Hospital Network Partnership, Consultant

We don’t simply believe in being ‘The Best’. We believe in better - because there’s no limit to how far ‘better’ can take us.

We believe in empowering every one of our people to find their 'better' - in the work they do, the career they build, the life they live and the difference they make. So that together we can support even more people - including our own - to live Healthier, Longer, Better Lives.

• Build and maintain strong, professional relationships with hospital management, doctors, and medical staff.
• Act as the primary liaison between AIA/AHS and panel hospitals to address concerns, resolve disputes, and ensure smooth collaboration.
• Conduct regular engagement sessions with hospital administrators to review service quality, cost efficiency, and process improvements.
• Engage with specialist consultants in private hospitals to foster collaboration and alignment with AIA’s clinical direction and strategic goals.
• Encourage and support specialist doctors in working with AIA by building trust, understanding their needs, and aligning mutual objectives.

• Monitor treatment costs and billing practices to ensure alignment with AIA/AHS cost containment strategies.
• Collaborate with the claims team to verify medical necessity and prevent overcharging.
• Educate hospital staff on AIA/AHS policies, clinical guidelines, and preferred treatment pathways.

• Identify and report suspicious billing patterns or potential fraud cases.
• Conduct audits on high value claims to detect anomalies and ensure compliance with internal standards.
• Work closely with the AHS fraud investigation team to mitigate risks and uphold integrity.

• Support the fast-tracking of urgent and high-priority claims.
• Mediate and resolve claim disputes between hospitals and AIA efficiently.
• Guide policyholders on claims procedures, eligibility, and documentation to enhance customer experience.

• Provide feedback to internal teams on hospital operational challenges and suggest actionable improvements.
• Collaborate with the network management team to optimize panel hospital performance and selection.
• Support digital initiatives such as e-claims processing and cashless payment systems.

• Medical degree (MBBS or equivalent) with full registration.
• Minimum 5 years of clinical experience, preferably in private hospital settings.
• Strong interpersonal and communication skills; must be confident and outspoken.
• Proven ability to build rapport with hospital stakeholders and work collaboratively.
• Analytical mindset with attention to detail in claims and billing practices. Strong problem-solving skills with a proactive and solution-oriented mindset.
• Ability to work independently while collaborating with internal teams.
• Familiarity with insurance/TPA operations is an added advantage.
• Willingness to be based at or travel frequently to assigned hospitals.

Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives.

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