Manager – Provider Network Management

Prudential Health India is seeking a talented Zonal Manager – Provider Network Management (North and East) to join our Experience team in Delhi.

As a Zonal Manager of Provider Network & Operations, you will implement and manage a robust provider network management function at the zonal level, creating negotiation frameworks, processes, and systems that factor in provider and customer experience deliverables.

Key responsibilities include:

• Building trust and long-term relationships with network hospitals to create a competitive advantage for Prudential Health India
• Collaborating with functions such as Claims, Technology, Product & Actuarial, Compliance, Risk Management, and Finance
• Developing digital hospital onboarding journeys and agreements, maintaining relationships, and analyzing provider and competitor landscapes
• Engaging provider networks through effective communication, data-led analytics, recognition, and continuous training interactions
• Creating a preferred set of hospitals for executing differentiated services for PHI customers
• Continuously monitoring performance and utilization patterns to generate feedback loops and data analytics
• Leading effective repricing and re-negotiations of tariffs/packages/discounts with healthcare providers

The ideal candidate will have:

• A degree or management degree in healthcare management (preferred)
• 8-10 years of experience in the hospital/insurance industry, with at least 5 years of experience leading provider network teams
• Experience developing provider networks from scratch
• Strong analytical and decision-making skills
• Excellent verbal and written communication skills and strong negotiation skills
• Ability to embrace change and manage it effectively
• Passion for building highly engaged teams

We offer a platform for our people to do their best work and make an impact on the business, and we support our people's career ambitions.