Deputy Manager - Provider Contract
Job Description
Position - Deputy Manager
Location - Noida
Department - Provider Contact
About Niva Bupa Health Insurance Company
Niva Bupa Health Insurance Company Limited (formerly known as Max Bupa Health Insurance Company Limited) is a joint venture between Fettle Tone LLP (an affiliate of True North Fund VI LLP), a leading Indian private equity firm, and the Bupa Group, a leading international healthcare company with a legacy of providing specialized healthcare services for over 70 years.
Niva Bupa's growth story has been phenomenal. We are one of the fastest growing Stand Alone Health Insurers in the country with a current employee strength of 7000+ with growth rate of 154% since FY 20 and growing. We are a fully integrated health insurance provider with in-house claims processing; under-writing and servicing.Our goal is to achieve more than 10000 Cr GWP By 2027 & thus requires goal oriented individuals to be a part of this exciting growth journey to achieve it.
Niva Bupa is certified Great Place to Work for the 3rd year running and aims become one of the best workplaces in the BFSI industry.
Niva Bupa is an Equal Opportunity Employer committed to achieving diversity within its workforce, and encourages all qualified applicants to apply, irrespective of gender, age, sexual orientation, disability, culture, religious and ethnic background.At Niva Bupa 12% of our team handling roles are led by women. We welcome specially-abled professionals to join our team.
ESG: Supporting action to protect, restore and regenerate local environments for the benefit of our customers our people, our communities and wider society
For more Details visit our website- www.nivabupa.com
Primary Role Description: -
Key Roles & Responsibilities- Contribute to the implementation, development and maintenance of Niva Bupa's provider strategy within an allocated region, ensuring alignment with Niva Bupa's overall business strategy and provider strategy.
- Negotiate appropriate commercial contracts and renewals with allocated providers in a timely manner to allow customers access to quality healthcare at sustainable cost structures and rates.
- Using standard funding models and fee structures, negotiate commercial deals on the best possible terms for Niva Bupa, including risk sharing with providers.
- Own the relationship with allocated providers, including regular review and monitoring of KPIs, review meetings, escalation point for issues, etc.
- In collaboration with Provider Contracts Manager, research availability and quality of healthcare provision in allocated region, including opportunities where new capacity is being developed.
- Develop and extend the network to give wider geographical and provider coverage (eg diagnostic centers, speciality centers, doctors, etc) as required by the Provider Contracts Manager.
- Form effective working relationships with key internal stakeholders in Niva Bupa, and within Niva India and Bupa Groups where appropriate.
- Pro-actively support, advice and coach providers to strengthen relationships and manage costs.
- Obtain feedback and recommendations from providers and disseminate to the relevant Customer Service and Operations departments to improve levels of service to customers.
- Regularly review and monitor data including claims volumes, spend, procedure volumes, and provider behavior to ensure that opportunities for claims spend savings are highlighted.
- To understand, comply with and abide by the regulatory requirements.
- Responsible for TPA relationship management across India and provide monthly, quarterly reconciliation reports and SLA adherence
- Lead in TPA audit and recovery process from Provider Contracts team.
- Graduate /Post Graduate degree holder.
- 3 years experience in health insurance or related industry including experience in contract negotiations.
- Fluent in Hindi and English both spoken and written.
- Good commercial knowledge of healthcare industry in India.
- Excellent commercial negotiator and operator, able to deal with high level hospital administrators, finance directors and or sales / marketing directors.
- Good organizational, planning and delivery skills
- Ability to structure and deliver projects on time, budget and within agreed quality.
- Proven track record of achieving targets with a consistent high level of quality.
- Ability to work under pressure in a fast paced environment
- Good communication and influencing skills, able to communicate with senior executives internally and externally.
- Hands on knowledge of excel.