline.

•Professional certification in Contract Management (CPCM), Healthcare Compliance (CHC), or Internal Audit (CIA) is strongly preferred.

3.2 Experience

•Minimum 5–8 years of experience in healthcare contracting, provider relations, compliance monitoring, or a closely related function.

•Demonstrated experience reviewing invoices and financial claims against contractual terms, with a track record of identifying discrepancies and applying appropriate financial adjustments.

•Experience monitoring healthcare service contracts, tracking KPIs and SLAs, and producing structured compliance reports for senior leadership.

•Familiarity with Saudi healthcare regulations, including Ministry of Health licensing requirements and SCFHS registration frameworks as they apply to contracted service providers.

3.3 Skills & Competencies

•Strong analytical and financial verification skills, with high proficiency in Excel; experience with Power BI or equivalent reporting tools is an advantage.

•Sound understanding of healthcare KPIs, SLAs, and performance measurement frameworks applicable to contracted clinical services.

•Excellent written communication skills; able to produce clear, evidence-based compliance reports, formal notices, and executive summaries.

•High integrity and attention to detail; able to maintain objectivity and professional conduct when managing compliance findings and financial disputes with the contracted provider.

•Effective stakeholder management skills; comfortable engaging directly with the contracted provider while maintaining a clear boundary between liaison and enforcement authority.