PHI - Manager - Provider Network Management

prudential; Mumbai; On-site; INR 3,000,000 - 5,000,000; Full time

Job summary

Prudential Health India invites applications for Zonal Manager - Provider Network Management (North and East) to join our Experience team in Delhi. You will establish a robust zonal provider network, negotiate with hospitals, and coordinate across Claims, Technology, Product & Actuarial, Compliance, Risk Management, and Finance to deliver value to PHI customers.

You will develop digital onboarding journeys, analyze market data, and lead negotiations to create a differentiated provider set, while

Qualifications

• Have a degree or a management degree (healthcare management is preferred).
• 8-10 years experience in hospital/insurance industry with at least 5+ years leading provider network teams.
• Experience developing provider networks from scratch.
• Strong analytical and negotiation skills; good decision making.
• Excellent verbal and written communication skills.

Responsibilities

• Implement and manage a robust provider network management function at zonal level with negotiation framework, processes and systems.
• Lead in building trust and long-term relationships with network hospitals to create competitive advantage.
• Collaborate with Claims, Technology, Product & Actuarial, Compliance, Risk Management, and Finance; represent Claims Management in cross-functional initiatives.
• Develop digital hospital onboarding journeys and agreements; analyze provider and competitor landscape and market intelligence.
• Engage provider networks through data-driven analytics and ongoing training interactions.
• Lead in creating a preferred set of hospitals for differentiated services for PHI customers.
• Monitor performance and utilisation patterns to generate feedback loops and data analytics.
• Drive repricing and renegotiations of Tariff / Packages / Discounts with providers.

Skills

Negotiation

Analytical skills

Verbal communication

Written communication

Leadership

Education

MBA in healthcare management

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)

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 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

You could be the right candidate if you

• 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

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

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 f