Senior Executive - Provide & Networking

1. Hospital Empanelment:

• Identify and approach hospitals and diagnostic centers for empanelment based on business expansion needs.
• Negotiate rates and services as per TPA guidelines and finalize agreements.
• Handle documentation and ensure hospitals meet regulatory and credentialing standards.
• Coordinate signing of contracts and onboarding procedures.

2. Provider Network Development:

• Continuously expand and strengthen the provider network in line with business needs and geographic expansion.
• Maintain a balance of multispecialty, tertiary care, and specialty hospitals across regions.
• Conduct provider gap analysis to ensure network adequacy.

3. Relationship Management:

• Serve as the point of contact for empaneled hospitals.
• Resolve provider issues related to payments, claims processing, and authorization.
• Conduct regular visits to hospitals to maintain rapport and ensure satisfaction.

4. Compliance & Documentation:

• Ensure adherence to IRDAI guidelines and company policies for provider empanelment.
• Maintain and update provider database, contracts, and tariffs.
• Ensure proper documentation and digital recordkeeping for audits and compliance.

5. Internal Coordination:

• Work closely with claims, pre-auth, customer service, and IT teams for provider-related issues.
• Share regular updates of new empanelments, tariff revisions, and hospital network changes.

Job Types: Full-time, Permanent

Pay: ₹25,000.00 - ₹35,000.00 per month

Benefits:

• Health insurance
• Provident Fund