TPA Manager Jobs

Job Title: Inside Sales & Wellness ManagerJob SummaryThe Inside Sales & Wellness Manager drives sales while overseeing wellness programs and client engagement. This role combines revenue growth with high-quality wellness service delivery.Key Responsibilities Manage inbound and outbound sales and close new business Build and maintain strong client relationships Oversee wellness program coordination and client follow-ups Track sales performance and client outcomes using CRM tools Support and coach team members as neededlocation: Anywhere in IndiaQualification: Any UG degree, BBA/ MBA preferrable Experience in inside sales, wellness, or related fields Strong communication and organizational skills Ability to meet sales goals while delivering excellent client care Email your resume to hr@nizcare.com with subject like applying for the post of Inside sales and Wellness manager

Manage empanelment of hospitals with TPAs, insurance companies, corporates, and government schemes. Coordinate and ensure timely submission, follow-up, and closure of empanelment applications. Act as a single point of contact between client hospitals and external stakeholders (TPAs, insurers, regulators). Build and maintain strong client relationships, ensuring high satisfaction and retention. Track and update empanelment status, renewals, and compliance timelines. Support hospitals in meeting accreditation-related requirements for empanelment. Resolve client queries, escalations, and operational issues related to empanelment and accreditation. Maintain accurate documentation, MIS, and reporting for management review. Coordinate with internal quality, accreditation, and operations teams for smooth service delivery.Ensure compliance with regulatory, contractual, and confidentiality requirements.

Should have idea about Hospital Management

1. TPA /Insurance, CGHS, ECHS &PSus Management: Handle the entire process of patient admission under various TPA and insurance schemes, including documentation, eligibility checks, and obtaining pre-authorizations. Ensure timely submission of claims and follow up with TPAs and insurance companies for approval and settlement. Coordinate with patients and their families to explain the insurance process, policy coverage, and exclusions. Maintain and update records of all TPA, insurance transactions & Claim settlement. Review and verify insurance claims for accuracy and completeness before submission. Address and resolve any discrepancies or issues related to claims processing. Work closely with the billing department to ensure accurate billing as per insurance policies and guidelines. Act as a point of contact between the hospital, patients, insurance companies, and TPAs. Communicate effectively with all stakeholders to resolve issues related to insurance claims, approvals, and settlements. Provide regular updates to the management on the status of claims and any challenges encountered.

Responsibilities:1. Oversee and manage relationships with Third-Party Administrators in the hospital sector.2. Ensure efficient processing of medical claims, adhering to industry standards and regulations.3. Collaborate with cross-functional teams to streamline TPA-related processes for optimal efficiency.4. Implement and enforce best practices in TPA management to enhance operational excellence.5. Provide strategic guidance on TPA negotiations and contract management.6. Stay abreast of industry trends and regulations impacting TPA operations.7. Foster strong partnerships with TPA providers to optimize service delivery and customer satisfaction.Requirements: Proven experience in TPA management within the hospital industry. In-depth knowledge of healthcare regulations and compliance standards. Strong negotiation and contract management skills. Excellent communication and interpersonal abilities. Demonstrated ability to optimize operational processes for TPA efficiency. Relevant educational background in healthcare management or a related field.Note: Only candidates with a background in the hospital industry should apply.

Should have Strong Knowledge in Aarogysri Documentation, Preauth and Claims.mou Renewalclaim Managementco Ordination with Government Authoritiesars End to End Procedure

Responsibilities:Develop and implement business development plans and strategies to attract and retain businesses in the region.Responsible for sustaining and growing the revenues with lead generation responsibilities.Laying down the roadmap for new account acquisition for the city and ensuring its execution.Strategizing and executing in coordination with other teams to develop new and better methods to drive client engagement.Candidates should have relevant experience in Business development and have a positive approach towards targets.Should be enthusiastic and smart to create a good impression in front of clients.Skills Required:Graduate/Post Graduate with 2-5 Years year work experience.Candidate must have experience in dealing with customers over phone and in personStart-up and Insurance exposure is preferred.Strong time management skills and the ability to prioritize to meet daily, weekly, and long-term requirements and goals.Structured problem solving and customer first attitude.Desire to network and align with the vision and mission of the organization

Accounting & Management-Setup of process & automation-Management of master fees files-Management & control of Fees booking entries in accounting software Tally-Controlling billing/invoicing across county-Arrangements of TPA Service Charge Reports-Coordination with all outstation offices-Fees Collection Follow-up for early release of payment-Resolving queries from Ins. Co. towards Fees -Resolving system issues at Ins. Co.-Lower TPA Fees Rate Confirmations & Follow-ups with Ins. Co. & inter departments-Liasoning with officials of Ins. Co. for early settlement of Fees & other queries-Reconciliation of Pending Fees in books of accounts-Fees MIS Management required by Ins. Co.-Audit Compliance of Ins. Co. -Compliance of internal & statutory auditors within our company.Apart from above mentioned routine work responsibilities, performing additional responsibilities:-MIS Reports Development for department-Net Banking setup for transactionsPresentation & Training

We-re Hiring! Regional Sales Managers - Mumbai, Delhi, Hyderabad, Chennai, Bangalore and KolkataAre you a strategic sales expert ready to make an impact in the fast-growing digital health space? Nizcare, India-s leading health and wellness platform, is looking for experienced Sales Managers to join our dynamic team across major cities.If you have the drive to lead, close deals, and build strong client relationships - this role is for you.Role: Regional Sales ManagerLocation: Mumbai, Delhi, Hyderabad, Chennai, Bangalore and KolkataType: Full-timeQualification: ANYExperience:5+ years in Sales and marketing, preferably in the TPA, Insurance Brokers sectorLanguage: Hindi & EnglishEmail your resume to hr@nizcare.com with subject like applying for the post of Regional Sales Manager

Job SummaryThe Inside Sales & Wellness Manager drives sales while overseeing wellness programs and client engagement. This role combines revenue growth with high-quality wellness service delivery.Key Responsibilities Manage inbound and outbound sales and close new business Build and maintain strong client relationships Oversee wellness program coordination and client follow-ups Track sales performance and client outcomes using CRM tools Support and coach team members as neededlocation: Anywhere in IndiaQualification: Any UG degree, BBA/ MBA preferrable Experience in inside sales, wellness, or related fields Strong communication and organizational skills Ability to meet sales goals while delivering excellent client care Email your resume to hr@nizcare.com with subject like applying for the post of Inside sales and Wellness manager