Zonal Manager – Provider Network Management

About the role

Prudential Financial, in partnership with HCL Group, is launching a new Indian health insurance venture, Prudential Health India. The Zonal Manager – Provider Network Management will lead the provider network function for the South zone, building and managing relationships with hospitals, negotiating tariffs, and driving digital onboarding. Responsibilities include creating negotiation frameworks, collaborating with Claims, Technology, Product & Actuarial, Compliance, Risk Management, and Finance, monitoring performance, and repricing packages. The role requires a degree (healthcare management preferred), 8‑10 years in hospital/insurance industry with 5+ years leading provider network teams, strong negotiation, communication, analytical, and change‑management skills, and a passion for building engaged teams. Preferred experience includes reading negotiation literature and storytelling about challenging conventions.

What you’ll do

• Implement and manage a robust provider network management function at zonal level by creating negotiation framework, processes, and systems factoring in provider and customer experience deliverables.
• Lead in building trust and long-term relationships with the network hospitals for creating competitive advantage for Prudential Health India.
• Collaborate with functions including but not limited to Claims, Technology, Product & Actuarial, Compliance, Risk Management, and Finance; represent Claims Management Function in cross-functional implementations.
• Develop digital hospital (Provider) onboarding journey and agreements and maintain relationship, continue analyzing provider and competitor landscape & Market intelligence.
• Engaging provider network through effective communication, Data led analytics aka utilization patterns, recognition and continuous training interactions.
• Lead for creating preferred set of hospitals for executing differentiated services for PHI customers.
• Continuous monitoring of performance and utilization patterns to generate feedback loop and data analytics.
• Lead in effectively repricing and re-negotiations of the Tariff / Packages / Discounts with healthcare providers.

What you’ll bring

• Have a degree or a management degree (healthcare management is preferred)
• Have 8-10yrs exp in Hospital/Insurance industry with at least 5+ years’ experience in leading provider network teams
• Have experience with developing provider networks from a scratch
• Able to make quick decisions and have good judgment and analytical skills
• Have excellent verbal and written communication skills and strong negotiation skills
• Always open to embracing change and be able to manage it
• Passionate about building highly engaged teams

Nice to have

• It’s great if you have already read books like Never Split the difference: Negotiating as if your life depended on it.
• You have real stories to tell about how your team, and you challenged convention and took the path less travelled.

Skills

Education

Bachelor's