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General Manager - Insurance

Job Description

JOB SPECIFICATION:

• Any Degree Holder (UG/PG Arts & Science)
• A minimum of 15+ years of experience in healthcare insurance management or revenue cycle management.
• Proven experience in Insurance/TPA empanelment, contract management and tariff negotiations.
• Strong leadership, negotiation, analytical and stakeholder-management skills.
• Solid commercial and financial understanding.
• Proficiency in MS Office, MIS and hospital information systems. ROLES & RESPONSIBILITY:
• Manage day-to-day Insurance, TPA, Corporate and Credit Desk operations.
• Provide strategic and operational leadership for Insurance, TPA, Corporate, CGHS and Credit Operations across all hospital branches.
• Develop and implement strategies to improve revenue realization, collections and overall revenue-cycle performance.
• Lead end-to-end cashless operations, including pre-authorization, approvals, enhancements, discharge and claims processing.
• Manage relationships with Insurance Companies, TPAs, Corporate Clients,



CGHS and other healthcare partners.
• Lead hospital empanelment, renewals, contract management and tariff negotiations.
• Negotiate and implement commercial terms and revised tariff structures with Insurance, TPA and Corporate clients.
• Oversee claim submission, settlement, denial management, deductions, disallowances and outstanding receivables.
• Monitor and improve claim turnaround time, collection performance and reduction of revenue leakage.
• Manage Corporate and Credit business, including credit limits, patient admissions, billing, collections and outstanding payments.
• Oversee CGHS operations and ensure compliance with applicable requirements.
• Develop strong professional relationships with consultants, corporate clients, insurance companies and TPAs.
• Monitor branch-wise operational and financial performance and ensure achievement of agreed targets.
• Identify process gaps and impleme

📌 General Manager (India)
🏢 DR.KAMAKSHI MEMORIAL HOSPITAL, (Inst. Code - 381) CHENNAI
📍 India