Associate/ Deputy General Manager

Max Healthcare

Gurugram District

On-site

INR 3,500,000 - 6,000,000

Full time

14 days+

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Job summary

Max Healthcare invites applications for the role of Associate/ Deputy General Manager (Health Insurance Administration & Receivables) in Sales & Marketing. The position focuses on centralizing, administering, and monitoring the health insurance/TPA processes and credit sales and collections across the MAX network.

You will lead a centralized team, negotiate with insurers, ensure timely recoveries, reconcile accounts, and provide MIS to higher management.

Qualifications

MBA or Graduation (required)
6–10 years of healthcare experience focusing on TPA/insurance channel
Strong interpersonal, networking and relationship management skills
Excellent organization and planning abilities
Ability to drive performance and service excellence

Responsibilities

Oversee TPA/Insurance empanelment and renewals.
Negotiate tariffs and pricing with insurers.
Ensure timely recoveries of TPA credit sales and collections.
Coordinate with TPAs, insurers and internal finance teams.
Conduct reconciliations with customers and insurers.
Maintain centralized MIS and reports.
Drive monthly targets for collections and deductions.
Monitor debtor aging and rejection/deduction processes.
Lead and train the centralized receivables team.
Ensure smooth TPA processes with internal departments.

Skills

Interpersonal skills

Networking

Organization

Planning

Relationship management

Performance focus

Service excellence

Education

MBA or Graduation

Tools

Eprapti

Job description

JOB DESCRIPTION

Job Title: Associate/ Deputy General Manager (Health Insurance Administration & Receivables) Sales & Marketing

Reporting Supervisor : AVP & Head - Receivables & Insurance Relationships Sales & Marketing

JOB PURPOSE: To centralize, administer, and monitor the health insurance / TPA process & credit sales & Collection channel PAN MAX.

KEY RESPONSIBILITIES

Responsible for TPA / Insurance Empanelment & renewals of contracts.
Responsible for periodical tariff revision & price negotiation with private & GIPSA insurance companies.
Responsible for timely recoveries of TPA Credit sales. (Collection & Deduction Recovery)
Liaoning with TPAs & Insurer key persons and relationship building.
Responsible for Rejection & Deduction follow ups.
Responsible for account reconciliation with internal & external customers.
Regular record updating of Insurance & Deduction Tracker
Periodic review of individual and departmental performance.
Defining the organizational goals, strategies, setting of internal monthly targets for collection & deductions.
Monitor, administer & training of the centralize team.
Regular visits & meeting with internal customers of the group such as TPA Desk, Finance & Accounts, Front Office, and Bill Dispatch Departments; ensuring smooth functioning of the TPA Process.
Performing troubleshooting during cashless approvals and pre & post-discharge of the patients for all units
Ensuring group s timely dispatch of credit invoices for payment recoveries
Reconciling accounts with all TPAs, Insurance Companies, and internal Finance Teams
Directing on-account (NEFT) settlement for ensuring timely settlement of NEFT payments, creating departmental MIS, reports, and presentations pertaining to TPA revenue, debtors aging, collection, deduction, old payment & NEFT (on-account) settlement for periodic review of team with higher management
Following-up for deduction and rejection of the TPA claims; reviewing & analyzing Debtor Ageing and Daily Collection Reports
Monitoring day to day work of team on receivable software i.e. Eprapti.
To define and set the centralized TPA process.
Motivating the team and responsible for high team morale.