SENIOR MEDICAL EXECUTIVE

Position: Medical Trainer

Education: MBBS / BUMS / BAMS is must
Exp- 0-2 years

TRAVEL IS MUST!

CTC- Upto 4.8lpa

Key Responsibilities:

• Train District Coordinators (DCs) and Pradhan Mantri Arogya Mitras (PMAMs) on various medical packages.

• Track and resolve queries from hospitals.

• Coordinate with Third Party Administrators (TPAs) and Insurance Support Agencies (ISAs) to ensure claims approval for hospitals, as payments are contingent on approved claims for respective regions.

• Reduce the rejection percentage of claims.

• Visit different districts within the region to train doctors at hospitals on Ayushman packages, and train Medical Officers In-Charge (MoICs) at Community Health Centers (CHCs) and PMAMs.

• Organize routine, periodical, and surveillance visits to government hospitals, medical colleges, and CHCs to ensure compliance with defined standards.

• Track daily pre-authorization, claims initiation, and address queries raised by State Health Agency (SHA) appointed ISAs.

• Maintain the quality and timeliness of program data for report generation.

Educational Qualifications:

• Essential: MBBS

• Alternative: Graduate with a Diploma in Medical Courses.

Professional Qualifications:

• At least 2 year of experience in health or insurance.

• Experience in Ayushman Bharat or any government-related health scheme is an added advantage.

Required Skills:

• Strong analytical and management skills.

• Ability to manage teams.

• Strong strategic focus and project management skills.

• Excellent interpersonal and communication skills.

• Ability to operate effectively with people at all levels.

• Proficient in medical data analysis and understanding of medical terms.

Job Types: Full-time, Permanent

Pay: ₹20,000.00 - ₹35,000.00 per month

Benefits:
Health insurance
Life insurance
Provident Fund