TPA Manager

Job Title: Manager – TPA & Empanelment

Location: Eye Mantra Hospital - Paschim Vihar

Department: Administration

Apply:

📧 rizwana@m.mantra.care

📱 +91 97180 11146

Job Summary

Eye Mantra Hospital is seeking a highly experienced TPA & Empanelment Manager with a strong background in eye/ophthalmology hospitals. The candidate will be responsible for managing insurance operations, ensuring smooth and timely claim processing, handling empanelment with various payers, and building strong partnerships with TPAs and insurance companies. Prior experience in an eye care setup is essential to efficiently manage ophthalmology-specific procedures, packages, coding, and claims.

Key Responsibilities

• Lead and manage TPA operations specific to ophthalmology services, ensuring accurate documentation and claim processing for eye procedures.

• Drive empanelment with insurance companies, corporates, and government health schemes with a focus on ophthalmology packages (cataract, LASIK, retina, glaucoma, etc.).

• Oversee contract renewals, tariff negotiations, package updates, and ensure compliance with eye-care–specific empanelment terms.

• Build and maintain strong relationships with TPAs, insurance partners, corporate clients, and government health bodies.

• Prepare insurance-related MIS, package performance reports, and revenue insights for senior management.

• Handle escalations related to patients, insurance claims, approvals, pre-authorizations, and TPA processes.

• Coordinate with ophthalmology consultants, billing teams, and patient coordinators to ensure smooth insurance workflows.

• Stay updated with the latest insurance guidelines, Ayushman Bharat schemes, and policies relevant to eye care.

Qualifications & Experience

• Bachelor’s or Master’s degree in Healthcare Administration / Business Management or related fields.

• 5–8 years of experience in TPA operations or hospital empanelment specifically in an eye hospital or ophthalmology center (minimum 2 years in a managerial role).

• Strong understanding of ophthalmic procedures, coding, insurance packages, and claim documentation.

• Experience using hospital management software and insurance portals.

• Excellent communication, negotiation, and analytical skills.

Key Skills

• Leadership & Team Management

• Ophthalmology Insurance & TPA Knowledge

• Empanelment & Contract Negotiation

• Relationship & Stakeholder Management

• Compliance & Regulatory Knowledge

• Problem Solving & Conflict Resolution

• Eye-care–specific billing & documentation expertise

• It is a Full Time Accountant job for candidates with 3 - 5 years of experience.

More about this TPA Manager job

1. What is the eligibility criteria to apply for this TPA Manager job?
   Ans: The candidate should be Graduate and above and above with 3 - 5 years of experience of experience
2. How much salary can I expect for this job role?
   Ans: You can expect a salary of ₹30000 - ₹45000 per month that depends on your interview. It's a Full Time job in Delhi.
3. How many working days are there for this TPA Manager job?
   Ans: This TPA Manager job will have 6 working days.
4. Are there any charges applicable while applying or joining this TPA Manager job?
   Ans: No, there is no fee applicable for applying this TPA Manager job and during the employment with the company, i.e., Mantra Care Health Private Limited.
5. Is it a work from home job?
   Ans: No, it’s not a work from home job and can't be done online.
6. How many openings are there for this TPA Manager role?
   Ans: There is an immediate opening of 1 TPA Manager at Mantra Care Health Private Limited
7. Who can apply for this job?
   Ans: Both Male and Female candidates can apply for this Accountant job.
8. What are the timings of this TPA Manager job?
   Ans: This TPA Manager job has 09:00 AM - 06:00 PM timing.