Roles &

- Responsibilities:

- Tariff Negotiations and cost management

- Conducting surprise audits and checks of the claims and case to case negotiations

- Manage workload of both field and office effectively

- Experience in dealing with providers (Hospitals/Diagnostics &
- OPD Clinics)

- Understanding of Health Claims and claim related processes

- Good understanding of Health Insurance and related products

- Managing relationship with the providers

- Flexible to travel across locations based on the organizational requirements

- Managing internal (Claims Team, Sales and Central Teams and external stakeholders (Brokers, Channel partners &

- Corporates)

- Managing and controlling of cost for the portfolio assigned

- Timely reporting of business MIS and reports to leadership team

- Analytical and data-driven approach in day to day work

- Lead and manage the technology & process related initiatives

- Complying to the audit and compliance related concerns as per organization guidelines





- Ability to collaborate with various cross functional stakeholders and drive the agenda for closure

- Should have a good analytical mind to understand costs associated with hospital tariffs and claim cost and manage them effectively.

- Should have excellent communication, presentation and detailed oriented skills (MS Excel, PowerPoint)

Required Qualification / Experience

- MBBS/B Pharma /M-Pharma/Physiotherapy/BAMS/BHMS/Paramedics or similar prior experience as per above roles and responsibilities

- High on energy, cutting-edge thinking, passionate and can do attitude.

- Firm believer of fostering relationship at all level to achieve business objectives.

- Good Communication &
- Negotiation skills

- Good Excel Knowledge

- Proficiency in speaking Telugu language is a must as he would be managing and supervising AP location where Telugu is a must.

📌 Provider Management/Healthcare Purchasing (Vijayawada)
🏢 ICICI Lombard
📍 Vijayawada