Corporate insurance head
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.
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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...
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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...
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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...
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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...
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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...
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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...
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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...
