Health Manager

3 weeks ago


Navi Mumbai, Maharashtra, India Satvam Consulting Private Limited Full time
Job profileManage high disease risk customers/patients over the phone/emails/EMR and, if required, in personShould understand the medical diseases and finer details of their management protocol along with the finer details of the program constructFollow/Develop a detailed plan of tracking as per the protocol keeping in mind the complications that could ariseCoordinate with external customers/patients basis the risk trigger ensuring maximum level of sensitivity and confidentiality while managing casesManaging all cases on a case to case basis ensuring that majority customers/patients are adhering to the program constructManage changes and escalations effectively on a case to case basisMeasure program performance with relevant reports and at define frequencyReport and escalate to management as and when neededSuccessfully manage the relationship with all stakeholders, internal as well as externalPerform risk management to minimize risks at a customer level as well as at a portfolio levelEstablish and maintain relationships with third parties/vendorsReview the processes on a timely basisWork towards digitization at each stageIdentify opportunity for improvement basis partners feedbackLeakage management and Governance around payment, customer benefit utilizationManage Internal & external process AuditsAdherence to all Regulatory requirements and quick adaption to regulationsKnowledge of DRM processes:Stay abreast with new processes / suggest improvementsUnderstanding of DRM systems (process flow & System fields) TAT & expectations management for specialized business handling.Co-ordinate with other departments, team members and management to ensure smooth information flow to ensure that operations are carried out, recurring issues are resolved. Create & maintain standards/protocols for DRM teamMaintain a consistent service delivery to ensure client retention and satisfactionIdentify risk

Experience : 0 - 3 Years

No. of Openings : 1

Education : MBBS

Role : Health Manager

Industry Type : Insurance / Claims

Gender : [ Male / Female ]

Job Country : India


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