Manager - Insurance & Corporate Relations

2070Health; Mumbai; On-site; INR 1,500,000 - 2,500,000; Full time

Job summary

2070Health in Mumbai seeks an experienced SSO - TPA / Corporate Manager to manage and strengthen relationships with TPAs, insurers, corporate clients, and institutional partners for hospital operations in Mumbai.

The role ensures smooth cashless and corporate patient processes, timely coordination, revenue realization, and solid partner relationships.

Qualifications

• Experience in TPA/corporate and cashless processing in hospitals.
• Strong negotiation and relationship management with TPAs and insurers.
• Ability to coordinate with clinical, billing, front office and finance teams.

Responsibilities

• Manage day-to-day relationships with TPAs, insurers, corporates, and institutional clients.
• Ensure smooth 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 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.

Skills

TPA processes

Insurance knowledge

Cashless processing

Corporate healthcare

Relationship management

Negotiation

Communication

MS Excel

Tools

MS Excel

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.
• Good command of MS Excel and MIS reporting.

Preferred Background

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