Associate/ Sr. Associate - Provider Network

Job Description

As an Associate / Sr. Associate Provider Network, you will be responsible for building, expanding, and maintaining our network of healthcare providers (hospitals, clinics, labs, diagnostics, radiology centers, individual practitioners, etc.). You will negotiate contracts and tariffs, manage empanelments/renewals, ensure data and record upkeep, track cost savings, and maintain strong relationships with provider partners. This role involves coordination across internal teams (operations, claims, medical, business development) and external providers.Key Responsibilities
• Identify, source, and onboard new healthcare providers (hospitals, clinics, labs, diagnostic and radiology centers, individual practitioners) to build/expand the provider network.
• Manage tie-ups & empanelment processes including renewals of existing providers.
• Negotiate provider contracts and tariff/rate agreements to secure the best possible rates for services.
• Maintain end-to-end relationship management with providers: coordinate with hospitals, clinics, labs, diagnostic centers, and individual doctors; manage communications, resolve issues, support renewals, and handle onboarding/ offboarding.
• Update and maintain accurate records of all partner providers (empanelment status, contract details, tariff lists, contact information, geographies covered).
• Track and monitor cost savings, utilization, performance metrics for provider network ensure that negotiated tariffs and contracted rates lead to expected savings/benefits.
• Ensure compliance and credentialing where needed (especially if dealing with regulated healthcare providers) maintain documentation and due diligence for all network providers.
• Coordinate with internal teams (operations, claims, quality control, business development, etc.) to ensure smooth referral pathways, quality of care and service delivery via network providers.
• For Sr. Associate level: Possibly lead network-expansion strategy for assigned region, mentor junior network-team members, support periodic audits, renegotiations, and complex contract issues.

Keyskills :
comunication skillsnetwork -provider knowledgehealthcare industry trends