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

• Have a Degree or a Management degree (healthcare management is preferred)
• Have 4-6 yrs exp in provider network department of OPD/Insurance company
• Strong skills with respect to data analytics and stakeholder management
• Have an excellent understanding of procurement, negotiation, partner onboarding and outsourcing compliance processes
• Able to make quick decisions and have good judgment and analytical skills
• Have an excellent verbal and written communication skills and strong negotiation skills.
• Always open to embracing change and be able to manage it
• Have a fair understanding of startup challenges and passion to work in a Zero-to-One environment.

This could be the gig for you if you…

• Are passionate about consumer behavior and culture; enjoy spending time with customers/providers to understand what they really want. Have an attentive ear listen to new ideas.
• Thrive in environments that celebrate co-creation and collaboration
• Are passionate about leveraging digital tools to transform customer experience
• Like to work in a culture where everyone can see what others are doing
• Take help from others when stuck and encourage others when there are setbacks
• Take full responsibility for your team’s contribution while thinking wing to wing across the organization; to solve for the customer

What can make you extra special

• It’s great if you have already read books like Never Split the difference: Negotiating as if your life depended on it.
• You have real stories to tell about how your team and you challenged convention and took the path less travelled.
• We are keen to listen to your story; doesn’t matter if you tell these stories with a sigh or with excitement. We respect both versions. Truly.

Location: Mumbai

Reporting to: Lead Network Management

Prudential is an equal opportunity employer. We provide equality of opportunity of benefits for all who apply and who perform work for our organisation irrespective of sex, race, age, ethnic origin, educational, social and cultural background, marital status, pregnancy and maternity, religion or belief, disability or part-time / fixed-term work, or any other status protected by applicable law. We encourage the same standards from our recruitment and third-party suppliers taking into account the context of grade, job and location. We also allow for reasonable adjustments to support people with individual physical or mental health requirements.