Insurance Network Provider Specialist

Insurance Network Provider Specialist

Location: Delhi,Delhi,India

Job Title: Insurance Network Provider Specialist
Location: Delhi
Department: Insurance (PPMC) Provider Network
Key Responsibilities :
● Expansion of the Health & Wellness Network: Drive the growth and outreach of the provider
network, ensuring a strong presence across the region.
● Tie-Ups & Empanelment: Facilitate new partnerships and renewals with hospitals, clinics, and
diagnostic centers to enhance service availability.
● Regional Provider Management: Oversee all empanelment-related activities for provider
partners in the East region, ensuring seamless onboarding.
● Contracting & Tariff Negotiation: Secure the best possible rates for services through strategic
negotiations with providers.
● Relationship Management: Maintain strong, end-to-end engagement with diagnostic centers,
hospitals, and clinics to ensure operational efficiency.
● Network Presence & Data Management: Regularly update records to reflect current network
coverage and provider status.
● Cost Optimization: Implement and track cost-saving measures by quantifying negotiated tariff
benefits through a structured monitoring system.
● Travel: Readiness to travel different cities for the identification of the Diagnostic centers/Hospitals
and for the Audits/Mystery shoppings.
Qualification :
● Minimum 5+ years of experience in the healthcare industry, preferably in provider management
(TPA).
● Strong communication and negotiation skills to effectively engage with healthcare providers.
● Established connections with hospitals, diagnostic centers, and clinics in the North zone will be
an added advantage.

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Experience Level

Mid Level