Manager - Insurance And Corporate Relations

2070 Health Inc.; Mumbai; On-site; INR 900,000 - 1,100,000; Full time

Job summary

2070 Health Inc. in Mumbai seeks an experienced SSO – TPA / Corporate Manager to manage relationships with TPAs, insurers, corporate clients, and other partner institutions for hospital operations in Mumbai.

The role ensures smooth cashless and corporate patient processes, timely coordination, revenue realization, and strong partner relationships across multiple teams including clinical, billing and front office.

Qualifications

• Experience managing TPAs, insurers, and corporate clients.
• Knowledge of cashless processes and pre-authorizations.
• Ability to coordinate with clinical, billing, front office teams.

Responsibilities

• Manage day-to-day relationships with TPAs, insurers, corporates, and institutional clients.
• Ensure cashless approvals and pre-authorizations are processed timely.
• Coordinate with clinical, billing and front office teams for documentation and claims.
• Monitor TPA/corporate cases from admission to discharge.
• Submit bills and claims to TPAs/insurers promptly.
• Track claim queries, deductions, rejections, and discrepancies.
• Strengthen relationships with corporate and insurance partners.
• Identify opportunities to onboard new corporate/insurance/TPA relationships.
• Monitor tariffs, packages, rate contracts, and terms.
• Coordinate negotiations and renewals of agreements.
• Prepare MIS and reports on TPA/corporate business, approvals, claims, collections.
• Work with finance/collections to improve realization and reduce receivables.
• Ensure compliance with hospital policies and processes.
• Handle escalations from patients, corporate clients, TPAs.

Skills

TPA processes

Insurance processes

Cashless processing

Corporate healthcare

Hospital billing

Claims management

Communication skills

Negotiation

Relationship management

Cross-functional coordination

Job description

Job Description:

Job Description – TPA / Corporate Manager

Location: Mumbai
Function:
Industry: Healthcare / Hospitals
Experience: 2–10 years
Employment Type: Full-time

About the Role

We are looking for an experienced SSO – TPA / Corporate Manager to manage and strengthen relationships with TPAs, insurance companies, corporate clients, and other institutional partners for our hospital operations in Mumbai.

The role will be responsible for ensuring smooth cashless and corporate patient processes, timely coordination, revenue realization, and strong partner relationships.

Key Responsibilities

• Manage day-to-day relationships with TPAs, insurance companies, corporates, and institutional clients.


• Ensure smooth processing of cashless approvals, pre-authorizations, extensions, and final approvals.


• Coordinate with clinical, billing, front office, and medical teams for timely documentation and claim processing.


• Monitor TPA/corporate cases from admission to discharge.


• Ensure timely submission of bills, documents, and claims to respective TPAs/insurers.


• Track and resolve claim-related queries, deductions, rejections, and discrepancies.


• Maintain and strengthen relationships with existing corporate and insurance partners.


• Identify opportunities for onboarding new corporate/insurance/TPA relationships.


• Monitor agreed tariffs, packages, rate contracts, and commercial terms.


• Coordinate negotiations and renewals of corporate/TPA agreements wherever required.


• Prepare MIS and reports related to TPA/corporate business, approvals, claims, collections, and outstanding amounts.


• Work closely with the finance and collections teams to improve realization and reduce outstanding receivables.


• Ensure compliance with hospital policies, contractual requirements, and applicable processes.


• Handle escalations from patients, corporate clients, and TPAs.

Key Skills

• Strong knowledge of TPA, insurance, cashless and corporate healthcare processes.


• Good understanding of hospital billing and claims.


• Strong communication and negotiation skills.


• Relationship management skills.


• Analytical and problem-solving ability.


• Strong coordination with cross‑functional teams.. ..

Preferred Background

Candidates from hospitals, healthcare organizations,healthcare service providers with relevant experience will only be considered.