CARE Hospitals, Quality CARE India Limited | Corporate Insurance Head | hyderabad
2 weeks ago
Job Summary:
As the Insurance Vertical Head in the hospital industry, candidate will be responsible for overseeing and managing the hospital's Insurance Revenue & Volumes for all CARE Hospitals Units. His role will involve coordinating with insurance companies, managing relationships with third-party administrators, and ensuring the increase in Revenues with your contacts & relationships for medical services provided by the hospital. He will also be responsible for leading a team of professionals and implementing strategies to optimize Insurance Growth in a matrix organization.
Responsibilities:
1. Insurance Growth Management:
- Develop and implement effective strategies for managing TPA operations in line with the hospital's goals and objectives.
- Ensure timely and accurate Growth strategies for wider reach and activities.
- Oversee the TPA team and ensure adherence to quality standards, compliance regulations, and industry best practices.
- Monitor key performance indicators (KPIs) related to claims processing, turnaround time, accuracy, and customer satisfaction.
- Identify areas for process improvement, implement necessary changes, and monitor their effectiveness.
- Find suitable opportunities to engage with Ins/TPA, Insurance agents / facilitators through various activities to grow the business
2. Relationship Management:
- Establish and maintain strong relationships with insurance companies, third-party administrators, and other stakeholders.
- Collaborate with insurance providers to negotiate contracts, terms, and pricing agreements.
- Resolve issues, disputes, and conflicts related to claims processing, billing, and reimbursement.
- Conduct regular meetings and performance reviews with TPAs to evaluate their performance, address concerns, and identify areas for improvement.
- Co-ordinate with all Units of Care and Ins/Corporate team, understand the challenges and resolve with timely intervention
3. Team Leadership and Development:
- Build and lead a high-performing team of TPA professionals, providing guidance, support, and mentorship.
- Define team goals, objectives, and performance expectations aligned with the hospital's overall strategy.
- Conduct regular training and development programs to enhance the team's knowledge and skills.
- Foster a positive work environment that encourages collaboration, innovation, and continuous learning.
4. Financial Analysis and Reporting:
- Analyze financial data related to Insurance Growth.
- Prepare monthly reports, forecasts, and budgets to monitor the financial performance of Insurance/TPA and team members (unit wise)
- Identify cost-saving opportunities and implement strategies to optimize expenses without compromising quality or compliance.
- Maintain trackers to ensure monitoring of renewals / expiry and timely negotiating for revision of rates
5. Compliance and Regulatory Requirements:
- Ensure compliance with applicable laws, regulations, and industry standards related to claims processing, privacy, and data security.
- Stay updated with changes in healthcare regulations and insurance policies affecting TPA operations.
- Implement processes and controls to maintain data accuracy, confidentiality, and integrity.
Requirements:
- Bachelor's degree in healthcare administration, business management, or a related field (Master's degree preferred).
-12+ years of proven experience in similar TPA leadership role within the hospital industry at Corporate/India level.
- In-depth knowledge of healthcare insurance, claims processing, and reimbursement practices. Established relationship with partners and stakeholders in the industry
- Familiarity with relevant laws, regulations, and industry standards.
- Strong leadership and team management skills with the ability to inspire and motivate a team.
- Excellent communication, NEGOTIATION, and interpersonal skills to build and maintain relationships with stakeholders.
- Analytical mindset with the ability to analyze financial data, identify trends, and make data-driven decisions.
-Can drive and contribute individually within a matrix organization , go getter and high on execution
- Proficiency in using healthcare software systems, electronic medical records (EMRs), and claims processing platforms.
-
Corporate Insurance Head
2 weeks ago
hyderabad, India CARE Hospitals, Quality CARE India Limited Full timeJob Summary: As the Insurance Vertical Head in the hospital industry, candidate will be responsible for overseeing and managing the hospital's Insurance Revenue & Volumes for all CARE Hospitals Units. His role will involve coordinating with insurance companies, managing relationships with third-party administrators, and ensuring the increase in Revenues with...
-
Corporate insurance head
2 weeks ago
Hyderabad, India CARE Hospitals, Quality CARE India Limited Full timeJob Summary: As the Insurance Vertical Head in the hospital industry, candidate will be responsible for overseeing and managing the hospital's Insurance Revenue & Volumes for all CARE Hospitals Units. His role will involve coordinating with insurance companies, managing relationships with third-party administrators, and ensuring the increase in Revenues...
-
Corporate Insurance Head
4 months ago
Hyderabad, India CARE Hospitals, Quality CARE India Limited Full timeJob Summary:As the Insurance Vertical Head in the hospital industry, candidate will be responsible for overseeing and managing the hospital's Insurance Revenue & Volumes for all CARE Hospitals Units. His role will involve coordinating with insurance companies, managing relationships with third-party administrators, and ensuring the increase in Revenues with...
-
Corporate Insurance Head
2 weeks ago
hyderabad, India CARE Hospitals, Quality CARE India Limited Full timeJob Summary:As the Insurance Vertical Head in the hospital industry, candidate will be responsible for overseeing and managing the hospital's Insurance Revenue & Volumes for all CARE Hospitals Units. His role will involve coordinating with insurance companies, managing relationships with third-party administrators, and ensuring the increase in Revenues with...
-
hyderabad, India CARE Hospitals, Quality CARE India Limited Full timeWe are seeking a strategic and innovative Head of Digital Marketing to lead our digital initiatives at Group Level . This role is crucial for enhancing our online presence, driving patient engagement, and promoting our services. The ideal candidate will have a deep understanding of digital marketing strategies, patient acquisition, and healthcare...
-
hyderabad, India CARE Hospitals, Quality CARE India Limited Full timeWe are seeking a strategic and innovative Head of Digital Marketing to lead our digital initiatives at Group Level . This role is crucial for enhancing our online presence, driving patient engagement, and promoting our services. The ideal candidate will have a deep understanding of digital marketing strategies, patient acquisition, and healthcare...
-
hyderabad, India CARE Hospitals, Quality CARE India Limited Full timeWe are seeking a strategic and innovative Head of Digital Marketing to lead our digital initiatives at Group Level . This role is crucial for enhancing our online presence, driving patient engagement, and promoting our services. The ideal candidate will have a deep understanding of digital marketing strategies, patient acquisition, and healthcare...
-
Corporate Insurance Head
4 months ago
Hyderabad, India CARE Hospitals, Quality CARE India Limited Full timeJob Summary:As the Insurance Vertical Head in the hospital industry, candidate will be responsible for overseeing and managing the hospital's Insurance Revenue & Volumes for all CARE Hospitals Units. His role will involve coordinating with insurance companies, managing relationships with third-party administrators, and ensuring the increase in Revenues with...
-
Corporate Insurance Head
5 months ago
Hyderabad, India CARE Hospitals, Quality CARE India Limited Full timeJob Summary:As the Insurance Vertical Head in the hospital industry, candidate will be responsible for overseeing and managing the hospital's Insurance Revenue & Volumes for all CARE Hospitals Units. His role will involve coordinating with insurance companies, managing relationships with third-party administrators, and ensuring the increase in Revenues with...
-
Corporate Insurance Head
5 months ago
Hyderabad, India CARE Hospitals, Quality CARE India Limited Full timeJob Summary: As the Insurance Vertical Head in the hospital industry, candidate will be responsible for overseeing and managing the hospital's Insurance Revenue & Volumes for all CARE Hospitals Units. His role will involve coordinating with insurance companies, managing relationships with third-party administrators, and ensuring the increase in Revenues...
-
hyderabad, India CARE Hospitals, Quality CARE India Limited Full timeRole and Responsibility :Ensure Credit and Collection KPI delivery and facilitate process improvements through Unit receivable Teams.Facilitate AR monitoring at corporate and effective reconciliations protocols.Hold relationship for key group level accounts.Assess adequacy of provisions and rationale for bad debts write offs (including disallowances)Act as a...
-
hyderabad, India CARE Hospitals, Quality CARE India Limited Full timeRole and Responsibility : Ensure Credit and Collection KPI delivery and facilitate process improvements through Unit receivable Teams. Facilitate AR monitoring at corporate and effective reconciliations protocols. Hold relationship for key group level accounts. Assess adequacy of provisions and rationale for bad debts write offs (including disallowances)...
-
hyderabad, India CARE Hospitals, Quality CARE India Limited Full timeRole and Responsibility : Ensure Credit and Collection KPI delivery and facilitate process improvements through Unit receivable Teams.Facilitate AR monitoring at corporate and effective reconciliations protocols. Hold relationship for key group level accounts. Assess adequacy of provisions and rationale for bad debts write offs (including disallowances)Act...
-
hyderabad, India CARE Hospitals, Quality CARE India Limited Full timeJob Summary :The Inbound Call Centre Head is responsible for overseeing the daily operations of the inbound call centre, ensuring a high level of customer satisfaction, operational efficiency, and achieving performance goals. The role requires strong leadership, operational management, and a deep understanding of call centre processes, including quality...
-
hyderabad, India CARE Hospitals, Quality CARE India Limited Full timeJob Summary:The Inbound Call Centre Head is responsible for overseeing the daily operations of the inbound call centre, ensuring a high level of customer satisfaction, operational efficiency, and achieving performance goals. The role requires strong leadership, operational management, and a deep understanding of call centre processes, including quality...
-
hyderabad, India CARE Hospitals, Quality CARE India Limited Full timeJob Summary : The Inbound Call Centre Head is responsible for overseeing the daily operations of the inbound call centre, ensuring a high level of customer satisfaction, operational efficiency, and achieving performance goals. The role requires strong leadership, operational management, and a deep understanding of call centre processes, including quality...
-
Chief Credit and Collections Specialist
2 days ago
Hyderabad, Telangana, India CARE Hospitals, Quality CARE India Limited Full timeJob SummaryWe are seeking a highly skilled Chief Credit and Collections Specialist to join our team at CARE Hospitals, Quality CARE India Limited. This role will be responsible for ensuring timely delivery of credit and collection KPIs while driving process improvements through unit receivable teams.The ideal candidate will have at least 5-6 years of...
-
hyderabad, India Continental Hospitals Full timeAbout UsContinental Hospitals stands out as one of the best hospitals in Hyderabad, distinguished by its commitment to adhering to national and international guidelines while offering an extraordinary aesthetic ambience and safe design. Continental Hospitals is India’s first LEED qualified super specialty hospital. With 800 beds and more than 60...
-
Head of Digital Marketing- Corporate Office
2 weeks ago
Hyderabad, India CARE Hospitals, Quality CARE India Limited Full timeWe are seeking a strategic and innovative Head of Digital Marketing to lead our digital initiatives at Group Level . This role is crucial for enhancing our online presence, driving patient engagement, and promoting our services. The ideal candidate will have a deep understanding of digital marketing strategies, patient acquisition, and healthcare...
-
Head of Digital Marketing- Corporate Office
2 weeks ago
hyderabad, India CARE Hospitals, Quality CARE India Limited Full timeWe are seeking a strategic and innovative Head of Digital Marketing to lead our digital initiatives at Group Level . This role is crucial for enhancing our online presence, driving patient engagement, and promoting our services. The ideal candidate will have a deep understanding of digital marketing strategies, patient acquisition, and healthcare...
