Zonal Head – Provider Management

2 weeks ago


Delhi, Delhi, India Magma General Insurance Limited Full time

Department: Health Claims

Total Work Experience: 8-12

Education: Graduation/Post Graduation/MBA

  • Responsible for building and managing a quality and cost-efficient Network of Healthcare providers in the Zone
  • Provider contracting to achieve the right geographical spread
  • Responsible to carry out negotiations for quality cost-efficient services, during empanelment and rate-revisions
  • Manage end to end Provider Network operations in the Zone
  • Responsible for regular case management negotiations with providers
  • Identify leakages and take measure to prevent FWA
  • Close monitoring and controlling of ACS
  • Hands-on with Provider due diligence process and execution of bi-partite and tripartite agreements
  • Cross functional coordination

Specialized skills & competencies :-

  • Hands-on with Provider Network management
  • Strong relationships with Corporate Hospitals
  • Understanding of regulatory guidelines
  • Awareness about latest trends and the developments in Health Insurance and Healthcare sector

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