Provider Network Management (Hospital Empanelment)

Provider Network Management (Healthcare)

Exp: Min 1 year

Budget: Up to 5 LPA

Location: Kurla West, Mumbai

Job description :

Provider Network Development:

Identifying, evaluating, and onboarding new providers to the network for OPD, Pathology, and Radiology.

Contract Management:

Negotiating, renewing, and administering contracts with providers, ensuring compliance with organizational policies and regulatory requirements.

Relationship Management:

Building and maintaining strong relationships with providers, addressing their needs and concerns.

Compliance and Reporting:

Ensuring the network meets regulatory standards, monitoring reports to track compliance and reporting on network performance.

Process Improvement:

Identifying opportunities to improve provider and member costs and quality, and collaborating with internal teams to implement changes.

Data Management:

Maintaining accurate and up-to-date provider data, ensuring it is properly entered into the company systems or databases.

Communication and Collaboration:

Working with internal and external stakeholders, including providers, health plans, and regulatory bodies.