Deputy Manager -Health Management Mumbai Fresher

Satvam Consulting Private Limited

job profile

• manage high disease risk customers/patients over the phone/emails/emr and, if required, in person

• should understand the medical diseases and finer details of their management protocol along with the finer details of the program construct

• follow/develop a detailed plan of tracking as per the protocol keeping in mind the complications that could arise

• coordinate with external customer’s/patients basis the risk trigger ensuring maximum level of sensitivity and confidentiality while managing cases

• managing all cases on a case to case basis ensuring that majority customers/patients are adhering to the program construct

• manage changes and escalations effectively on a case to case basis

• measure program performance with relevant reports and at define frequency

• report and escalate to management as and when needed

• successfully manage the relationship with all stakeholders, internal as well as external

• perform risk management to minimize risks at a customer level as well as at a portfolio level

• establish and maintain relationships with third parties/vendors

• review the processes on a timely basis

• work towards digitization at each stage

• identify opportunity for improvement basis partner’s feedback

• leakage management and governance around payment, customer benefit utilization

• manage internal & external process audits

• adherence to all regulatory requirements and quick adaption to regulations

• knowledge of drm processes:

• stay abreast with new processes / suggest improvements

• understanding of drm systems (process flow & system fields)

• tat & expectations management for specialized business handling.

• co-ordinate with other departments, team members and management to ensure smooth information flow to ensure that operations are carried out, recurring issues are resolved.

• create & maintain standards/protocols for drm team

• maintain a consistent service delivery to ensure client retention and satisfaction

• identify risk

• Experience

  0 - 3 Years

• No. of Openings

  1

• Education

  MBBS

• Role

  Health Manager

• Industry Type

  Insurance / Claims

• Gender

  [ Male / Female ]

• Job Country

  India

• Type of Job

  Full Time

• Work Location Type

  Work from Office