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 అకౌంటెంట్ job for candidates with 3 - 5 years of experience.

TPA Manager job గురించి మరింత

1. TPA Manager jobకు apply చేయడానికి అర్హతా ప్రమాాణాలు ఏమిటి?
   Ans: అభ్యర్థికి గ్రాడ్యుయేట్, అంత కంటే ఎక్కువ మరియు అంతకంటే ఎక్కువ 3 - 5 years of experience అనుభవంతో ఉండాలి
2. ఈ Job రోల్ కోసం నేను ఎంత జీతం ఆశించగలను?
   Ans: మీ ఇంటర్వ్యూపై ఆధారపడి శాలరీ ₹30000 - ₹45000 నెలకుని మీరు ఆశించవచ్చు. ఇది ఢిల్లీలో Full Time Job.
3. TPA Manager job కొరకు ఎన్ని పనిదినాలు ఉన్నాయి?
   Ans: ఈ TPA Manager jobకు 6 working days ఉంటాయి.
4. ఈ TPA Manager jobకు apply చేసేటప్పుడు లేదా చేరేటప్పుడు ఏవైనా ఛార్జీలు ఉన్నాయా?
   Ans: లేదు, ఈ TPA Manager jobకు కంపెనీలో ఉదాహరణకు, Mantra Care Health Private Limitedలో పనిచేసేటప్పుడు ఎలాంటి ఫీజులు వర్తించవు.
5. ఇది ఇంటి నుండి పని చేసే పనినా?
   Ans: లేదు, ఇది ఇంటి వద్ద నుంచి Job కాదు మరియు ఆన్‌లైన్‌లో చేయలేం.
6. ఈ TPA Manager రోల్ కు ఎన్ని ఓపెనింగ్‌లు ఉన్నాయి?
   Ans: Mantra Care Health Private Limited వద్ద 1 TPA Manager ఇమ్మీడియెట్ ఓపెనింగ్ ఉంది
7. ఈ Jobకు ఎవరు apply చేసుకోవచ్చు?
   Ans: ఈ అకౌంటెంట్ jobకి పురుష, మహిళా అభ్యర్థులు apply చేసుకోవచ్చు.
8. ఈ TPA Manager Job టైమింగ్స్ ఏమిటి?
   Ans: ఈ TPA Manager jobకు 09:00 AM - 06:00 PM టైమింగ్ ఉంటుంది.