Provider Management/Healthcare Purchasing
- ICICI Lombard
- 2 - 5 years
- Vijayawada, Guntur
- 4 months ago
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Job Description
Management Profile: Provider Management/Healthcare Purchasing
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 AP & Telangana location where Telugu is a must.
Job Classification
Industry: InsuranceFunctional Area / Department: BFSI, Investments & TradingRole Category: General InsuranceRole: General Insurance - OtherEmployement Type: Full timeContact Details:
Company: ICICI LombardLocation(s): Vijayawada, Guntur
Keyskills: Provider Network Health Claims Cost Management Analytical Claims Portfolio Management Excel Audit Compliance Field Operations
ICICI Lombard
ICICI Lombard General Insurance Company Limited ICICI Lombard General Insurance Company Ltd is India's leading private sector general insurance company. We are a 74:26 joint venture between ICICI Bank Limited and Lombard Canada Inc. As a part of ICICI Group, we are well known for our innovative...
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