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