Sourcing the following position for a leading Health Insurance Company:&nbsp; Job Description :&nbsp; Job Title : Manager/Senior Manager - Provider Network Management Reports to Head - Provider Network Job : Location Bangalore Team Reporting: Yes Salary Range : Rs 16-17 Lacs Job Purpose - Responsible for creating and managing in house network for IPD, OPD for the zone/region. - The candidate will be required to liaise with hospitals/nursing homes on daily/periodical basis with objective of facilitating and managing business relations. She/he will also be required to liaise with corporate partners/brokers in their region in order to see the smooth functioning of claims processing and Network Management - Liaise with hospitals/nursing homes on a daily/periodical basis Key Responsibilities &amp; Accountabilities:&nbsp; - Be an interface between the hospitals and Company claims/customer service team - Ensuring tie ups with in stipulated time frame - Provider contracting and tariff negotiation on the best available rates - Responsible for overall activities related with empanelment of hospitals/nursing homes - Updating records and network presence intermittently - Periodic audit of Network providers/TPA's with random onsite visits - Works in co - ordination with the providers to ensure superior health care delivery at hospitals - Ensure adequate measures are in pl ace to identify fraudulent activities at providers and take timely action - - 4 - 6 years experience in provider contracting - Strong proficiency with MS Excel and MS Power point - Previous experience of managing provider network with Knowledge/ Experience/Skills:&nbsp; - Health, General Insurance co./TPA - Familiarity with key hospital management team - Health care market intelligence - Graduate with Insurance knowledge and understanding of IRDA guidelines and compliance - Excellent oral and written communication - Customer service skills - Negotiation Skills - Insurance Operations - Highly results oriented and driven to succeed ; Highly ethical and value driven ; Proactive, agile and highly responsive towards achieving goals&nbsp;&nbsp; &nbsp; Behaviours /Competencies: - Leveraging key strengths and capitalizing on opportunities with a keen sense of urgency - Strong interpersonal skills, able to successfully build and maintain networking relationships (both formal and informal) - Continuously strives for excellence and improvement

Bangalore

Manager/Senior Manager - Provider Network Management - Health Insurance 

Manager/Senior Manager - Provider Network Management - Health Insurance  ,Job Description for Manager/Senior Manager - Provider Network Management - Health Insurance  in People Praxis Solutions in  Bangalore for (4-8) years of experience. Apply Now!

Job Description for Manager/Senior Manager - Provider Network Management - Health Insurance  in People Praxis Solutions in  Bangalore for (4-8) years of experience. Apply Now!