12 Oct
|
Career Shaper
|
Agra
12 Oct
Career Shaper
Agra
The role will be responsible for network data management, system preparedness, tripartite agreement management, preparing various daily, monthly & quarterly MIS, cost & tariff analysis. The role will be responsible for assisting the zonal contracting team to manage the renewal & tariff negotiation with hospital-based providers, management of agreement & on boarding the providers while ensuring compliance as per regulator directives.
Provider Servicing and Data Management
Contracting support for zonal teams through operational support, data management & tracking of empanelment activity
System Preparedness
Ensuring system readiness for data publication & claims management
Co-ordination with TPA and Claims Function
Co-ordination with network TPAs for tripartite agreement & provider payment reconciliation Reporting and co-ordination for investigation of suspected fraud and abuse practices by network providers through FWA team.
Cost & Tariff Analysis
Supporting zonal team in agreement renewal & tariff negotiation
📌 Provider Network (Agra)
🏢 Career Shaper
📍 Agra