Compliance and Empanelment lead

About 2070 Health
2070Health is India's premier Venture Studio, pioneering an innovation platform dedicated to building groundbreaking healthcare companies from the ground up. Our mission is to identify and seize disruptive opportunities within the healthcare sector. What sets us apart from conventional venture capital and accelerator models is our active involvement in idea generation, day-to-day operations, and strategic decision-making, all geared toward fostering the growth of each newly established enterprise.

Additionally, we are proud to have the steadfast support of W Health Ventures.

About Everhope Oncology

Everhope Oncology is on a mission to transform cancer care by making high-quality treatment more accessible, patient-friendly, and closer to home. Backed by Narayana Health, one of India's leading hospital systems, W Health Ventures, a healthcare venture capital firm, and 2070 Health, a healthcare-focused venture studio, Everhope has secured $10 million in seed funding to establish a nationwide network of medical and surgical oncology facilities.

Starting in Delhi and Mumbai, Everhope plans to expand to 10 cities over the next three years, bringing expert-led early diagnosis, daycare chemotherapy, and surgical oncology to locations where patients need them most.

India faces a growing cancer burden, with over 150 million people expected to be diagnosed in their lifetime. Everhope is tackling this challenge head-on by creating smaller, strategically located centers that eliminate the logistical and emotional barriers to care.

If you're passionate about shaping the future of oncology and want to be part of a high-impact, patient-first organization, join us in building a new era of cancer treatment—one that prioritizes convenience, empathy, and innovation.

Role Overview

The Compliance and Empanelment Lead will be responsible for managing all legal and regulatory compliances related to hospital operations, with a strong focus on empanelments across TPAs, insurance providers, and government schemes. The role includes handling hospital licenses, empanelment documentation, queries, claim rejections, and driving recoveries. This position demands a highly organized individual with hands-on experience in the healthcare ecosystem and a deep understanding of empanelment and compliance functions.

·       Compliance Management

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• Ensure adherence to all statutory and regulatory requirements applicable to hospitals.

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• Manage hospital licenses, drug licenses, pollution control, fire and lift NOCs, and other regulatory approvals.

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• Maintain accurate records and ensure timely renewals of all licenses.

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• Coordinate with legal advisors and regulatory bodies for audits and assessments.

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• Monitor compliance across departments and raise alerts on deviations.

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• Draft and review MoUs, contracts, and legal documents.

·       Empanelment & Insurance Management

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• Drive empanelments with TPAs, GIPSA, private insurers, third-party administrators, and government panels (CGHS, ECHS, PSU, ESI).

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• Handle documentation, follow-ups, and negotiations for empanelment and renewals.

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• Resolve queries, rejections, and re-submissions for empanelment applications.

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• Maintain updated rate contracts, terms of empanelment, and communication logs.

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• Coordinate with billing and marketing teams to increase patient footfall through empanelment.

·       Recovery & Reporting

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• Track payment cycles and follow up with TPAs for timely claim settlements.

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• Handle claim discrepancies, rejections, and dues collection.

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• Prepare and maintain monthly MIS reports on empanelment status, recovery, and outstanding amounts.

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• Coordinate with finance and audit teams for claim resolutions.

• Deep knowledge of hospital operations, empanelment procedures, and compliance frameworks.

• Familiarity with hospital licensing and government health panels (CGHS, ECHS, etc.).

• Excellent communication, documentation, and negotiation skills.

• Ability to coordinate with cross-functional teams.

• Proficiency in claim processing, rejections handling, and documentation.

• Bachelor's degree is mandatory; LL.B preferred.

• 5–7 years of experience in hospital compliance, empanelment, or liaison roles.

• Experience with multispecialty hospitals or TPA/insurance companies is highly desirable.