PHI - Manager – Provider Network Management

Prudential Services Asia; Mumbai; On-site; INR 1,500,000 - 2,100,000; Full time

Benefits offered by this job

Restaurant-like amenities

Job summary

Prudential Health India is seeking a Zonal Manager – Provider Network Management (North and East) to join its Experience team in Delhi. You will implement and manage a robust provider network at the zonal level, build trust with network hospitals, and collaborate with Claims, Technology, Product & Actuarial, Compliance, Risk Management, and Finance. Location: Delhi.

Equal opportunity employer. We value strategic thinkers who can negotiate, analyze data, and lead high-engagement teams to deliver

Qualifications

• Have a degree or a management degree (healthcare management is preferred).
• 8-10yrs exp in Hospital/Insurance with at least 5+ years leading provider network teams.
• Experience developing provider networks from scratch.
• Able to make quick decisions with strong judgment and analytical skills.
• Excellent verbal and written communication skills and strong negotiation skills.

Responsibilities

• Implement and manage a robust provider network management function at zonal level by creating negotiation framework, processes and systems.
• Lead in building trust and long-term relationships with the network hospitals for Prudential Health India.
• Collaborate with Claims, Technology, Product & Actuarial, Compliance, Risk Management and Finance; represent Claims Management in cross-functional implementations.
• Develop digital hospital onboarding journey and agreements; analyze provider landscape and market intelligence.
• Lead in creating preferred set of hospitals for differentiated services for PHI customers.
• Continuous monitoring of performance and utilization patterns to generate feedback and data analytics.
• Lead in repricing and re-negotiations of Tariff / Packages / Discounts with providers.

Skills

Negotiation

Communication

Leadership

Analytical thinking

Decision making

Education

Healthcare management degree

Job description

Prudential’s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our people’s career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed.

Prudendial (UK) in partnership with HCL group plans to set-up a stand‑alone Indian health insurance company to address the growing healthcare needs of the Indian consumer. This join venture will combine Prudential’s global expertise in insurance and financial services with HCL Group’s experience in technology and healthcare solutions.

Prudential, with its longstanding presence in India, already operates two leading businesses in life insurance and asset management with the ICICI group. Prudential was also the proud sponsor of the 1983 Cricket World Cup, India’s first World Cup Victory!

Prudential Health India is a Zero to One team undertaking a no‑legacy, greenfield health insurance deployment in India, building journeys that truly empathize with the customer and offer a differentiated experience. To partner with us in this mission, we are looking for a talented Zonal Manager – Provider Network Management (North and East) to join our Experience team in Delhi Zonal Manager – Provider Network Management (North and East)

Responsibilities

• Implement and manage a robust provider network management function at zonal level by creating negotiation framework, processes, and systems factoring in provider and customer experience deliverables.
• Lead in building trust and long‑term relationships with the network hospitals for creating competitive advantage for Prudential Health India.
• Collaborate with functions including but not limited to Claims, Technology, Product & Actuarial, Compliance, Risk Management, and Finance; represent Claims Management Function in cross‑functional implementations
• Develop digital hospital (Provider) onboarding journey and agreements and maintain relationship, continue analyzing provider and competitor landscape & Market intelligence Engaging provider network through effective communication, Data led analytics aka utilization patterns, recognition and continuous training interactions.
• Lead for creating preferred set of hospitals for executing differentiated services for PHI customers.
• Continuous monitoring of performance and utilization patterns to generate feedback loop and data analytics.
• Lead in effectively repricing and re‑negotiations of the Tariff / Packages / Discounts with healthcare providers

Qualifications

• Have a degree or a management degree (healthcare management is preferred)
• Have 8-10yrs exp in Hospital/Insurance industry with at least 5+ years’ experience in leading provider network teams
• Have experience with developing provider networks from a 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

Desired Traits

• 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

What can make you extra special It’s great if you have already read books like Never Split the difference: Negotiating as if your life depended on it. You have real stories to tell about how your team, and you challenged convention and took the path less travelled. We are keen to listen to your story; it doesn’t matter if you tell these stories with a sigh or with excitement. We respect both versions. Truly.

Location: – Delhi

Prudential is an equal opportunity employer. We provide equality of opportunity of benefits for all who apply and who perform work for our organisation irrespective of sex, race, age, ethnic origin, educational, social and cultural background, marital status, pregnancy and maternity, religion or belief, disability or part‑time / fixed‑term work, or any other status protected by applicable law. We encourage the same standards from our recruitment and third‑party suppliers taking into account the context of grade, job and location. We also allow for reasonable adjustments to support people with individual physical or mental health requirements.

We are Prudential. For every life, we are partners. For every future, we are protectors.

Prudential plc provides life and health insurance and asset management to 17 million customers across 20 markets in Asia and Africa. We are headquartered in Hong Kong and have dual primary listings on the Stock Exchange of Hong Kong and the London Stock Exchange. We are focused on four strategic regions: Greater China, ASEAN, India and Africa. Our customers are served by around 55,000 agents and more than 200 bank partners. Prudential plc is not affiliated in any manner with Prudential Financial, Inc., a company whose principal place of business is in the United States of America or with the Prudential Assurance Company, a subsidiary of M&G plc, a company incorporated in the United Kingdom. Find out more at www.prudentialplc.com Follow us on LinkedIn