Senior Manager- Provider Partnerships at Medi @ Medi Assist

Job Description

Roles and Responsibilities

THE COMPANY:

Medi Assist aims to deliver informed healthcare decisions to a billion lives connected by our technology, partnerships and human touch

Explore more:www.mediassist.in /https://www.medibuddy.in

Please refer Job Description

Provider Network

Interaction with the Network Hospitals/Clients/Insurer in resolving their grievances related to payment issues.

Reconciliation of Outstanding statements with Network Hospitals.

Retention of hospitals into the network and achieving Operational efficiency with the network hospitals

Cashless Process Training for Network Hospitals

Ensuring effective Info Management of Cashless Claims with Network Hospital

To Plan for PAAC management

To plan and guide the team.

Provider Contracting

Empanelment/ renewal/ retention of hospitals into the network

Upkeep and Maintenance of network hospitals related documents and MOUs.

Retention of hospitals into the network and achieving Operational efficiency with the network hospitals

Having Package price/ discounted tariff for all active Hospitals.

To plan and guide the team.

Interested candidate with relevant experience kindly share updated CV or simply apply to this job

Desired Candidate Profile

Required Qualification- BAMS, BHMS, BUMS, BDS, BPT, MD, MBBS

Job Classification

Industry: Insurance
Functional Area: Financial Services, Banking, Investments, Insurance,
Role Category: Operations/Processes/Finance/Legal
Role: Operations/Processes/Finance/Legal
Employement Type: Full time

Education

Under Graduation: Any Graduate in Any Specialization
Post Graduation: Post Graduation Not Required
Doctorate: Doctorate Not Required

Contact Details:

Company: Medi Assist Insurance TPA Pvt. Ltd
Location(s): Pune
Website: http://medibuddy.careersitemanager.com

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Keyskills:   Claims Broker TPA Broking Tariff claims adjudication Provider partnerships Healthcare and Hospitals Claims Settlement Provider empanelment Hospital tie up Insurance GIPSA Healthcare Senior Management Provider networking