TPA & Empanelment - Manager
Eye Mantra Hospital · Delhi · onsite · Posted 71d ago
Undisclosed5–8 yrsfulltimeSourced from
About a minute. You'll make an account on the way through.
About this role
Job Summary
Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.
The TPA Empanelment Manager will oversee all insurance and empanelment operations, ensuring efficient claims processing, strong partnerships with TPAs and insurers, and growth of the hospital's empaneled network. The role involves strategic planning, compliance oversight, and team leadership to enhance insurance-related operations and service quality.
Key Responsibilities - Lead and manage TPA operations to ensure timely and accurate claim processing.
- Drive empanelment with insurance companies, corporates, and government health schemes.
- Oversee contract renewals and compliance with empanelment terms.
- Build and maintain strong relationships with insurance partners and clients.
- Provide strategic reports and insights to senior management.
- Handle and resolve escalated patient or TPA-related issues.
- Qualifications : Bachelor's or Master's degree in Healthcare Administration, Business, or related field.
- Experience : 5-8 years of experience in TPA operations, health insurance, or hospital empanelment (including 2+ years in a managerial role).
- Excellent communication, negotiation, and analytical skills.
- Proficient in MS Office and hospital management systems.
- Leadership
- Relationship Management
- Insurance TPA Processes
- Strategic Planning
- Compliance Management
- Problem Solving
Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.
Sourced from naukri
Skills
Hospital ManagementService qualitymanagement systemsstrategic planningHealthcarecomplianceHealth insuranceTPAMS OfficeRelationship Management