Provider Management/Healthcare Purchasing

Job description

**Roles & Responsibilities:** - Tariff Negotiations and cost management - Conducting surprise audits and checks of the claims and case to case negotiations - Manage workload of both field and office effectively - Experience in dealing with providers (Hospitals/Diagnostics & OPD Clinics) - Understanding of Health Claims and claim related processes - Good understanding of Health Insurance and related products - Managing relationship with the providers - Flexible to travel across locations based on the organizational requirements - Managing internal (Claims Team, Sales and Central Teams and external stakeholders (Brokers, Channel partners & Corporates) - Managing and controlling of cost for the portfolio assigned - Timely reporting of business MIS and reports to leadership team - Analytical and data-driven approach in day to day work - Lead and manage the technology & process related initiatives - Complying to the audit and compliance related concerns as per organization guidelines - Ability to collaborate with various cross functional stakeholders and drive the agenda for closure - Should have a good analytical mind to understand costs associated with hospital tariffs and claim cost and manage them effectively. - Should have excellent communication, presentation and detailed oriented skills (MS Excel, PowerPoint) **Required Qualification / Experience** - MBBS/B Pharma /M-Pharma/Physiotherapy/BAMS/BHMS/Paramedics or similar prior experience as per above roles and responsibilities - High on energy, innovative thinking, passionate and can do attitude. - Firm believer of fostering relationship at all level to achieve business objectives. - Good Communication & Negotiation skills - Good Excel Knowledge - Proficiency in speaking Telugu language is a must as he would be managing and supervising AP location where Telugu is a must.