Provider Network (Patna)

Job description

Annexure I : ABG Job Description Template ` HayGroup Job Description Template 2011 Error! Unknown document property name. Basic Details: Fill the required information about business, unit, location, position, reports to position and date of updation of JD Business Health Insurance Unit Aditya Birla Health Insurance Company Ltd Location East, South, North and West Zone Poornata Position Number of the job Reports to: Poornata Position Number Poornata Position Title of the job Reports to: Poornata Position Title Function Operations Reports to: Function Operations Department Ops - Provider Network and Strategy Reports to: Department Operations Designation of the Employee OPN10 - Zonal Manager PN Designation of the Manager OPN1- Head Provider Network & Group Ops Date of writing / updation of JD 28 October 2017 Annexure I : ABG Job Description Template ` HayGroup Job Description Template 2011 Error! Unknown document property name. 1) Job Purpose: Write the purpose for which the job exists (in 2-3 lines) The role will be responsible for creating, developing & managing a comprehensive network of healthcare providers and partners across the Zone along with team members across assigned geography. The role will also be responsible to negotiate best tariff structure for ABHI and manage the renewals and relationships while being responsible for making sure delivery of quality services as per signed SLAs. - Dimensions: Mention quantitative or qualitative parameters that are relevant for the job and provide a better understanding of the scope and scale of the job. Direct Reports 1- 3 Number of Provider - Directly responsible along with team members to create and manage relationship with 3000-4500 providers across Zones. ? Network of non-hospital Healthcare Providers ? Network to manage Group, Retail and Rural business Planning for Empanelment ? Directly responsible to create OPD & IPD network in respective zone in providing seamless experience to customers Tariff & MoU Negotiation ? Responsible for negotiating best tariff & validity, and contracting with best discount with the providers to facilitate affordable healthcare delivery for both OPD & IPD 3) Job Context & Major Challenges: Write the specific aspects of the job that provide a challenge (internal and external) to the jobholder in the context of the Business/Unit/Function/Department/Section **About The Health Insurance Industry –** While the current market sees more than 15 non-life players in the private space and 5 exclusive private players in the health insurance space trying to capture a sizable market share, the nationalized service provider (6) remains a strong competitor. In addition to this the business dynamics are such that the overall market on an annual basis which is to the tune of roughly 10,000 Crs sees close to 85 % of the business renewing with the existing service provider itself. This narrows down the opportunity of the fresh business actually being seriously fought in the market to approximately 1500 odd Crs. With the SME and the start-ups being the driving force of Indian economy, the opportunity to cater to these segments is immense and is increasing manifold year on year. The challenge here therefore remains as to how we capture a larger share of the opportunity by developing specific solutions to cater each segment of the business. Also by creating an inexpensive and standardized solution to increase the reach into the pockets of channel partners across the country to harness on their captive business and explore new opportunities with them. Market Opportunities – With the advent of medical advancements, lifestyle changes, change in Indian socio economic scenario and Indian healthcare space, and the insurers are facing challenges to cater to the needs of this diverse clientele. Increasingly Indian customers have started considering health insurance partners as extensions of health advisers. In this scenario it becomes extremely important to understand their psyche and then provide tailored solutions with wellness benefits which would help them meet their end objectives and bring in profitable revenue source for the company. **About The Aditya Birla Health Insurance –** Annexure I : ABG Job Description Template ` HayGroup Job Description Template 2011 Error! Unknown document property name. 3) Job Context & Major Challenges: Write the specific aspects of the job that provide a challenge (internal and external) to the jobholder in the context of the Business/Unit/Function/Department/Section Aditya Birla Health Insurance Co. Limited (ABHICL) was incorporated in 2015 as a 51:49 joint venture between Aditya Birla Capital Limited (ABCL) and MMI Strategic Investments (Pty) Ltd. ABHICL commenced its operations in October 20 - ABHICL has entered the competitive health insurance market with an aim to expand the category to wider customer segments, beyond the ones that health insurance companies traditionally have marketed to. As the 6th entrant in a category with well-established players, ABHICL is creating differentiation and equity for itself though the unique business proposition of “Health Insurance for All”, a one of a kind proposition in India at the moment. This is a philosophy that is being built through every single consumer touch point and into every single backend process of the company to ensure a customer’s experience of our proposition is continuous and seamless. ABHI’s unique offering to market includes proposition includes - - A Comprehensive Incentivized Wellness Program that will attract the young and health conscious and will motivate, guide and reward them to stay healthy ? A Chronic Care Management Program to cater to the unmet needs of a growing Indian population of those suffering from chronic lifestyle conditions like Diabetes, Asthma, High Cholesterol and Hyper