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Insurance Network Provider Specialist at MediBuddy

, delhi, India -

Full Time

Start Date

Immediate

Expiry Date

13 Mar, 26

Salary

0.0

Posted On

13 Dec, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Provider Management, Negotiation Skills, Communication Skills, Relationship Management, Data Management, Cost Optimization, Healthcare Industry Knowledge, Empanelment, Contracting, Tariff Negotiation, Travel Readiness, Partnership Development, Operational Efficiency, Monitoring Systems, Healthcare Provider Engagement, Regional Management

Industry

Wellness and Fitness Services

Description

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.

Responsibilities

The Insurance Network Provider Specialist is responsible for expanding the health and wellness network and managing provider partnerships in the East region. Key tasks include negotiating contracts, maintaining relationships with healthcare providers, and ensuring operational efficiency.