Write the purpose for which the job exists (in 23 lines)
The role is responsible to lead the designing and execution of strategy for Provider Network of ABHI and will be responsible for managing partner relationship, expansion of hospital network to all possible location having policy distribution, controlling the ACS (Average claim size), Negotiating the tariffs with hospitals and creating preferred provider network having packagebased pricing for possible services
Managing OPD / wellness partners and TPAs through health claims, PPMC, D/HA and Health checks and its related commercials, evaluating new health tech partners and ensuring the deliverables for customer servicing The role will also be responsible for creating and managing DC network (Diagnostic centers) PAN India through the aggregator or direct partners
2) Dimensions:
Mention quantitative or qualitative parameters that are relevant for the job and provide a better understanding of the scope and scale of the job
Business Workforce Number On Roll 6000
Offroll/ Partime 4000
Unit Workforce Number On Roll 6000
Offroll/ Part time 4000
Function Workforce Number On Roll 800
Offroll/ Part time 200
Department Workforce Number On Roll 23
Offroll/ Part time 4
Other Quantitative and Important Parameters for the job: Budgets/ Volumes/No of Products/Geography/ Markets/ Customers or any other parameter
Vendor Management
OPD Insurance product and partner management
Group wellness and OPD business through aggregator partners offering digital / tech platformbased journey for customers
Write the specific aspects of the job that provide a challenge (internal and external) to the jobholder in the context of the Business / Unit / Function / Department / Section
About the Health Insurance Industry
While the current market sees more than 15 nonlife players in the private space and 5 exclusive private players in the health insurance space trying to capture a sizable market share, the nationalized service provider (6) remains a strong competitor In addition to this the business dynamics are such that the overall market on an annual basis which is to the tune of roughly 25, 000 Crs sees close to 8085 % of the business renewing with the existing service provider itself
This narrows down the opportunity of the fresh business actually being seriously fought in the market
With the SME and the startups being the driving force of Indian economy, the opportunity to cater to these segments is immense and is increasing manifold year on year The challenge here therefore remains as to how we capture a larger share of the chance by developing specific solutions to cater each segment of the business
Also by creating an inexpensive and standardized solution to increase the reach into the pockets of channel partners across the country to harness on their captive business and explore new opportunities with them
Market Opportunities With the advent of medical advancements, lifestyle changes, change in Indian socioeconomic scenario and Indian healthcare space, and the insurers are facing challenges to cater to the needs of this diverse clientele
Increasingly Indian customers have started considering health insurance partners as extensions of health advisers
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