Executive-Provider Management

About the Company:

Practo

Role Purpose:

Practo

Key Responsibilities:

Job Description: Provider management

Responsible for creating and managing an in-house network for AHC and wellness requirements for the specific zone.

The candidate will be required to liaise with CXOs of Hospitals, laboratories, diagnostic centres & other healthcare vendors on a periodic basis with the objective of facilitating and managing business relations.

The incumbent will also be required to partner with local labs or hospitals across the defined zones. They are expected to be adept at negotiations and relationship management with their stakeholders.

Key Responsibilities & Accountabilities:

Be an interface between the Healthcare vendors and Customer management team to facilitate smooth closure of RFQ requests and onboarding.

Develop and expand the Medical provider's network to meet the ever-growing customer needs and demands.

Responsible for overall activities related with the empanelment of Network Providers Doctors, Laboratories, Hospitals and other wellness partners.

Experience in identifying tests, packages and components associated with health check-up packages.

Experience in Provider contracting and tariff negotiation on the best available rates for cashless facility along with corporate health check packages.

Ensure all signed contracts adhere to the local regulatory and corporate outsourcing guidelines and requirements.

Conduct monthly due diligence assessment & Periodic audit of Network providers with random onsite visits.

Monitor and ensure business efficiency and appointed Network Providers Service Level Agreements (SLAs) are met.

Provide complaint resolution and come up with corrective action in relation to service delivery failure, payment matters with Network Providers.

Take ownership of monthly payment reconciliation efforts of the respective vendor accounts.

Ensure adequate measures are in place to identify fraudulent activities at providers and take timely action

Required Skills/Qualifications:

1. Strong proficiency with MS Excel and MS Power point - Previous experience of managing provider networks.
2. Good communication Skills
3. Provider Network Management
4. Vendor Management
5. Bachelor's degree

Work Environment/Location:

This role is based in our Bengaluru office. It's not remote and requires regular office attendance. As part of the Practo team, you'll work in a fast-paced, dynamic environment where innovation and collaboration are valued.