Cluster Manager - PN (Ludhiana)

Cluster Manager- JD - Location: Multiple (West & South)

As a Cluster Manager of Healthcare Network & Operations, your typical week might include the following 

• Identify Healthcare Service provider partners include Hospitals, Doctors, Diagnostic centers / vision, and dental centers / home care treatment providers /allied medical service providers, and other partners that will add value in services for ABHI policy holders
• Deep understanding on Health care eco system & innovate ideas on service level engagements with Hospitals / Diagnostic centers / Clinic & Other service care providers
• Development and management of an adequate provider network in assigned geographical area
• Maintaining relationships and all provider relations activities in assigned geographical 
• Analyze and understand Health Insurance industry and competitor landscape & Market intelligence on competitors
• Plan & execute Co-branding activities and bring brand visibility among the Service providers
• Support of Regional Network Team & implement industry best practices as required to achieve success for ABHI 
• Negotiating and renegotiating contracts with physicians and Healthcare provider groups 
• Monitoring of various reports to ensure all necessary compliance requirements are met and maintained
• Reporting to Zonal & leadership team on status, risks, and potential opportunities in area of responsibility on a regular basis
• Payment reconciliation, addressing Provider grievances & carrying our region wise MIS reports in responsible geographies
• Monitor, drive case management negotiations with Network hospitals in assigned geographies
• Able to identify, monitor fraud/abuse and leakage
• Able to effectively identify opportunities for repricing and renegotiations of the Tariff / Packages / Discounts with healthcare providers
• Willing to Travel across geographies and maintain relationship with healthcare partners

You could be the right candidate if you

• Have a degree or a management degree (healthcare management is preferred)
• Have 6-8yrs exp in health insurance with at least 5+ years’ experience in leading provider network teams
• Have experience with developing provider networks from scratch 
• Able to make quick decisions and have good judgment and analytical skills
• Have excellent verbal and written communication skills and strong negotiation skills.
• Always open to embracing change and be able to manage it
• Passionate about building highly engaged teams 

This could be the gig for you if you…

• Are passionate about consumer behavior and culture; enjoy spending time with customers/providers to understand what they really want. Have an attentive ear listen to new ideas
• Thrive in environments that celebrate co-creation and collaboration
• Are passionate about leveraging digital tools to transform customer experience 
• Like to work in a culture where everyone can see what others are doing 
• Take help from others when stuck and encourage others when there are setbacks
• Take full responsibility for your team’s contribution while thinking wing to wing across the organization; to solve for the customer