Network Specialist

Overview M42 delivers comprehensive healthcare services across the full continuum of care; from primary care to advanced specialty treatments. Leveraging cutting-edge health technologies and precision medicine, we ensure the highest standards of effectiveness, efficiency, and patient-centered outcomes. With a global presence spanning more than 480 facilities in 27 countries and a dedicated workforce of over 20,000 professionals, M42 is uniquely positioned to redefine the future of healthcare on a global scale.

The Revenue Cycle Management team plays a critical role in ensuring smooth financial operations by managing payer relationships, network access, contracts, and claims processes across M42 assets. The Network Specialist will support day-to-day payer network operations, including empanelment, service additions, contract administration, and coordination with internal and external stakeholders to optimize revenue cycle performance, compliance, and operational efficiency.

Responsibilities

• Support payer empanelment, network additions, and onboarding of new services, technologies, and unlisted codes.
• Act as the main Network point of contact for Revenue Cycle Management-related matters.
• Maintain and organize contracts, addendums, notifications, and legal documentation digitally.
• Coordinate with payers and internal teams to resolve claims, authorization, and network-related issues.
• Support reconciliation and audit processes to close outstanding dues and recoveries within timelines.
• Monitor payer and regulatory updates, ensuring readiness, compliance, and timely communication.
• Escalate external notifications or operational risks promptly with appropriate justifications.
• Contribute to process improvement initiatives to enhance revenue cycle efficiency and financial outcomes.

Qualifications

• Bachelor’s degree in Finance, Economics, Business Administration, Healthcare Management, or related field.
• Minimum 5 years of experience in Revenue Cycle Management, payer contracting, healthcare network management, or similar functions.
• Strong understanding of claims processes, payer operations, empanelment, and healthcare contracts.
• Excellent communication and stakeholder management skills with the ability to liaise internally and externally.
• Strong organizational skills with attention to detail in handling documentation and compliance matters.
• Fluency in written and spoken English; Arabic language skills are an advantage.