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 customers/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 partners 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