Department: Health Claims Total Work Experience: 8-12 Education: Graduation/Post Graduation/MBA Responsible for building and managing a quality and cost-efficient Network of Healthcare providers in the Zone Provider contracting to achieve the right geographical spread Responsible to carry out negotiations for quality cost-efficient services, during empanelment and rate-revisions Manage end to end Provider Network operations in the Zone Responsible for regular case management negotiations with providers Identify leakages and take measure to prevent FWA Close monitoring and controlling of ACS Hands-on with Provider due diligence process and execution of bi-partite and tripartite agreements Cross functional coordination Specialized skills & competencies :- Hands-on with Provider Network management Strong relationships with Corporate Hospitals Understanding of regulatory guidelines Awareness about latest trends and the developments in Health Insurance and Healthcare sector
Job Title
Zonal Head – Provider Management