PHI - Manager – Provider Network Management

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

Job summary

Prudential Health India seeks a Zonal Manager – Provider Network Management to implement a robust provider management system. Located in Delhi, the role requires strong negotiation and analytical skills to lead relationships with hospitals and ensure a competitive advantage.

The ideal candidate will have 8-10 years of healthcare experience, with a focus on provider networks and a degree in Healthcare Management. Join us to make an impact!

Qualifications

• 8-10 years of experience in the hospital/insurance industry with at least 5+ years leading provider network teams.
• Experience developing provider networks from scratch.
• Able to make quick decisions with good judgement.

Responsibilities

• Implement and manage a robust provider network function.
• Lead relationships with network hospitals for competitive advantage.
• Collaborate across functions including Claims, Technology, and Finance.

Skills

Negotiation skills

Analytical skills

Communication skills

Team building

Education

Degree in Healthcare Management or similar

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 joint 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 empathise 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)

As a Zonal Manager of Provider Network & Operations, your typical week might include the following:

• 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 analysing provider and competitor landscape & market intelligence.
• Engage provider network through effective communication, data‑led analytics (utilisation 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 utilisation patterns to generate feedback loop and data analytics.
• Lead in effectively repricing and re‑negotiations of the tariff / packages / discounts with healthcare providers.

You could be the right candidate if you

• Have a degree or a management degree (healthcare management is preferred).
• Have 8–10 years’ experience in the hospital/insurance industry 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 judgement 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 behaviour and culture; enjoy spending time with customers/providers to understand what they really want; have an attentive ear for 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 organisation; 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.