34 Provider Network Jobs

Role: Provider Network (Empanelment) Locations: Kolhapur, Nagpur, Mumbai, Kolkata, Ahmedabad, Kanpur About Us Visit Health is a pioneering health-tech platform, founded in 2016 by BITS Pilani alumni, dedicated to making healthcare accessible, affordable, and preventive. Originated as a telemedicine platform during the 2015 Swine Flu epidemic, Visit Health has grown into an all-in-one wellness ecosystem that connects doctors, insurers, and millions of Indian families. Our services range from physical and mental wellness to OPD benefits, empowering both individuals and corporations to prioritize well-being. Our Core Offerings - Employee Assistance Program (EAP): Mental health support services ...

Role & responsibilities Lead the expansion and strengthening of the health & wellness provider network . Drive tie-ups and empanelment of hospitals, clinics, diagnostic centers, and radiology labs. Manage renewals, contracts, and tariff negotiations , ensuring the best pricing and service terms. Build and maintain long-term relationships with healthcare providers for sustainable partnerships. Ensure seamless onboarding and integration of new providers into the network. Monitor and analyze cost savings, provider performance, and market trends . Maintain accurate provider records and ensure regular updates in the database. Address and resolve provider-related queries and operational challenges...

As a Health Operations New Associate at Accenture, you will be responsible for embedding digital transformation in healthcare operations end-to-end. You will drive superior outcomes and value realization today while enabling streamlined operations to serve the emerging healthcare market of tomorrow. Additionally, you will be a part of the Healthcare Management team, overseeing the administration of hospitals, outpatient clinics, hospices, and other healthcare facilities. This includes managing day-to-day operations, department activities, medical and health services, budgeting and rating, research and education, policies and procedures, quality assurance, patient services, and public relatio...

Job description Job Title : Biller Lead Department : Medica Billing Location : Remote / India [Currently work from Home] Experience : 10 + years Shift Time : 5:30 Pm to 2:30 Am IST Company Website: https://www.modulemd.com Profile Overview We are seeking a detail-oriented, proactive, and client-focused Manager Revenue Cycle Operations to join our team. This role will oversee the entire Revenue Cycle Management (RCM) function, including: Billing Operations Oversight Compliance & Regulatory Adherence Team Leadership & Training Reporting & Analytics Vendor & Payer Relations Process Improvement Patient Billing & Support The ideal candidate will have strong expertise in US Healthcare provider sid...

As a Health Admin Services Senior Analyst at Accenture, you will play a crucial role in embedding digital transformation in healthcare operations, driving superior outcomes, and enabling streamlined operations to serve the emerging health care market. Your responsibilities will include: - Being a part of the Healthcare Management team responsible for the administration of hospitals, outpatient clinics, hospices, and other healthcare facilities - Overseeing day-to-day operations, department activities, medical and health services, budgeting and rating, research and education, policies and procedures, quality assurance, patient services, and public relations - Coordinating essential documentat...

Company : Leading General Insurance Firm. Role : Manager Health Claims - Providers Network. Experience : 3 to 5 years of experience in an Insurance company in a similar function (Health Claims / Provider Network Management). Location : Pune. Role & Responsibilities: Leading a team of members distributed across different geographies PAN India. Team handling and driving discount savings/ tariff negotiation and procurement. Implementing strategies to curb claim leakages, portfolio maintenance. Audit and control. Interdepartmental coordination for smooth running of function and monitoring deliverable. Working on IRDA initiatives of Cashless Everywhere. Please share your resume on linoshka@rightm...

Manager / Assistant Manager Account Management - MediAssist Job Title: Manager / Account Management Company: Medi Assist Location: Bangalore CTC: 9 to 12 LPA Experience: 11 to 15 years Industry: Health Insurance / TPA / Healthcare Key Responsibilities:- Client Relationship & Strategy: Build and maintain long-term partnerships with insurers, corporate clients, and healthcare providers. Lead high-level review meetings and ensure strong relationship governance. Operations & Service Delivery: Oversee end-to-end account operations including claims, customer service, and issue resolution. Ensure compliance with TATs and SLAs. Performance Analysis & Reporting: Monitor KPIs, analyze client data, and...

Management Profile: Provider Management/Healthcare Purchasing Roles & Responsibilities: Tariff Negotiations and cost management Conducting surprise audits and checks of the claims and case to case negotiations Manage workload of both field and office effectively Experience in dealing with providers (Hospitals/Diagnostics & OPD Clinics) Understanding of Health Claims and claim related processes Good understanding of Health Insurance and related products Managing relationship with the providers Flexible to travel across locations based on the organizational requirements Managing internal (Claims Team, Sales and Central Teams and external stakeholders (Brokers, Channel partners & Corporates) Ma...

Manager / Assistant Manager Account Management - MediAssist Job Title: Manager / Assistant Manager Account Management Company: Medi Assist Location: Bangalore CTC: 7 to 8 LPA Experience: 4 to 8 years Industry: Health Insurance / TPA / Healthcare Key Responsibilities:- Client Relationship & Strategy: Build and maintain long-term partnerships with insurers, corporate clients, and healthcare providers. Lead high-level review meetings and ensure strong relationship governance. Operations & Service Delivery: Oversee end-to-end account operations including claims, customer service, and issue resolution. Ensure compliance with TATs and SLAs. Performance Analysis & Reporting: Monitor KPIs, analyze c...

Role Overview: You will be a Health Operations Associate Manager at Accenture, embedding digital transformation in healthcare operations end-to-end. Your role involves driving superior outcomes and value realization today, while enabling streamlined operations to serve the emerging health care market of tomorrow. As part of the Healthcare Management team, you will be responsible for the administration of hospitals, outpatient clinics, hospices, and other healthcare facilities. This includes overseeing day-to-day operations, department activities, medical and health services, budgeting and rating, research and education, policies and procedures, quality assurance, patient services, and public...

Role Overview: As a Customer Service Associate at Accenture, you will be a part of the Healthcare Management team responsible for embedding digital transformation in healthcare operations. Your role will involve driving superior outcomes and value realization in healthcare services today, while also preparing operations to serve the emerging healthcare market of the future. Your primary responsibilities will include coordinating essential documentation for global applications and managing electronic submissions related to Life Sciences Regulatory Operations. Key Responsibilities: - Coordinate essential documentation and resources required for filing global applications - Manage and process e...

Job description Job Title : Manager - Revenue Cycle Operations Department : Medica Billing Location : Remote / India [Currently work from Home] Experience : 12+ years Shift Time : 5:30 Pm to 2:30 Am IST Company Website: https://www.modulemd.com Profile Overview We are seeking a detail-oriented, proactive, and client-focused Manager Revenue Cycle Operations to join our team. This role will oversee the entire Revenue Cycle Management (RCM) function, including: Billing Operations Oversight Compliance & Regulatory Adherence Team Leadership & Training Reporting & Analytics Vendor & Payer Relations Process Improvement Patient Billing & Support The ideal candidate will have strong expertise in US H...

Management Profile: Provider Management/Healthcare Purchasing Roles & Responsibilities: Tariff Negotiations and cost management Conducting surprise audits and checks of the claims and case to case negotiations Manage workload of both field and office effectively Experience in dealing with providers (Hospitals/Diagnostics & OPD Clinics) Understanding of Health Claims and claim related processes Good understanding of Health Insurance and related products Managing relationship with the providers Flexible to travel across locations based on the organizational requirements Managing internal (Claims Team, Sales and Central Teams and external stakeholders (Brokers, Channel partners & Corporates) Ma...

Management Profile: Provider Management/Healthcare Purchasing Roles & Responsibilities: Tariff Negotiations and cost management Conducting surprise audits and checks of the claims and case to case negotiations Manage workload of both field and office effectively Experience in dealing with providers (Hospitals/Diagnostics & OPD Clinics) Understanding of Health Claims and claim related processes Good understanding of Health Insurance and related products Managing relationship with the providers Flexible to travel across locations based on the organizational requirements Managing internal (Claims Team, Sales and Central Teams and external stakeholders (Brokers, Channel partners & Corporates) Ma...

Management Profile: Provider Management/Healthcare Purchasing Roles & Responsibilities: Tariff Negotiations and cost management Conducting surprise audits and checks of the claims and case to case negotiations Manage workload of both field and office effectively Experience in dealing with providers (Hospitals/Diagnostics & OPD Clinics) Understanding of Health Claims and claim related processes Good understanding of Health Insurance and related products Managing relationship with the providers Flexible to travel across locations based on the organizational requirements Managing internal (Claims Team, Sales and Central Teams and external stakeholders (Brokers, Channel partners & Corporates) Ma...

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. ...

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...

Management Profile: Provider Management/Healthcare Purchasing Roles & Responsibilities: Tariff Negotiations and cost management Conducting surprise audits and checks of the claims and case to case negotiations Manage workload of both field and office effectively Experience in dealing with providers (Hospitals/Diagnostics & OPD Clinics) Understanding of Health Claims and claim related processes Good understanding of Health Insurance and related products Managing relationship with the providers Flexible to travel across locations based on the organizational requirements Managing internal (Claims Team, Sales and Central Teams and external stakeholders (Brokers, Channel partners & Corporates) Ma...

Management Profile: Provider Management/Healthcare Purchasing Roles & Responsibilities: Tariff Negotiations and cost management Conducting surprise audits and checks of the claims and case to case negotiations Manage workload of both field and office effectively Experience in dealing with providers (Hospitals/Diagnostics & OPD Clinics) Understanding of Health Claims and claim related processes Good understanding of Health Insurance and related products Managing relationship with the providers Flexible to travel across locations based on the organizational requirements Managing internal (Claims Team, Sales and Central Teams and external stakeholders (Brokers, Channel partners & Corporates) Ma...

Develop and maintain mobile applications using Android (Java/Kotlin), Flutter (Dart), and optionally iOS (Swift). Implement app architectures such as MVVM, and manage state using Provider, Bloc, etc.

As a Customer Service Associate at Accenture, you will be part of the Healthcare Management team responsible for the administration of hospitals, outpatient clinics, hospices, and other healthcare facilities. Your role will involve overseeing day-to-day operations, department activities, medical and health services, budgeting, research, education, policies, quality assurance, patient services, and public relations. Your primary responsibility will be to coordinate essential documentation and resources necessary for the filing of global applications related to healthcare operations. This will involve understanding, managing, and processing electronic submissions such as original application f...

You will be designated as a Health Operations Analyst at Accenture, a global professional services company with expertise in digital, cloud, and security services. With a focus on Provider Network - Order Management, you will be responsible for embedding digital transformation in healthcare operations, driving superior outcomes, and enabling streamlined operations to cater to the evolving healthcare market. As part of the Healthcare Management team, you will oversee the administration of hospitals, outpatient clinics, hospices, and other healthcare facilities. Your responsibilities will encompass day-to-day operations, department activities, budgeting, research, quality assurance, patient se...

Health Claims, Mass Claims & Provider Management good market knowledge and experience Market knowledge and experience in region, tariff level negotiation and claim level negotiations and inflation management Medical knowledge

As a Health Operations Associate Manager at Accenture, you will play a crucial role in embedding digital transformation in healthcare operations from end-to-end. Your responsibilities will include driving superior outcomes and value realization in the present while ensuring streamlined operations to cater to the evolving healthcare market of the future. Joining the Healthcare Management team, you will oversee the administration of hospitals, outpatient clinics, hospices, and various other healthcare facilities. This encompasses managing day-to-day operations, department activities, medical and health services, budgeting and rating, research and education, policies and procedures, quality ass...

Responsible for hospital empanelment, agreement coordination, maintaining relationships, supporting admissions/discharges, ensuring timely claim submissions, VIP support, and regular follow-ups for claim documents and health check requests for TPA.