Cluster Manager - PN (Ludhiana)

Birla Carbon; Ludhiana; On-site; INR 1,800,000 - 2,500,000; Full time

Job summary

Aditya Birla Group in Ludhiana is seeking a Cluster Manager for Healthcare Network & Operations to build and manage a robust provider network across hospitals, clinics, and diagnostic centers. You will negotiate contracts, monitor performance and ensure regulatory compliance within the ABHI framework.

The role requires strong leadership, travel across geographies, and strategic thinking to enhance customer service and partner engagement.

Qualifications

• 6-8 years of health insurance experience with at least 5+ years leading provider network teams.
• Experience developing provider networks from scratch.
• Strong analytical, decision-making and negotiation capabilities.
• Excellent verbal and written communication skills.

Responsibilities

• Identify healthcare provider partners including hospitals, doctors, diagnostic centers, clinics and home care providers.
• Develop and manage provider networks in the assigned geographical area.
• Maintain provider relations and ensure compliance across the region.
• Analyze insurance market and competitors to inform strategy.
• Plan co-branding activities and increase brand visibility among providers.
• Negotiate and renegotiate contracts with providers and groups.
• Monitor reports to ensure compliance and report to regional leadership.

Skills

Communication skills

Negotiation skills

Analytical skills

Provider network leadership

Healthcare management

Team leadership

Decision making

Travel willingness

Education

Degree in management

Healthcare management degree

Job description

At the Aditya Birla Group, our Corporate Vision is aligned and intricately woven with our People Vision.

Cluster Manager - PN (Ludhiana)

Designation :

Job Description:

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
• Discover more about life at Aditya Birla Group