Health Provider Network Management - Feild Role (Mumbai)

Health Provider Network Management - Feild Role (Mumbai)

25 Sep
|
Go Digit General Insurance
|
Mumbai

25 Sep

Go Digit General Insurance

Mumbai

Network Field Associate

Function: Health Network

Department: Health

Grade: G2C

Reporting to: Zonal Lead – Health Network

Position Description

Strengthen Digit’s provider network by building hospital relationships, expanding cashless coverage, and optimizing cost structures. As a Network Field Associate, you’ll support hospitals with claims processing, manage reconciliations, and ensure timely renewals of agreements—all while driving operational efficiency and regulatory compliance.

Key Responsibilities

Provider Relationship & Network Expansion

- Develop and maintain strong relationships with hospitals and healthcare providers.
- Expand cashless network coverage across the assigned region.
- Negotiate cost-effective discounts and favorable terms with providers.

Operational Support & Claims Coordination

- Assist hospitals with cashless claims processing and portal utilization.
- Reconcile outstanding data related to cashless claims.
- Analyze performance metrics and create MIS reports for optimization.

Contract Management & Compliance

- Ensure timely renewal of MoUs with providers in line with organizational timelines.
- Maintain compliance with legal and regulatory requirements (IRDAI, NABH, etc.).

Experience & Skills Required

Core Competencies

- Provider relations and hospital network management




- Claims data analysis and reconciliation
- Familiarity with hospital information systems and provider portals
- Proficiency in MS Office, Power BI or Tableau
- Understanding of claims management systems

Behavioral Traits

- Strong negotiation and communication skills
- Analytical mindset and performance monitoring
- Knowledge of regulatory frameworks
- Interpersonal effectiveness and stakeholder engagement

Qualifications

- Master’s degree in Healthcare Management, Business Administration, or related field (MBA/MPH preferred)
- Bachelor’s in Medical, Dental, Ayurveda, Homeopathy, Physiotherapy, or Nursing preferred
- 2–6 years of experience in health insurance, provider relations, hospital management, or healthcare operations
- No mandatory certifications required

What You Bring to Digit

You bring relationship-building, operational agility, and data-driven insights—ensuring Digit’s provider network is productive, compliant, and aligned with customer care standards.

Job Snapshot Updated Date 23-09-2026 Job ID Job0726 Sub Department Health Network Location Mumbai - Sion, Maharashtra, India .. 5 Experience 2 - 8 Years Employee Type Permanent Employee Sub Type Full Time

📌 Health Provider Network Management - Feild Role (Mumbai)
🏢 Go Digit General Insurance
📍 Mumbai

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