Job Description
Job Title: Assistant Manager/Manager - Provider Management
Location: MD India Health Insurance TPA Pvt. Ltd, [Insert City], India
Salary: Competitive salary commensurate with experience and industry standards
Qualification: Bachelor’s degree in Healthcare Management, Business Administration, or related field. Additional certifications in Healthcare Quality Management or Insurance Management are advantageous.
Work Experience: Minimum 5 years of experience in provider management, network development, or related roles within the healthcare or insurance industry.
Job Description:
Join MD India Health Insurance TPA Pvt. Ltd as an Assistant Manager/Manager in Provider Management, where you will play a pivotal role in maintaining and enhancing relationships with network hospitals and healthcare providers. This position offers a unique opportunity to contribute to the strategic growth and operational efficiency of our health insurance services.
Responsibilities:
• Continuously engage with network hospitals to negotiate and manage agreements on VAS, GIPSA rates, CGHS rates, PPR, and hospital tariffs.
• Ensure timely completion of contracts and credentialing of all healthcare providers.
• Negotiate with hospitals for volume incentives, early payment discounts, and tariff negotiations to optimize cost-efficiency.
• Manage hospital empanelment and de-empanelment processes for cashless services.
• Coordinate appointments and de-appointments of diagnostic centers for pre- and post-policy checkups.
• Conduct audits and oversee hospital cashless facilities to ensure compliance and quality service delivery.
• Validate and investigate member reimbursement claims to ensure accuracy and adherence to policy guidelines.
• Facilitate seamless and hassle-free cashless services for members.
• Plan and execute health examination camps as part of corporate wellness initiatives and community outreach programs.
Requirements:
• Bachelor’s degree in Healthcare Management, Business Administration, or a related field.
• Minimum 5 years of progressive experience in provider management, network development, or healthcare administration.
• Proven track record in negotiating contracts, managing provider relationships, and optimizing provider networks.
• Strong understanding of healthcare billing, insurance practices, and regulatory compliance.
• Excellent communication, negotiation, and interpersonal skills.
• Ability to analyze data, identify trends, and make strategic decisions.
• Proficiency in MS Office and healthcare management software.
• Willingness to travel as needed.
Benefits:
• Competitive salary and performance-based incentives.
• Comprehensive health insurance and retirement benefits.
• Opportunities for professional development and career advancement.
• Dynamic and collaborative work environment.
• Contribution to improving healthcare access and quality.
• Recognition for achievements and contributions to organizational goals.
• Work-life balance initiatives and flexible work arrangements.
• Supportive management and team-oriented culture.
If you are a seasoned professional with a passion for healthcare management and provider relations, join MD India Health Insurance TPA Pvt. Ltd to make a difference in the healthcare industry. Apply now and be part of our mission to provide accessible and quality healthcare services across India.
Location: MD India Health Insurance TPA Pvt. Ltd, [Insert City], India
Salary: Competitive salary commensurate with experience and industry standards
Qualification: Bachelor’s degree in Healthcare Management, Business Administration, or related field. Additional certifications in Healthcare Quality Management or Insurance Management are advantageous.
Work Experience: Minimum 5 years of experience in provider management, network development, or related roles within the healthcare or insurance industry.
Job Description:
Join MD India Health Insurance TPA Pvt. Ltd as an Assistant Manager/Manager in Provider Management, where you will play a pivotal role in maintaining and enhancing relationships with network hospitals and healthcare providers. This position offers a unique opportunity to contribute to the strategic growth and operational efficiency of our health insurance services.
Responsibilities:
• Continuously engage with network hospitals to negotiate and manage agreements on VAS, GIPSA rates, CGHS rates, PPR, and hospital tariffs.
• Ensure timely completion of contracts and credentialing of all healthcare providers.
• Negotiate with hospitals for volume incentives, early payment discounts, and tariff negotiations to optimize cost-efficiency.
• Manage hospital empanelment and de-empanelment processes for cashless services.
• Coordinate appointments and de-appointments of diagnostic centers for pre- and post-policy checkups.
• Conduct audits and oversee hospital cashless facilities to ensure compliance and quality service delivery.
• Validate and investigate member reimbursement claims to ensure accuracy and adherence to policy guidelines.
• Facilitate seamless and hassle-free cashless services for members.
• Plan and execute health examination camps as part of corporate wellness initiatives and community outreach programs.
Requirements:
• Bachelor’s degree in Healthcare Management, Business Administration, or a related field.
• Minimum 5 years of progressive experience in provider management, network development, or healthcare administration.
• Proven track record in negotiating contracts, managing provider relationships, and optimizing provider networks.
• Strong understanding of healthcare billing, insurance practices, and regulatory compliance.
• Excellent communication, negotiation, and interpersonal skills.
• Ability to analyze data, identify trends, and make strategic decisions.
• Proficiency in MS Office and healthcare management software.
• Willingness to travel as needed.
Benefits:
• Competitive salary and performance-based incentives.
• Comprehensive health insurance and retirement benefits.
• Opportunities for professional development and career advancement.
• Dynamic and collaborative work environment.
• Contribution to improving healthcare access and quality.
• Recognition for achievements and contributions to organizational goals.
• Work-life balance initiatives and flexible work arrangements.
• Supportive management and team-oriented culture.
If you are a seasoned professional with a passion for healthcare management and provider relations, join MD India Health Insurance TPA Pvt. Ltd to make a difference in the healthcare industry. Apply now and be part of our mission to provide accessible and quality healthcare services across India.
💡 Quick Summary
Seeking a career-building opportunity? The Assistant Manager/ Manager Jobs in MD India Health Insurance - Bengaluru position is now open for candidates interested in the Insurance sector. This role in Karnataka offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in Insurance is a plus.