Provider Management/Healthcare Purchasing

5 days ago

Indore New Delhi Patna, India ICICI Lombard Full time ₹ 1,04,000 - ₹ 1,30,878 per year

Management Profile: Provider Management/Healthcare Purchasing

Roles & Responsibilities:

  • Tariff Negotiations and cost management
  • Conducting surprise audits and checks of the claims and case to case negotiations
  • Manage workload of both field and office effectively
  • Experience in dealing with providers (Hospitals/Diagnostics & OPD Clinics)
  • Understanding of Health Claims and claim related processes
  • Good understanding of Health Insurance and related products
  • Managing relationship with the providers
  • Flexible to travel across locations based on the organizational requirements
  • Managing internal (Claims Team, Sales and Central Teams and external stakeholders (Brokers, Channel partners & Corporates)
  • Managing and controlling of cost for the portfolio assigned
  • Timely reporting of business MIS and reports to leadership team
  • Analytical and data-driven approach in day to day work
  • Lead and manage the technology & process related initiatives
  • Complying to the audit and compliance related concerns as per organization guidelines
  • Ability to collaborate with various cross functional stakeholders and drive the agenda for closure
  • Should have a good analytical mind to understand costs associated with hospital tariffs and claim cost and manage them effectively.
  • Should have excellent communication, presentation and detailed oriented skills (MS Excel, PowerPoint)

Required Qualification / Experience

  • MBBS/B Pharma /M-Pharma/Physiotherapy/BAMS/BHMS/Paramedics or similar prior experience as per above roles and responsibilities
  • High on energy, innovative thinking, passionate and can do attitude.
  • Firm believer of fostering relationship at all level to achieve business objectives.
  • Good Communication & Negotiation skills
  • Good Excel Knowledge
  • Proficiency in speaking Telugu language is a must as he would be managing AP & Telangana location where Telugu is a must.

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