Jupiter Hospital

Designation: Head – TPA & Claims Process Controller & Audits Location: Thane Corporate Office Department: TPA & Claims Qualification: BAMS / BHMS / MBBS with Post-Graduation in Healthcare Management Professional Experience: 5+ years of experience in a tertiary care hospital or the health insurance sector Main Objective of the Role To ensure compliance in complete end-to-end claim processing, disbursement, and settlement for all insurance and corporate patients. Key Responsibilities 1. Medical Claims Compliance & Processing Oversight Ensure 100% compliance in claims processing through the IHX portal. Monitor the end-to-end lifecycle of claims management, including disbursal and settlement. Supervise and review daily, weekly, and monthly claims data: claims raised, under query, pending/disputed, and ageing analysis. Assist local TPA teams in resolving stuck or disputed claims. Ensure claims are settled in accordance with the agreed MoUs with partners and corporates. Monitor and control disallowances and short payments post final approvals. Supervise the claim settlement process within the HMIS system. Liaise, engage, and coordinate with insurance companies and TPA partners. 2. Claims Audit & Quality Assurance Perform detailed audits of medical claims to ensure accuracy and integrity. Review and verify diagnosis codes, treatment plans, and medical necessity. Identify and rectify errors, discrepancies, or potential fraud in claims submissions. Prepare comprehensive audit reports with findings, recommendations, and corrective actions. Maintain accurate and complete records of audits and corrective measures. 3. Process Improvement & Compliance Develop and implement efficient claims processing procedures and controls. Monitor and analyze claims trends and processing metrics for improvement opportunities. Ensure adherence to regulatory requirements and best practices. Collaborate with internal teams to refine policies and procedures for claims adjudication. Assist in the development and review of medical policies, clinical guidelines, and adjudication criteria. 4. Training & Clinical Support Provide clinical expertise for complex medical cases and claims handling. Conduct training for claims processors on medical terminology, coding, and best practices. Stay updated with medical, coding, and regulatory developments to ensure ongoing process improvements. MIS Reports Claim Intake Summary Report Claims Under Process Query & Dispute Log Claims Workflow Tracker Aging Analysis Report Short Payment & Disallowance Summary Claims Settlement Dashboard TPA/Insurer Performance Report Compliance Scorecard Financial Impact Report High-Value Claims Review Clinical Coding Accuracy Report Supplementary Position Guidelines Key Relationships: External: TPAs, Insurance Companies, Corporate Clients Internal: Billing Team, Claim Processing Team, Finance Team Note: Interested candidates can email their resume at Jobs@jupiterhospital.com Show more Show less

Part time engagement with Department of Academics.

Jupiter Hospital, a reputed hospital chain, is looking to hire a Unit Finance Controller for its flagship unit in Thane. We at Jupiter Hospital, looking for a dynamic finance professional who can take charge of financial operations, drive compliance across the board, lead automation and synergize and consolidate finance and back-office operations across a multi-location hospital network. Experience : 7~10 years Qualification : CA ERP Expertise : Exposure to Oracle Fusion would be an added advantage Key Responsibilities : Manage financial operations, monthly / quarterly / annual book closures & attendant reporting Oversee revenue assurance, AP/AR and all requisite reconciliations Ensure compliance with all applicable requirements, statutes and taxes [GST, TDS, stat, tax and internal audits, etc.] Drive process automation and play a key role in ERP implementation Strengthen internal controls and processes Collaborate cross-functionally with operations, projects, supply chain and IT. Preferred Background : Experience in the healthcare industry, pharma, hospitality or retail.

A warm, capable Manager/Coordinator to handle senior's living wellness resort operations with • Strong people, planning & communication skills • Compassionate & respectful to seniors • PR, guest relations skills • Flexible, hands-on attitude House rent allowance

Identify leads via cold calls, networking & social media. Understand client needs, pitch solutions, handle full sales cycle & close deals. Maintain strong relationships & meet targets.Strong communication, negotiation & self-driven attitude required.

Cardiopulmonary Physiotherapist

We are urgently hiring ICU nurses for our Pune Unit. GNM/B.Sc. Nursing/PB Bsc. with ICU experience of 1+ Yrs can apply. Interested candidates can walk in between 11 am to 4.30 pm to Jupiter Hospital, Baner, Pune. Contact Person : Ms. Ishita from HR.

For Commis: Main Duties: Operational 1. To assist chef de partie in preparing food according to the requirements or recipes or standards, and the specifications for his department. 2. To prepare the mis-en-place as required by the daily menu. 3. To maintain his work station and area in clean and orderly condition at all times. 4. To advise his supervisor on items in short supply and book the same as needed from stores after getting the approved requisition. 5. To carry out any duties assigned by the chef. 6. To follow the house rules and policies laid down by the management. 7. To adhere to strict grooming and hygiene standards. 8. To consciously and continuously strive to better his/ her skills and increase his/ her knowledge. For Stewards: 1. To and fro transport of food from the kitchen to the ward. 2. Serving food to the patient and clearing the plate. 3.To arrange the food properly and serve to the patients as per the hospital standards. 4.To serve food to all patients, staff and visitors on time. 5.To maintain the cutlery and crockery properly. 6.Keeping a tab on breakage and missing cutlery and reporting the same to the supervisor. 7.Maintain self-hygiene.

Responsibilities: * Develop digital marketing strategies * Execute advertising campaigns * Manage influencers * Qualify leads * Generate leads at events * Create and edit pictures and videos for the posts on various social media platforms

Jupiter Hospital is Hiring for Clinical Associate - O bstetrics & Gynaecology Location: Thane Qualification: MBBS, MD/DNB/DGO (MMC Registration Mandate) Freshers can also Apply Interested candidates can email the resume on jobs@jupiterhospital.com

Responsibilities: * Develop & execute social media strategies * Manage online presence across platforms * Create engaging content for campaigns * Monitor analytics & adjust tactics * Drive lead generation through social media

Roles and Responsibilities Manage front desk operations, including handling Patients requests and resolving issues promptly. Handle incoming calls, respond to queries, and provide excellent patient service. Ensure seamless communication between departments to deliver exceptional hospitality services.

1. Supply Chain Management- a. To set up a protocol driven system to ensure efficient food supply chain management for in-patients and their relatives. b. To take daily rounds on floor, understand patients food related feedback and accordingly coordinate with the Unit Chef for fine tuning the food supply chain. c. To liaise with the Unit Chef, Kitchen, Dieticians, and Hospital Cafeteria on daily operations and quality control. d. To handle all patients, and relatives complaints, requests and enquiries on food, beverage and service. e. To upgrade the service standards of the hospital meal dispensing f. To ensure right food (as prescribed by Dietician) to be delivered to right patient. 2. Induction, Training and Grooming of Food Handlers- a. To train and groom the food handlers and service assistants for efficient food delivery. b. To monitor cleanliness and hygiene of food handlers and ensure that necessary quality controls are in place. c. To ensure that all employees maintain a high standard of personal appearance and hygiene at all times. d. To ensure that all employees provide a courteous and professional service at all times. 3. Hospital Cafe Services- (1st Floor & Basement) a. To upgrade cafeteria services and ensure quality food is being served to patients relatives / guests, Employees & Doctors b. . c. To ensure that the system is implemented and monitored regularly as per the set protocols. 4. Statutory Requirements and Inventory Management- a. To ensure that the relevant statutory requirements are met with and documentation is maintained accordingly. b. To ensure that the inventory controls are in place and Inventory audits are done periodically at set intervals. c. To carry out any other duties / responsibilities by management on time to time basis. d. To carry out any other duties assigned / responsibilities by General Manager-Operations, Jupiter Hospital from Time to Time and responsibilities as assigned. Good communication Presentable Personality Creative and innovative approach Good problem solving skills The ability to work in a team

We have an Opening for our upcoming Hospital at Dombivli Unit. Total No. of Requirements : MBBS - 15; BAMS/BHMS - 30 Job Role: 1. Supervise the well being of patients admitted in the ward. 2. Assist the consultants in the respective wards for the administrative and clinical duties pertaining to the patient care. 3. Examination and documentation of daily patients round in each shift 4. Proper handover to the next shift doctor. 5. Ensure high level of clinical and professional care 6. Administer the medication as directed by the consultants 7. Administer the procedure as directed by the consultants such as Blood collection, intravenous access, Foley's catheterization, Ryle's tube insertion, change of dressing, removal of centralines, removal of hemodialysis catheter under supervision(Uncomplicated procedure). 8. Administer notes in the Medical Records of the patients as directed by the consultants according to the Verbal Order Policy. 9. Ensure the completeness of the Medical Records prior to the discharge of the patients 10. Explain the patient about the prescribed doses and its major side effects, if any. 11. Handle emergencies, if any, which are brought to the hospital or that occurs in the Ward and refer to the Consultant In-charge. 12. Inform the consultant about the progress of the admitted patients 13. Prescribing Narcotic Drugs (Patch only) 14. Explaining consent forms to patient (all consents) 15. Explain the patient about treatment on discharge, proper follow-up advice & when to obtain urgent care. 16. Supervise the work of Physician Assistant, Nurses & Technicians and ensure all orders are properly implemented and executed. Supervise the facilities provided to the patients such as bed, bath, hygiene, diet of the patients and inform the incharge immediately incase of any discrepancy.

Preferred candidate profile Strong organizational and communication skills. Ability to follow written and verbal directions, including reading labels. Physical stamina to perform tasks for extended periods. Ability to work both independently and as part of a team. Flexibility to work a schedule that meets the hospital's needs.

1. ADMINISTRATIVE: Participate in policy decisions that affect patient care services Implement hospital policies and rules through the assigned nursing units Supervise nursing care provided to patients taking regular rounds Plan and communicate resources needed for the delivery of best nursing care in the department Estimate needs for facilities, supplies and equipment in various nursing units in collaboration with the Chief Nursing Officer of the unit Maintain good working relationship and frequent liaison with other department heads. Communicate regularly with the Deputy Nursing Officer /Chief Nursing Officer and give input on all matters related to nursing. Supervise and develop Nurse Managers and Supervisors in coordination with the Nursing Administration Attend the emergency calls concerning nursing services in the assigned shift. Assist to keep records and reports of Nursing Services Ensure proper utilization of resources in the area Assist the staff development department in planning and organizing continuous Nursing education for the nurses. Attend the official meetings as required Keep the Chief Nursing Officer informed of the happenings in the clinical areas. 2. CLINICAL PRACTICE: Make daily rounds on the patient care areas Ensures proper admission, discharge of patients. Awareness about the patient condition and able to assess the nursing needs. Guides the nursing staff as required in nursing process. Assists in the direct care of the patient as and when required. Ensures safety, comfort of patients, visitors and employees. Takes rounds of the entire hospital. Prepares hospital census, supervisors report and reports to the concerned authorities. Ensures customer satisfaction & intervenes to address any problems or needs of the customer. Help in monitoring compliance to Nursing practice standards in the assigned clinical area Assist to collect and analyze data related to quality indicators for the department and hospital Attend to patient complaints in the assigned area Keep abreast of new technological developments in nursing and health care. Assist to evaluate clinical competency of nurses according to the established Competency Assessment program 3. EDUCATIONAL: Ensure completion of comprehensive orientation program for all new nursing personnel. Participate in the assessment of learning needs and provide opportunities for staff development. Actively participate in nursing in-service training program 4. QUALITY: Implement the quality management plan for nursing in the assigned clinical areas. Provide support required for quality management and improvement activities for the nursing department. 5. GENERAL DUTIES: Arrange and participates in professional and social functions of the staff Maintain good public relations. Carry out any other duties and responsibilities assigned by Chief Nursing Officer from time to time.

A Food and Beverage (F&B) Executive is a professional who oversees daily dining operations, staff, and financial performance in a hospitality setting . Key responsibilities include managing daily operations, staff training and scheduling, inventory and budget control, menu development, and ensuring compliance with health and safety standards. They also focus on enhancing guest satisfaction and improving profitability through effective management of service quality and costs. Core responsibilities Daily Operations: Manage the day-to-day operations of the food and beverage department, including service execution and maintaining brand standards. Staff Management: Hire, train, schedule, and supervise staff. Delegate tasks to ensure efficient service and team performance. Inventory and Procurement: Monitor inventory levels, order supplies, and control costs. Collaborate with vendors and suppliers to ensure quality products. Quality Control: Implement quality control measures for both food and service. Ensure proper hygiene, presentation, and portion control. Financial Management: Monitor and control the budget, and analyze financial data to improve profitability. Guest Satisfaction: Handle customer inquiries and complaints promptly, and implement changes to improve the overall guest experience. Compliance: Ensure the department complies with all health, safety, and sanitation regulations. Menu Development: Assist in developing and implementing menus and promotions to drive sales. Key skills Leadership and team management Financial analysis and cost control Guest relations and customer service Inventory and time management Problem-solving and decision-making Knowledge of culinary arts and food safety Collaboration and communication

Stock management Assigns workers their duties and inspects work for conformance to prescribed standards of cleanliness. Investigates complaints regarding housekeeping service and equipment, and takes corrective action. Obtains list of rooms to be cleaned immediately and list of prospective check-outs or discharges to prepare work assignments. Coordinates work activities among department Conducts orientation training and in-service training to explain policies, work procedures, and to demonstrate use and maintenance of equipment. Inventories stock to ensure adequate supplies. Evaluates records to forecast department personnel requirements. Makes recommendations to improve service and ensure more efficient operation. Prepares reports concerning room occupancy, payroll, and department expenses. Selects and purchases new furnishings. Management of outsourced agencies. Ensure strict adherence to HIC protocols Ensure strict adherence to disinfection of all surface and material needs. Update and maintain inventory of the hospital assets and coordinate with the concern department. Communicate information and ideas in speaking so others will understand. Listen to and understand information and ideas presented through spoken words and sentences. Read and understand information and ideas presented in writing Communicate information and ideas in writing so others will understand.

We at Jupiter Hospital are Hiring for Experienced F&B Manager Job Summary 1. Supply Chain Management- a. To set up a protocol driven system to ensure efficient food supply chain management for in-patients and their relatives. b. To take daily rounds on floor, understand patients food related feedback and accordingly coordinate with the Unit Chef for fine tuning the food supply chain. c. To liaise with the Unit Chef, Kitchen, Dieticians, and Hospital Cafeteria on daily operations and quality control. d. To handle all patients’, and relatives’ complaints, requests and enquiries on food, beverage and service. e. To upgrade the service standards of the hospital meal dispensing f. To ensure right food (as prescribed by Dietician) to be delivered to right patient. 2. Induction, Training and Grooming of Food Handlers- a. To train and groom the food handlers and service assistants for efficient food delivery. b. To monitor cleanliness and hygiene of food handlers and ensure that necessary quality controls are in place. c. To ensure that all employees maintain a high standard of personal appearance and hygiene at all times. d. To ensure that all employees provide a courteous and professional service at all times. 3. Hospital Cafe Services- (1st Floor & Basement) a. To upgrade cafeteria services and ensure quality food is being served to patient’s relatives / guests, Employees & Doctors b. . c. To ensure that the system is implemented and monitored regularly as per the set protocols. 4. Statutory Requirements and Inventory Management- a. To ensure that the relevant statutory requirements are met with and documentation is maintained accordingly. b. To ensure that the inventory controls are in place and Inventory audits are done periodically at set intervals. c. To carry out any other duties / responsibilities by management on time to time basis. d. To carry out any other duties assigned / responsibilities by General Manager-Operations, Jupiter Hospital from Time to Time and responsibilities as assigned. Skills • Good communication • Presentable Personality • Creative and innovative approach • Good problem solving skills • The ability to work in a team

Responsibilities: * Engage and convert leads * Follow up and reporting * Come up with newer ways of generating leads * Manage bookings * Maximize revenue through strategic sales tactics * Build strong client relationships * Meet sales targets Sales incentives