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Healthcare Provider Network Lead
2 weeks ago
We are seeking a seasoned professional to lead our provider management efforts in New Delhi.
Key Responsibilities:- Contracting with healthcare providers to achieve geographical spread and quality services
- Negotiating with providers for cost-efficient services during empanelment and rate revisions
- Managing end-to-end provider network operations, identifying leakages, and preventing fraud, waste, and abuse
- Closely monitoring and controlling Accredited Cancer Specialists
- Hands-on involvement in provider due diligence processes and execution of agreements
- Cross-functional coordination
- Proven experience in provider network management
- Strong relationships with corporate hospitals
- Understanding of regulatory guidelines and latest trends in health insurance and healthcare sectors