04 Sep
|
MD India Health Insurance TPA, MD India Health Insurance TPA
|
Bengaluru
04 Sep
MD India Health Insurance TPA, MD India Health Insurance TPA
Bengaluru
Job Requirements nJob Title: Assistant Manager/Manager - Provider ManagementnnLocation: MD India Health Insurance TPA Pvt. Ltd, [Insert City], IndiannSalary: Market-competitive salary commensurate with experience and industry standardsnnQualification: Bachelors degree in Healthcare Management, Business Administration, or related field. Additional certifications in Healthcare Quality Management or Insurance Management are advantageous.nnWork Experience: Minimum 5 years of experience in provider management, network development, or related roles within the healthcare or insurance industry.nnnJob Description:nnJoin MD India Health Insurance TPA Pvt. Ltd as an Assistant Manager/Manager in Provider Management, where you will play a pivotal role in maintaining and enhancing relationships with network hospitals and healthcare providers. This position offers a unique opportunity to contribute to the strategic growth and operational efficiency of our health insurance services.nnnResponsibilities:nnContinuously engage with network hospitals to negotiate and manage agreements on VAS, GIPSA rates, CGHS rates, PPR, and hospital tariffs.Ensure timely completion of contracts and credentialing of all healthcare providers.Negotiate with hospitals for volume incentives, early payment discounts, and tariff negotiations to optimize cost-efficiency.Manage hospital empanelment and de-empanelment processes for cashless services.Coordinate appointments and de-appointments of diagnostic centers for pre- and post-policy checkups.Conduct audits and oversee hospital cashless facilities to ensure compliance and quality service delivery.Validate and investigate member reimbursement claims to ensure accuracy and adherence to policy guidelines.Facilitate seamless and hassle-free cashless services for members.Plan and execute health examination camps as part of corporate wellness initiatives and community outreach programs.nRequirements:nnBachelors degree in Healthcare Management, Business Administration, or a related field.Minimum 5 years of progressive experience in provider management, network development, or healthcare administration.Proven track record in negotiating contracts, managing provider relationships, and optimizing provider networks.Strong understanding of healthcare billing, insurance practices, and regulatory compliance.Excellent communication, negotiation, and interpersonal skills.Ability to analyze data, identify trends, and make strategic decisions.Proficiency in MS Office and healthcare management software.Willingness to travel as needed.nBenefits:nnCompetitive salary and performance-based incentives.Comprehensive health insurance and retirement benefits.Opportunities for professional development and career advancement.Dynamic and collaborative work environment.Contribution to improving healthcare access and quality.Recognition for achievements and contributions to organizational goals.Work-life balance initiatives and flexible work arrangements.Supportive management and team-oriented culture.nIf you are a seasoned professional with a passion for healthcare management and provider relations, join MD India Health Insurance TPA Pvt. Ltd to make a difference in the healthcare industry. Apply now and be part of our mission to provide accessible and quality healthcare services across India. .
📌 Assistant Manager/ Manager in MD India Health Insurance - Bengaluru
🏢 MD India Health Insurance TPA, MD India Health Insurance TPA
📍 Bengaluru