Zonal Hospital Network Manager - General Insurance - North & East

The role is with a leading General Insurance company.

Job title Zonal Hospital Network Manager.

Reporting to - Head of Claims and Network Management.

LocationDelhi (North & East Zone).

Coverage: North & East India including Delhi NCR, North India states, East India, and North-East region.

Role Overview:

- This is a senior leadership role responsible for building, expanding, and managing the hospital network across the North & East zones.

- The role will drive hospital empanelment, tariff negotiations, SLA management, and network performance to ensure high-quality, cost-effective, and seamless healthcare delivery for customers.

Key Responsibilities:

Network Strategy & Development:

- Define and execute hospital empanelment strategy across key business locations.

- Lead provider contracting, tariff negotiations, and strategic purchasing of healthcare services.

- Build strong, long-term relationships with hospital leadership and key decision-makers.

Operational Leadership:

- Lead and mentor zonal network teams across negotiations, audits, and performance management.

- Drive digital onboarding, credentialing, and contract renewal processes to improve efficiency.

- Work closely with claims, sales, operations, and customer service teams for smooth service delivery.

Cost & Quality Management:

- Optimize tariffs using market intelligence and utilization data.

-Implement cost control, leakage prevention, and fraud management measures.

- Ensure quality standards, NABH compliance, and patient safety across network hospitals.

Performance & Analytics:

- Define and track KPIs such as utilization, TATs, patient experience, and hospital performance.

- Use data analytics to derive insights and improve network effectiveness.

- Prepare regulatory and management reports, including IRDAI submissions.

Market Intelligence & Digital Enablement:

- Track healthcare market trends, regulatory changes, and competitive benchmarks.

- Champion digital health initiatives including hospital relationship platforms, ABDM, and NHCX integration.

Candidate Profile:

Experience & Education:

- 8-10+ years of experience in healthcare or insurance, with at least 5 years in senior network leadership roles.

- Strong experience managing large hospital networks in insurance companies, TPAs, or hospital chains.

- Postgraduate degree preferred (MBA - Healthcare / Hospital Administration / Marketing).

- Clinical qualification with management education is an added advantage.

Key Skills:

- Strong leadership and people management capability.

- Excellent negotiation and contract management skills.

- Data-driven and analytical mindset.

- Strong stakeholder communication and influence.

- Deep understanding of the Indian healthcare and regulatory ecosystem.