Job Description

Position - Manager Location - Noida NOC Department - Healthcare Purchasing Reports to - GM - HCP analysis Our Purpose At Niva Bupa, our purpose is \'to give every Indian the confidence to access the best healthcare\' by empowering them with knowledge, guiding them with expertise, and providing them with a gamut of services that instils confidence and puts control back in their hands- just the way they want every moment of their life to be. About Niva Bupa Health Insurance Company Niva Bupa Health Insurance Company Limited (formerly known as Max Bupa Health Insurance Company Limited) is a joint venture between Fettle Tone LLP (an affiliate of True North Fund VI LLP), a leading Indian private equity firm, and the Bupa Group, a leading international healthcare company with a legacy of providing specialized healthcare services for over 70 years. Niva Bupa\'s growth story has been phenomenal. We are one of the fastest growing Stand Alone Health Insurers in the country with a current employee strength of 7000+ with growth rate of 154% since FY 20 and growing. We are a fully integrated health insurance provider with in-house claims processing; under-writing and servicing. Our goal is to achieve more than 10000 Cr GWP By 2027 & thus requires goal oriented individuals to be a part of this exciting growth journey to achieve it. Niva Bupa is certified Great Place to Work for the 3rd year running and aims become one of the best workplaces in the BFSI industry. Niva Bupa is an Equal Opportunity Employer committed to achieving diversity within its workforce, and encourages all qualified applicants to apply, irrespective of gender, age, sexual orientation, disability, culture, religious and ethnic background. At Niva Bupa 12% of our team handling roles are led by women. We welcome specially-abled professionals to join our team. Key Roles & Responsibilities Team lead and ability to manage the team size of 10 to 15 members. Strategy Building, Creative and innovative approach (Strongly preferred role) Process designing, SOP preparation and system development. Coordinating with all stakeholders (Providers, claims, analytics, IT and business teams) to ensure the closure with defined time line and to provide the desired solution to manage the escalation. Monitoring and guiding team members in understanding the provider billing trend while studying the claims. Evaluation and review of hospital bills in order to understand the overall cost inflation. Capable in analyzing data using statistical techniques & tools (MS advanced Excel, Python, Tableau etc.) MIS/Report/Dashboard preparation & submission Team review & performance. Other AD-Hoc activity as & when required. Key Requirements - Education & Certificates Post Graduate/MBA/MHA or related certification. Key Requirements - Experience & Skills Minimum 8 to 10 Years\' experience in healthcare industry (Hospital /Insurance /Healthcare), out of which 3 to 4 years as team leader (Team size of 8 to 10 people) Experience in Hospital billing department and procedure pricing or related ones. Well versed in understanding the hospital billing. Well versed in data and tariff interpretation w.r.t. hospital bills (bill component under various heads) and claims data. Understanding about medical/Surgical procedures performing commonly in hospitals Proficient in MS office (Advanced Excel).Working experience on Python, Tableau or other data statistics software. Problem solving, strong analytical skills, Good organizational, planning and delivery skills Good communication (English & Hindi) and interpersonal skills. Dynamic & presentable, Proactive & dedicated to work Proven track record of achieving targets with a consistent high level of quality.

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