Cluster Manager- JD - Location: Multiple (West & South)
As a Cluster Manager of Healthcare Network & Operations, your typical week might include the following
- Identify Healthcare Service provider partners include Hospitals, Doctors, Diagnostic centers / vision, and dental centers / home care treatment providers /allied medical service providers, and other partners that will add value in services for ABHI policy holders
- Deep understanding on Health care eco system & innovate ideas on service level engagements with Hospitals / Diagnostic centers / Clinic & Other service care providers
- Development and management of an adequate provider network in assigned geographical area
- Maintaining relationships and all provider relations activities in assigned geographical
- Analyze and understand Health Insurance industry and competitor landscape & Market intelligence on competitors
- Plan & execute Co-branding activities and bring brand visibility among the Service providers
- Support of Regional Network Team & implement industry best practices as required to achieve success for ABHI




- Negotiating and renegotiating contracts with physicians and Healthcare provider groups
- Monitoring of various reports to ensure all necessary compliance requirements are met and maintained
- Reporting to Zonal & leadership team on status, risks, and potential opportunities in area of responsibility on a regular basis
- Payment reconciliation, addressing Provider grievances & carrying our region wise MIS reports in responsible geographies
- Monitor, drive case management negotiations with Network hospitals in assigned geographies
- Able to identify, monitor fraud/abuse and leakage
- Able to effectively identify opportunities for repricing and renegotiations of the Tariff / Packages / Discounts with healthcare providers
- Willing to Travel across geographies and maintain relationship with healthcare partners

You could be the right candidate if you
- Have a degree or a management degree (hea

📌 Cluster Manager (Ludhiana)
🏢 Financial services
📍 Ludhiana