Dr. Abhinav Chari

Head of Medical Provider Network at MedNet Global Healthcare Solutions LLC
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Contact Information
us****@****om
(386) 825-5501
Location
United Arab Emirates, AE

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Dr. Adarsh Attavar ✔

Dr. Abhinav is one of those extraordinary employees that makes you very appreciative that he landed in your team. I have frequently found him operating at a level beyond his years of experience. Abhinav is highly diligent, has a sense of business curiosity that makes him take responsibility for anything that needed looking after (often even outside his job requirement). It is a genuine pleasure working with a professional like Abhinav and I look forward to many productive achievements from him.

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Credentials

  • Verified International Academic Qualifications
    World Education Services
    Apr, 2020
    - Nov, 2024

Experience

  • MedNet Global Healthcare Solutions LLC
    • United Arab Emirates
    • Insurance
    • 400 - 500 Employee
    • Head of Medical Provider Network
      • Jul 2017 - Present

      - Healthcare provider management within UAE and Internationally- Negotiation of best in class tariffs and network segmentation- FWA Management- Quarterly/half yearly reconciliations- Reserve management- Monitoring & management of portfolio performance- Compliance and Governance- Department budgeting

    • Branch Manager - Abu Dhabi
      • Dec 2019 - Present

      - Heading the Abu Dhabi branch functions with a mandate to grow MN's Abu Dhabi portfolio

    • Country Manager - Sri Lanka
      • Jan 2019 - Nov 2019

      Deployed on a term project to Sri Lanka to launch a new MedNet entity in line with the group's mandate to expand into APAC. - Profit & Loss (P&L) and Financial Management- Independently setting up a full fledged MedNet entity in Sri Lanka- Implementation of core insurance application, software, provider portals and mobile app- Building of a healthcare provider network for cashless access- Process design, implementation and development of Policies and Procedures- Recruitment- Client management- Adherence to group compliance and governance- Office set up from Incorporation to Go Live Show less

    • Assistant Manager - Network Dept.
      • Jul 2016 - Jul 2017

      - Managing the deliverables of the department- Resource planning, acquisition, allocation, and management- Strategize the objectives and direction of MedNet’s medical network- Tariff negotiation- Issue resolution via relationship building- Absorbing the reconciliation function & conducting a Business process re-engineering of the unit- Independent handling of Network operations

    • Team leader - Network department
      • Jun 2014 - Jun 2016

      - Deputizing the Network manager- Tariff revisions- Closure of reconciliations- Client management for Network related issues- Development of new network models- Business reporting and provider trend analysis resulting in Control of Fraud, Waste & Abuse- Project management

    • Senior Network Officer - Network Department
      • Aug 2013 - Jun 2014

      - Heading the Contracting Division- Innovation in network access- Specialized in International Network Solutions- Development of the network and product offering of DHA’s mandatory basic plan

  • MedNet Global Healthcare Solutions LLC
    • United Arab Emirates
    • Insurance
    • 400 - 500 Employee
    • Network Officer - Network Department
      • Jan 2013 - Jun 2013

      - Expansion of the medical network (Geographically & Service/Specialty mix)- Provider training- Provider tariff revisions- Provider relationship management

    • Medical Reviewer - Network Department
      • Aug 2012 - Jan 2013

      - Medical evaluation of resubmitted claims- Reconciliation debates with treating doctors- Achieving closure of accounts

    • Medical Reviewer - MCC Department
      • May 2011 - Aug 2012

      - Concurrent, Prospective and Retrospective Evaluation of medical claims- Evaluation of reimbursement claims- Management of In Patient claims by applying managed care measures- Medical audit and roaming doctor activities at medical providers- Evaluation of resubmitted claims

  • Bombay Hospital and Medical Research Centre, Mumbai
    • Hospitals and Health Care
    • 100 - 200 Employee
    • Medical Intern
      • Mar 2007 - Oct 2009

      Clinical rotations in multi-specialities - Internal medicine, Surgery, Pediatrics, OBGYN, Psychiatry, Nephrology, Ophthamology, Radiology etc. Clinical rotations in multi-specialities - Internal medicine, Surgery, Pediatrics, OBGYN, Psychiatry, Nephrology, Ophthamology, Radiology etc.

Education

  • The University of Manchester Middle East Centre
    Master of Business Administration - MBA, International/Global Studies
    2016 - 2018
  • International University of the Health Sciences | IUHS School of Medicine
    Bachelor of Medicine, Bachelor of Surgery - MBBS, Medicine
    2004 - 2009
  • Delhi Private School, Sharjah
    High School Diploma, Biology, Physics, Chemistry, Mathematics and English
    2002 - 2004

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