JOB DESCRIPTION

Manager Medical Network Profile

Underwriting Department | Medical Network Channel Management

Job Title Manager Medical Network Profile Department Underwriting Sub-Function Medical Network TPA Governance Reports To Chief Manager Medical Network Employment Type Full-Time Location Mumbai

ROLE PURPOSE

The Manager Medical Network Profile is a pivotal leadership role within the Underwriting Department, responsible for overseeing the end-to-end performance of the medical network team. The role holder will drive channel performance management, enforce TPA governance frameworks, and deliver actionable insights through advanced dashboarding and reporting. This position demands a strategic thinker with strong analytical capabilities, coupled with exceptional interpersonal and communication skills to influence stakeholders at all levels.

KEY RESPONSIBILITIES

Channel Performance Management

Monitor, evaluate, and optimize the performance of all channels to ensure alignment with business targets and underwriting objectives.

Develop and implement channel-specific KPIs, benchmarks, and performance scorecards.

Identify performance gaps and collaborate with internal and external stakeholders to implement corrective action plans.

Analyze channel trends and provide strategic recommendations to enhance Channel efficiency and cost-effectiveness for medical network

Track cost trends, utilization patterns, and network penetration metrics on a regular basis.

TPA Governance

Establish, manage, and continuously improve the TPA (Third Party Administrator) governance framework in line with regulatory and company standards.

Conduct regular audits, reviews, and assessments of TPA performance against contractual SLAs and compliance obligations.

Liaise with TPAs to resolve escalations, disputes, and operational challenges in a timely manner.

Ensure proper documentation, reporting, and escalation protocols are maintained across all TPA engagements.

Collaborate with legal, compliance,



operations, UW IT teams to ensure TPAs adhere to company policies and regulatory requirements.

Dashboarding Reporting

Design, develop, and maintain comprehensive dashboards that provide real-time visibility into Medical Network Team performance, UW analytics, and channel metrics.

Generate periodic management reports (weekly, monthly, quarterly) tailored to different stakeholder audiences including senior leadership.

Translate complex data sets into transparent, concise, and actionable insights for decision-making.

Collaborate with IT and data analytics teams to enhance reporting infrastructure and automation capabilities.

Ensure data accuracy, integrity, and consistency across all reporting tools and platforms.

People Management

Lead, coach, and develop a team, fostering a high-performance culture.

Set clear objectives, conduct regular performance reviews, and provide continuous feedback and development opportunities.

Drive team engagement, motivation, and retention through effective leadership and a collaborative working environment.

Identify talent gaps and support recruitment, onboarding, and succession planning efforts.

Promote cross-functional collaboration and knowledge sharing across departments.

QUALIFICATIONS EXPERIENCE

Bachelors degree in Science , Commerce, Business Administration, , Finance, or a related field; Masters degree is an advantage.

Minimum 8-10 years of progressive experience in Insurance, insurance, or managed care, with at least 2-3 years in a management or supervisory capacity.

Demonstrated experience in TPA management governance,



and channel performance optimization.

Strong proficiency in excel, and MS suites

In-depth understanding of medical network operations, Life / Health Insurance operations

CORE COMPETENCIES

Technical Competencies Behavioural Competencies

Channel TPA Performance Management

TPA Governance Compliance

Reporting, MIS Dashboarding

Underwriting Principles

Strategic Reporting Insights

People Skills Team Leadership

Effective Communication

Executive Presentation Skills

Stakeholder Management

Problem-Solving Decision-Making

PEOPLE, COMMUNICATION PRESENTATION SKILLS

The role demands an individual who excels in building relationships and driving influence across the organization:

People Skills: Proven ability to lead diverse teams, manage performance constructively, and cultivate a collaborative and inclusive team environment.

Communication Skills: Excellent written and verbal communication skills with the ability to convey complex technical and analytical information to non-technical audiences clearly and effectively.

Presentation Skills: Strong ability to design and deliver compelling, data-driven presentations to senior management, executive committees, and external stakeholders including TPAs and network partners.

Negotiation Influencing: Ability to negotiate with TPAs and channel partners to drive value and ensure adherence to governance standards.

Emotional Intelligence: High degree of self-awareness and empathy, enabling effective conflict resolution and team motivation.

KEY RELATIONSHIPS

Internal: Underwriting, Issuance , Finance, Compliance, IT Data Analytics, Sales, and Senior Leadership Team.

External: Third Party Administrators (TPAs),

Disclaimer : This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.

📌 Manager - Medical Underwriting (Mumbai)
🏢 Axis Max Life Insurance
📍 Mumbai