Rightmatch Hr Services Reviews by Employees

Description: The role is with a leading General Insurance company. Position: Head Wellness Network. Reports to: Head Provider Network. Location: Mumbai. Role Overview: The organization is seeking a senior leader to build and optimize its nationwide OPD and wellness partner network. The role will drive provider acquisition, pricing strategy, contracting, quality governance, and performance analytics to ensure customers receive accessible, high-quality, and cost-efficient outpatient care. Key Responsibilities: - Lead OPD, diagnostics, wellness, and pharmacy network expansion across key regions. - Manage commercial discussions, tariff structuring, and contract finalization. - Mentor and guide the network team across acquisition, negotiations, onboarding, and audits. - Strengthen digital onboarding, credentialing, and provider lifecycle management. - Ensure quality adherence, tariff optimization, and fraud/leakage control. - Track provider performance KPIs, utilization trends, and customer experience metrics. - Use analytics and insights to drive network decisions and service improvements. - Deliver internal and regulatory reports on network performance. - Stay updated on healthcare market trends, regulatory changes, and competitive activity. - Drive digital-first integrations, including alignment with national health platforms. Qualifications: - Postgraduate degree preferred MBA (Healthcare/Hospital Administration/Marketing) or equivalent. - 8-10+ years in health insurance, healthcare services, or TPAs, with 5+ years in network leadership roles. - Proven success in building and scaling provider networks and driving financial impact. - Strong understanding of hospital networks, OPD ecosystems, wellness platforms, and diagnostic partners.

Mumbai

Senior Manager - Healthcare Provider Relations & Network 

Job Description for Senior Manager - Healthcare Provider Relations & Network  in Right Match HR Services Pvt Ltd in  Mumbai for (5-10) years of experience. Apply Now!