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Insurance Network Provider Specialist

Insurance Network Provider Specialist

MediBuddy

5 years

0 Lacs

delhi

Posted:8 hours ago| Platform: GlassDoor logo

Apply

Skills Required

network drive outreach service management negotiation engagement data optimization monitoring audits healthcare communication

Work Mode

On-site

Job Type

Part Time

Job Description

Location: Delhi
Department: Insurance (PPMC) Provider Network Key Responsibilities :

Expansion of the Health & Wellness Network: Drive the growth and outreach of the provider

network, ensuring a strong presence across the region.

Tie-Ups & Empanelment: Facilitate new partnerships and renewals with hospitals, clinics, and

diagnostic centers to enhance service availability.

Regional Provider Management: Oversee all empanelment-related activities for provider

partners in the East region, ensuring seamless onboarding.

Contracting & Tariff Negotiation: Secure the best possible rates for services through strategic

negotiations with providers.

Relationship Management: Maintain strong, end-to-end engagement with diagnostic centers,

hospitals, and clinics to ensure operational efficiency.

Network Presence & Data Management: Regularly update records to reflect current network

coverage and provider status.

Cost Optimization: Implement and track cost-saving measures by quantifying negotiated tariff

benefits through a structured monitoring system.

Travel: Readiness to travel different cities for the identification of the Diagnostic centers/Hospitals

and for the Audits/Mystery shoppings.
Qualification :

Minimum 5+ years of experience in the healthcare industry, preferably in provider management

(TPA).

Strong communication and negotiation skills to effectively engage with healthcare providers.
Established connections with hospitals, diagnostic centers, and clinics in the North zone will be

an added advantage.

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