Job Description

1. Hospital Empanelment:

Identify and approach hospitals and diagnostic centers for empanelment based on business expansion needs. Negotiate rates and services as per TPA guidelines and finalize agreements. Handle documentation and ensure hospitals meet regulatory and credentialing standards. Coordinate signing of contracts and onboarding procedures.

2. Provider Network Development:

Continuously expand and strengthen the provider network in line with business needs and geographic expansion. Maintain a balance of multispecialty, tertiary care, and specialty hospitals across regions. Conduct provider gap analysis to ensure network adequacy.

3. Relationship Management:

Serve as the point of contact for empaneled hospitals. Resolve provider issues related to payments, claims processing, and authorization. Conduct regular visits to hospitals to maintain rapport and ensure satisfaction.

4. Compliance & Documentation:

Ensure adherence to IRDAI guidelines and company policies for provider empanelment. Maintain and update provider database, contracts, and tariffs. Ensure proper documentation and digital recordkeeping for audits and compliance.

5. Internal Coordination:

Work closely with claims, pre-auth, customer service, and IT teams for provider-related issues. Share regular updates of new empanelments, tariff revisions, and hospital network changes.
Job Types: Full-time, Permanent

Pay: ₹25,000.00 - ₹35,000.00 per month

Benefits:

Health insurance * Provident Fund