PHI - Assistant Manager- Provider Network Management

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.

Prudential (UK) in partnership with HCL group plans to set-up a standalone 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 empathize with the customer and offer a differentiated experience.

To partner with us in this mission, we are looking for a talented Assist Manager- Provider Network Management to join our Experience team in Mumbai.

Assistant Manager – Provider Network Management

As a Assistant Manager of Provider Network, your typical week might include the following

• Collaborate to Design, implement, launch, and manage a comprehensive provider network to facilitate experience workstreams.
• Collaborate with relevant stakeholders for initiating RFP process to facilitate partner onboarding.
• Coordinate with internal and external stakeholders for onboarding and maintain / manage relationships with the partner ecosystem.
• Test and share various functionalities with Network partners (including TPA) systems to ensure smooth operations.
• Gather and provide exact requirements needed for streamlining the process flow ensuring seamless customer experience.
• Develop and evolve detailed standard operating procedures to ensure comprehensive and seamless functioning of the network.
• Enable efficient claims management processes through well-defined SOPs.
• Design and ensure implementation of agreed SLA, monitor and publish dashboards for the performance matrix on periodic basis.
• Collaborate with internal and external stakeholders to test e2e and implement integration with the partner ecosystem
• Collaborate with various functions including Onboarding – Underwriting, Claims, Technology, Product, Health Management, Compliance and Finance.
• Engage with the provider network through effective communication and data-led analytics.
• Recognize and continuously train providers based on utilization patterns and performance metrics.
• Continuously monitor performance and utilization patterns to generate feedback loops and data analytics.

You could be the right candidate if you

This could be the gig for you if you…

What can make you extra special

Location : Mumbai

Reporting to : Lead Network Management