Job Purpose: The role will be responsible for creating, developing and managing a comprehensive network of healthcare providers and partners across the Zone along with team members across assigned geography. The role will also be responsible to negotiate best tariff structure for ABHI and manage the renewals and relationships while being responsible for making sure delivery of quality services as per signed SLAs.
Dimensions: Direct Reports: 1
Number of Providers directly responsible to create and manage relationships with providers across Zones.
Network of nonhospital Healthcare Providers; Network to manage Group, Retail and Rural business.
Planning for Empanelment.
Directly responsible to create OPD IPD network in respective zone in providing seamless experience to customers.
Tariff MoU negotiation. Responsible for negotiating best tariff validity, and contracting with best discount with the providers to facilitate affordable healthcare delivery for both OPD IPD.
Job Context Major Challenges
Major Challenges: Internal and external challenges include ensuring quality service delivery across a widely spread provider network, maintaining pricing parity, controlling costs amid inflation and technology changes, operating in a largely non regularized healthcare sector, and improving digital integration with providers.
Key Result Areas
- Help create a quality pool of providers across the zone within reasonable reach of the customers within minimum reasonable time frame to meet the business requirement.
- Create comprehensive hospital and allied healthcare network through direct tie ups Creating hospital network spread across Districts, Cities and rural locations across India
- Create network of healthcare providers in accordance to sales strategic expansion and recent target locations.
- Drive the commercial negotiations with the providers to ensure the best deal for the end consumer.
- Analyze claims portfolios of the respective zone and accordingly devise discussion agenda with hospitals.
- Manage to minimize Organisational claims spent on payout by means various negotiation parameters like, Volume discount, Early payment discount, Service level discounts and corporate based discounts.
- Do market research and competitors bench mark pricing, approach provider for agreeing on ABHI packages.
- Target for Better and improvised negotiation with top utilised providers based on disease category.
- Allow ABG customers to access quality healthcare at optimum pricing.
- Responsible to devise discussion agenda with the providers to get Early Payment Discount.
- Negotiating MoU conditions with the provider.
- Out Patient Strategy Implementation
- Responsibility to create OPD DRM network.
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