Job Summary

The Networking Executive – Insurance will be responsible for building, developing, and maintaining strong relationships with hospitals, healthcare providers, insurance companies, and Third-Party Administrators (TPAs). The role involves hospital empanelment, provider onboarding, documentation, coordination, relationship management, issue resolution, and network expansion to support smooth insurance operations.

Key Responsibilities

1. Provider Network Management

- Develop and maintain professional relationships with hospitals, clinics, insurance companies, and TPAs.
- Identify potential hospitals and healthcare providers for network expansion.
- Coordinate the onboarding and empanelment of new healthcare providers.
- Maintain an updated database of hospitals, insurers, TPAs, and provider contacts.
- Ensure provider details, agreements, and contact information are accurate and updated.

2. Hospital Empanelment & Credentialing

- Coordinate hospital empanelment with insurance companies and TPAs.
- Collect and verify required hospital and provider documents.
- Follow up with hospitals, insurers, and TPAs regarding empanelment applications.
- Track empanelment status and ensure timely completion of documentation.
- Support renewal, re-credentialing, and agreement renewal processes.

3. Relationship Management

- Act as the primary point of contact for assigned hospitals and insurance partners.
- Conduct regular follow-ups and meetings with network partners.
- Understand and address concerns raised by hospitals, insurers, and TPAs.
- Maintain strong and professional relationships with key stakeholders.
- Ensure timely communication and effective partner support.

4. Coordination & Issue Resolution

- Coordinate with internal teams such as Insurance Operations, Claims, Billing, Accounts, and Management.




- Facilitate communication between hospitals, insurance companies, and TPAs.
- Assist in resolving operational and documentation-related issues.
- Follow up on pending cases, approvals, agreements, and service-related concerns.
- Support smooth implementation of insurance processes and network initiatives.

5. Documentation & Compliance

- Maintain proper records of empanelment documents, agreements, renewals, and correspondence.
- Ensure documentation is complete, accurate, and properly maintained.
- Support internal and external audits by providing required documents and reports.
- Follow organizational policies, procedures, and applicable healthcare insurance requirements.

6. Reporting & MIS

- Prepare regular MIS reports related to hospital empanelment and network activities.
- Track new provider additions, renewals, pending applications, and partner issues.
- Maintain accurate records of network performance and activities.
- Provide regular updates to the reporting manager.

7. Business Development & Network Expansion

- Identify potential hospitals and healthcare providers for network expansion.
- Conduct hospital visits and meetings as required.
- Assist in developing new provider partnerships.
- Support management in partnership discussions and negotiations.
- Explore opportunities to strengthen the organization's healthcare provider network.

Qualifications

- Bachelor's degree in Hospital Administration, Healthcare Management, Business Administration, Marketing,



or a related field.
- MBA/MHA or relevant postgraduate qualification will be an added advantage.

Experience

- 2–5 years of experience in hospital networking, insurance operations, hospital empanelment, TPA coordination, healthcare relationship management, or business development.
- Experience working with hospitals, insurance companies, or TPAs is preferred.

Required Skills

- Valuable understanding of health insurance and TPA operations.
- Knowledge of hospital empanelment and provider networking.
- Strong communication and interpersonal skills.
- Good negotiation and relationship-management abilities.
- Strong coordination and follow-up skills.
- Problem-solving and decision-making abilities.
- Good knowledge of MS Office, Excel, email, and CRM/HIS systems.
- Ability to manage multiple stakeholders and meet deadlines.
- Willingness to travel for hospital visits and partner meetings when required.

Key Performance Indicators (KPIs)

- Number of new hospitals/providers successfully empanelled.
- Empanelment completion and turnaround time.
- Network expansion and provider coverage.
- Contract and renewal completion rate.
- Timely resolution of partner-related issues.
- Accuracy and completeness of provider documentation.
- Partner relationship and engagement effectiveness.
- Timeliness and accuracy of MIS reports.
- Compliance with organizational processes and requirements.

Job Requirements

- Strong professional communication and follow-up skills.
- Ability to build long-term relationships with hospitals and insurance stakeholders.
- Ability to work independently as well as part of a team.
- Willingness to travel within the assigned territory.
- Target-oriented and organized approach to work.

Work Location: In person

📌 Networking Executive – Insurance (Kochi)
🏢 MEDIDESK HEALTHCARE SERVICES
📍 Kochi