Unit Head TPA

Company Description

Jupiter Hospital, established in 2007, operates multi-specialty tertiary care hospitals in Thane, Pune, and Indore, guided by the philosophy of placing patients first in all aspects of care. With a patient-centric approach, the hospital blends advanced technology with a comforting and safe environment for patients and their families. Over the past 15 years, Jupiter Hospital has grown to a capacity of over 1,100 beds across three cities, serving more than 750,000 patients while employing over 10,000 individuals. Jupiter Hospital has received the Great Place to Work certification and is proud to be a pioneer in areas such as its fully-equipped biomedical department and advanced Neuro Rehab Centre spread over 2,000 sq. ft. For more information, visit our website: https://www.jupiterhospital.com/

Role Description

The Unit Head TPA role is a full-time on-site position based in Kalyan Dombivli. The responsibilities include supervising and managing the operations of the Third Party Administration (TPA) department, ensuring the smooth processing of claims, and serving as the primary point of contact for stakeholders. This role involves coordinating with insurers, corporate clients, and internal departments to ensure seamless transaction management, adherence to compliance requirements, and continuous quality improvement in services provided.

Qualifications

• Strong understanding of Health Insurance, TPA processes, and claim management
• Proficient in leadership, team management, and interpersonal communication

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• Excellent problem-solving skills and the ability to resolve queries efficiently
• Sound knowledge of healthcare regulations, policies, and compliance standards
• Ability to work collaboratively with internal and external stakeholders
• Proficiency in data analysis and reporting for monitoring department performance
• Bachelors degree in Healthcare Management, Business Administration, or related field; advanced qualifications are a plus
• Prior experience in a healthcare setting or TPA operations, with progressive management responsibilities, is preferred