Manager -PN (Indore))

1) Job Purpose:

Write the purpose for which the job exists (in 23 lines)

The role is responsible to lead the designing and execution of strategy for Provider Network of ABHI and will be responsible for managing partner relationship, expansion of hospital network to all possible location having policy distribution, controlling the ACS (Average claim size), Negotiating the tariffs with hospitals and creating preferred provider network having packagebased pricing for possible services

Managing OPD / wellness partners and TPAs through health claims, PPMC, D/HA and Health checks and its related commercials, evaluating new health tech partners and ensuring the deliverables for customer servicing

The role will also be responsible for creating and managing DC network (Diagnostic centers) PAN India through the aggregator or direct partners

2) 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

Business Workforce Number On Roll 6000

Offroll/ Partime 4000

Unit Workforce Number On Roll 6000

Offroll/ Part time 4000

Function Workforce Number On Roll 800

Offroll/ Part time 200

Department Workforce Number On Roll 23

Offroll/ Part time 4

Other Quantitative and Important Parameters for the job: Budgets/ Volumes/No

of Products/Geography/ Markets/ Customers or any other parameter

Vendor Management

OPD Insurance product and partner management

Group wellness and OPD business through aggregator partners offering digital / tech platformbased journey for customers

Having predefined network of doctors, pharmacy, diagnostics centers, dental, vision, vaccination, mental health, fitness centers Gyms, yoga centers, & nutrition services

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 nonlife 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 25, 000 Crs sees close to 8085 % 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

With the SME and the startups 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 socioeconomic 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

Disclaimer: This job description has been sourced from a public domain and may have been modified by Naukri.com to improve clarity for our users. We encourage job seekers to verify all details directly with the employer via their official channels before applying.