23 Provider Management Jobs

Provider Management: Provider Relationship Management to achieve goal and objective as set including negotiation tariff, designing packages, customer service, maintaining a good relationship with existing providers Identification of Important Providers based on the requirements for Hospital Empanelment and works on strengthening relationships through value added activities. Wellness and administrative activities : Coordination for Health camps, business promotion activities through various value added services. Preparation of Tariff renewal : Preparing and Analysis of claims backed with data pointers for Existing Tariff renewal process negotiation, support team for audits.

Provider Management: Provider Relationship Management to achieve goal and objective as set including negotiation tariff, designing packages, customer service, maintaining a good relationship with existing providers Identification of Important Providers based on the requirements for Hospital Empanelment and works on strengthening relationships through value added activities. Wellness and administrative activities : Coordination for Health camps, business promotion activities through various value added services. Preparation of Tariff renewal : Preparing and Analysis of claims backed with data pointers for Existing Tariff renewal process negotiation, support team for audits.

Provider Management: Provider Relationship Management to achieve goal and objective as set including negotiation tariff, designing packages, customer service, maintaining a good relationship with existing providers Identification of Important Providers based on the requirements for Hospital Empanelment and works on strengthening relationships through value added activities. Wellness and administrative activities : Coordination for Health camps, business promotion activities through various value added services. Preparation of Tariff renewal : Preparing and Analysis of claims backed with data pointers for Existing Tariff renewal process negotiation, support team for audits.

Health Claims, Mass Claims & Provider Management, tpa Experience in HCP

Roles & Responsibilities: Experience in Handling Provider relationship at Zonal level (Preferably in MH) Understanding of Health Claims and claim related processes Team Management experience (Minimum 5 years) Tariff Negotiations and loss cost management Experience in dealing with providers (Hospitals/Diagnostics & OPD Clinics) Managing relationship with the providers Flexible to travel across locations based on the organizational requirements Managing and controlling of cost for the portfolio assigned Analytical and data-driven approach in day to day work Complying to the audit and compliance related concerns as per organization guidelines Ability to collaborate with various cross functional...

Provider Support Specialist - Clinical Location : Onsite - Porur, Chennai, TN Positions Numbers: 1 Shift Timing: 8:30pm to 5.30am IST Night Shift Job Summary: The Provider Support Specialist serves as a vital link between the organization and its provider network, ensuring seamless operational support across various touchpoints. This role focuses on maintaining accurate provider availability, managing platform user access, and supporting the lifecycle of provider engagementfrom onboarding to ongoing training. The Specialist will play an integral role in updating credential records, addressing non-clinical inquiries, and enhancing provider readiness through well-developed training resources. ...

Experience & Project Delivery Minimum 7-10 years of experience as a BRIM Technical Consultant. Successfully delivered 35 end-to-end implementation projects. Strong ABAP development skills, including RICEF objects, object-oriented programming, and standard enhancements. Deep integration knowledge across SAP CRM, Subscription Order Management (SOM), FI-CA, and Convergent Invoicing (CI). Hands-on experience with lockbox processing and bank statement handling in BAI2 format within SAP S/4HANA. Proficient in OData services, CDS Views, AMDP procedures, and interface development. Skilled in Fiori-based development and UI enhancements. Good working knowledge of Web Services (REST & SOAP), IDOCs, and...

Role Overview: The role is responsible for handling tariff negotiations with network hospitals, addressing cases where providers are violating agreed tariff terms, ensuring compliance with insurer/PPN guidelines, and protecting the organization from revenue leakage and penalties. Key Responsibilities: Monitor and identify tariff violations by hospitals in coordination with cashless and claims teams. Engage with hospitals to negotiate and enforce agreed tariff structures. Escalate repeated non-compliance cases to higher management/insurers for action. Maintain strong relationships with hospital administrators to ensure cooperation. Document all negotiation outcomes and update tariff records i...

About the Role: We are looking for a skilled and passionate Flutter Developer to join our team. The ideal candidate will have hands-on experience in building cross-platform mobile applications and a strong understanding of Flutter, Dart, and mobile development best practices. Key Responsibilities: Design, develop, and maintain cross-platform mobile applications using Flutter . Collaborate with product managers, designers, and stakeholders to gather and understand project requirements. Translate wireframes and mockups into high-quality, visually appealing user interfaces. Write clean, efficient, and reusable code in Dart , adhering to coding standards and Flutter best practices. Implement UI/...

Responsibilities Lead Flutter app design & development Use Riverpod/Provider/GetX for state mgmt Integrate AI tools (ChatGPT, Claude) Mentor team & review code Ensure CI/CD & clean architecture Optimize performance & deliver quality apps Flexi working Marriage & childbirth gifts Over time allowance House rent allowance Health insurance Annual bonus Performance bonus Leave encashment Provident fund

About the Company: Practo is a leading healthcare platform that connects patients with healthcare providers around the world. It aims to improve the healthcare experience for millions of people by simplifying appointment bookings, online consultations, digital prescriptions, and medical record management. Practo is on a mission to make healthcare more accessible, simpler and more reliable for everyone. Role Purpose: The main objective of the Executive-Provider Management role is to manage and strengthen the relationship between Practo and healthcare providers to ensure their engagement, satisfaction, and retention. Responsible for creating and managing an in-house network for AHC and wellnes...

As a PE-Revenue Cycle Management Specialist, you will be an integral part of our team dedicated to managing and optimizing revenue cycles within the life sciences sector. Your role will involve analyzing and overseeing revenue cycle processes to ensure smooth financial operations. Proficiency in MS Excel and expertise in Accounts Receivables and Provider management are essential for this entry-level position. The position is based in our office and requires night shifts, offering a dynamic work environment. Your responsibilities will include collaborating with team members to identify and resolve discrepancies in accounts receivables, creating detailed financial reports and data analysis usi...

Executive-Provider Management Experience: 0.6 -3 Years Exp Salary: 2 to 5 LPA Preferred Notice Period : Within 15 Days Opportunity Type: Office (Bengaluru) Placement Type: Full-time (*Note: This is a requirement for one of Uplers' Clients) Must have skills: Vendor agreements OR Vendor Management AND Reconciliation AND Provider management Practo (One of Uplers' Clients) is looking for: About Us: Practo is a leading healthcare platform that connects patients with healthcare providers around the world. It aims to improve the healthcare experience for millions of people by simplifying appointment bookings, online consultations, digital prescriptions, and medical record management. Practo is on a...

Job Title: Senior CSA Job Category: Associate Function/Department: Operations Role Description: Roles & Responsibilities Processing and data entry for routine types of physician and contract linkage transactions such as: Load new physician demographics and contract linkage using the appropriate loading instruction guidelines (i.e. Managed Care Forms, Provider Data Loading Templates, etc.) Perform physician demographics and contract linkage data using the appropriate loading instruction guidelines (i.e. Managed Care Forms, Provider Data Loading Templates, etc.) Responsible for ensuring all data elements necessary to complete the request are provided and responds to the submitter with a detail...

Manager-Segment Incharge The role is responsible for all tasks related to Processing and Settlement of claims, Monitoring TPA performance for the assigned business. The role includes managing the assigned specialized business handling of any one or more of the following activities: Settlement of Claims, Monitoring TPA performance based on defined KPI, System, Development, UAT, Portfolio Analysis, MIS/Compliance. If this is you, we are looking for you! Key Responsibilities Managing end-to-end claims. Requisitioning detailed information on all reported and settled Claims and monitoring performance of TPAs, evaluating performance of all TPA based on parameters of SLA with Regular Review of defi...

Job Title: Business Analyst (Preferably from Healthcare IT domain) Location: Chennai - DLF Job Type: Full Time Experience Level: [Mid-Level / Senior-Level] Department: IT / Healthcare Solutions Job Summary: We are seeking a highly motivated and detail-oriented Business Analyst with strong experience in the Healthcare IT domain . The ideal candidate will bridge the gap between business needs and technology solutions, working closely with stakeholders to define requirements, streamline processes, and implement solutions that support our healthcare initiatives. Required Skills & Qualifications: Bachelors degree in Computer Science, Information Technology, Healthcare Administration, or related f...

Greetings!!! Openings at Sagility for Process Trainer(US Healthcare) Minimum of 4 years of experience as a Process Trainer in an International BPO. Excellent written and verbal communication skills, with strong interpersonal abilities. Proven experience as a Trainer in an International BPO environment. Strong presentation and Excel skills. Sound knowledge of basic training methodologies. Ability to work in US rotational shifts. Immediate joiners are mostly preferred. Interested candidates can share your resume to anitha.c@sagilityhealth.com

Job Description: Solicit, review and analyze business requirements Write business and technical requirements Communicate and validate requirements with stakeholders Validate solution meets business needs Work with application users to develop test scripts and facilitate testing to validate application functionality and configuration Participate in organizational projects and/or manage small/medium projects related to assigned applications Translates customer needs into quality system solutions and ensures effective operational outcomes Focus on business value proposition*Apply understanding of 'As Is' and 'To Be' processes to develop solution Comply with the terms and conditions of the emplo...

Key Responsibilities: 1. Hospital Visit Management: Conduct regular visits to hospital partners to review and address pricing structures, contract terms, and service quality. Analyze and assess hospital billing and pricing strategies to ensure alignment with organizational objectives. 2. Claims Negotiation: Lead negotiations with hospital partners regarding claims and reimbursement issues to ensure favorable outcomes for the organization. Work closely with the internal claims team to resolve discrepancies and expedite claim resolutions. 4. Pending Issues and Concerns: Identify, track, and resolve pending issues and concerns related to hospital partnerships, including billing disputes, servic...

Were Hiring: Senior Mobile Developer (React Native) Are you passionate about building seamless, high-quality mobile experiences on both Android and iOS platforms? Join our dynamic team and help shape the future of our mobile applications! What You'll Bring: Bachelors or Masters degree in Computer Science, Engineering, or a related field. 6+ years of hands-on mobile development experience. Proven track record of building and deploying apps on Android and iOS. Expertise in React Native, QuickType, React Context API/Redux, UI Components, and Axios. Experience with state management frameworks like Provider, Riverpod, or BLoC. Strong knowledge of Android SDK, iOS SDK, and platform-specific develo...

Greetings!!! Openings at Sagility for Process Trainer-Enrollment(US Healthcare) Minimum of 4 years of experience as a Process Trainer in an International BPO. Excellent written and verbal communication skills, with strong interpersonal abilities. Proven experience as a Trainer in an International BPO environment. Strong presentation and Excel skills. Sound knowledge of basic training methodologies. Ability to work in US rotational shifts. Immediate joiners are mostly preferred. Interested candidates can share your resume to anitha.c@sagilityhealth.com

Roles & Responsibilities: Team Management experience (Minimum 5 years) Tariff Negotiations and loss cost management Lead and manage the technology & process related initiatives Experience in dealing with providers (Hospitals/Diagnostics & OPD Clinics) Managing relationship with the providers Flexible to travel across locations based on the organizational requirements Managing and controlling of cost for the portfolio assigned Data analytics and reporting Complying to the audit and compliance related concerns as per organization guidelines Should have a good analytical mind to understand costs associated with hospital tariffs and claim cost and manage them effectively. Should have excellent c...

Greetings!!! Openings at Sagility for Process Trainer-(US Healthcare) Minimum of 4 years of experience as a Process Trainer in an International BPO. Excellent written and verbal communication skills, with strong interpersonal abilities. Proven experience as a Trainer in an International BPO environment. Strong presentation and Excel skills. Sound knowledge of basic training methodologies. Ability to work in US rotational shifts. Immediate joiners are mostly preferred. Interested candidates can share your resume to anitha.c@sagilityhealth.com