Experience

Visit Health

• India
• Health, Wellness & Fitness
• 200 - 300 Employee

• Associate Director Provider Network

  • Sep 2023 - Present

  Mumbai, Maharashtra, India

• Sr. Manager - Network Partnership and Pricing

  • Nov 2022 - Present

  Mumbai, Maharashtra, India



Digit Insurance

• India
• Insurance
• 700 & Above Employee

• Manager - Provider Network - West

  • Dec 2020 - Nov 2022

  Mumbai, Maharashtra, India Responsible for provider relationships & Empanelment. Strategizing the Provider Network basis requirement and cost. Coordinate and evaluate the contracts of a healthcare provider network. Participate in the negotiation of contracts and prepare reports and analysis of contract details and statistics. Distribute contract information, status updates, and other information within the organization. Case managements - Negotiating with the providers for cost savings and steering the potential… Show more Responsible for provider relationships & Empanelment. Strategizing the Provider Network basis requirement and cost. Coordinate and evaluate the contracts of a healthcare provider network. Participate in the negotiation of contracts and prepare reports and analysis of contract details and statistics. Distribute contract information, status updates, and other information within the organization. Case managements - Negotiating with the providers for cost savings and steering the potential patients to a preferred network to curb the claims cost. Show less



Aditya Birla Health Insurance Company Limited

• India
• Insurance
• 700 & Above Employee

• Asst. Manager - Provider Network - Hospital Relations & Wellness.

  • Jul 2017 - Dec 2020

  Mumbai, Maharashtra, India Provider Network profile Role & Responsibility- Responsible for provider relationships & Empanelment. Strategizing the Provider Network basis requirement and cost. Coordinate and evaluate the contracts of a healthcare provider network. Participate in the negotiation of contracts and prepare reports and analysis of contract details and statistics. Distribute contract information, status updates, and other information within the organization. Case managements - Negotiating with the… Show more Provider Network profile Role & Responsibility- Responsible for provider relationships & Empanelment. Strategizing the Provider Network basis requirement and cost. Coordinate and evaluate the contracts of a healthcare provider network. Participate in the negotiation of contracts and prepare reports and analysis of contract details and statistics. Distribute contract information, status updates, and other information within the organization. Case managements - Negotiating with the providers for cost savings and steering the potential patients to a preferred network to curb the claims cost. Wellness Profile Role & Responsibilities - Manage and administer policies and programs at PAN India level to promote wellness programs to group employees. Plan specific activities aimed to improve employee health, wellness and fitness. Arrange providers to conduct wellness camps to support sales team for lead generations for various channels. Drive embedded wellness programs for group customers, negotiate with various wellness partners to close on various health check up packages for the corporate customers. Show less



RELIGARE HEALTH INSURANCE (RHI)

• India
• Insurance
• 700 & Above Employee

• Asst. Manager - Corporate Sales

  • Mar 2016 - Jun 2017

  Mumbai, Maharashtra, India Handled corporate sales & Market analysis of corporate clients. Identified potential markets,niche areas to generate Ideal Client Profile. Providing best claims service for corporate clients. Connect with prospects via intermediaries like brokers and agents



Cigna TTK Health Insurance Company Limited

• India
• Insurance
• 100 - 200 Employee

• Sr. Executive - Provider Network

  • Jul 2014 - Feb 2016

  Mumbai Area, India  Responsible for high end service delivery to CignaTTK global corporate customers  Be actively involved in scheduling & organizing wellness camps in corporates  Devising various strategies which would help to maintain a healthy claims ratio.  Be an interface between the hospitals and CignaTTK claims / customer service team.  Liaise with hospitals / wellness partners on a daily / periodic basis  Ensuring tie ups with the hospitals and wellness vendors with in stipulated… Show more  Responsible for high end service delivery to CignaTTK global corporate customers  Be actively involved in scheduling & organizing wellness camps in corporates  Devising various strategies which would help to maintain a healthy claims ratio.  Be an interface between the hospitals and CignaTTK claims / customer service team.  Liaise with hospitals / wellness partners on a daily / periodic basis  Ensuring tie ups with the hospitals and wellness vendors with in stipulated time.  Responsible for overall activities related with empanelment of hospitals / wellness vendors  Maintaining and publishing dashboard for empanelment, savings and de empanelment  Ensure adequate measures are in place to identify fraudulent activities at providers and take timely actions. Show less



RELIGARE HEALTH INSURANCE (RHI)

• India
• Insurance
• 700 & Above Employee

• Executive - Provider and Claims department

  • Nov 2012 - Jul 2014

  Mumbai Area, India SPOC for corporate claims and provider related issues for West zone Conducting the assessment of the hospitalization bills as well as medical reports. Conducting routine audits in TPA's Investigation of Suspicious cases at primary level Performing a periodical quality review of the Hospitals and Diagnostics centres.



Family health insurance TPA

• Jr. Executive - Provider

  • Jan 2010 - Oct 2012

  Mumbai Area, India Hospital empanelment; discount negotiations; Payments reconcillations; claims investigations; arrange wellness camps