Manu Ganda
Health Insurance Proivders Networking
Jaipur
Summary
Experienced healthcare professional with a degree in Homeopathy and a diploma in Medical Informatics and Clinical Research. Over a decade spent in health insurance, specializing in onboarding healthcare providers and negotiating agreements to optimize service delivery. Strong focus on regulatory compliance and collaboration with internal teams to enhance provider engagement.
Overview
22
22
years of professional experience
1
1
Language
Work History
Sr Manager Regional Head Hospital Networking and Hospital Relationship Providers Network for Rajasthan, Punjab, Himachal Pradesh, Jammu & Kashmir
AWC Technologies Pvt. Ltd.
01.2025 - Current
- Currently, leading the Hospital Alliance Team for Rajasthan, Punjab, Himachal Pradesh, Jammu & Kashmir (Since January 2025 Till Date)
- Earlier Managed 450 hospitals across 45 cities of Rajasthan (in Star Health for 11 years)
- Additionally, I have provided invaluable market intelligence to the head office, resulting in substantial financial savings for the company over the past decade, while simultaneously curtailing fraud
- Hereinafter referred to as Plunes Healthcare
- Areas of Work: Possessing a robust medical background with a degree in Homeopathy and a diploma in Medical Informatics and Clinical Research, I have amassed over a decade of experience in a standalone health insurance company. Key Area of work Building relation with Hospital right form onboarding healthcare providers, including hospitals, doctors, and diagnostic centers negotiating tariffs and agreements with these providers to ensure cost-effective healthcare services. Additionally, Ensuring compliance with all regulatory requirements and company policies. I also plan to collaborate with internal teams to improve provider engagement and service delivery.
- Key Responsibilities: - Manage and oversee Provider Management operations across the Rajasthan and Punjab Area. - Lead, mentor, and manage a team of 2-3 direct reports, ensuring performance excellence and capability building. - Develop and strengthen relationships with hospitals and healthcare providers across the region. - Drive network expansion, negotiations, empanelments, renewals, and cost optimization initiatives. - Ensure compliance with company policies, regulatory guidelines, and service-level agreements. - Collaborate with internal stakeholders (Claims, Operations, Sales, Medical, and Finance) to ensure seamless service delivery. - Monitor key performance metrics and drive continuous improvement initiatives across the zone.
- Other Areas of Experience: - Representing the OMBUDSMAN and offering insights on legal cases - Assisting the Underwriting Team with medical inquiries - Proficient in medical scrutiny of reimbursement and Cashless files - Organizing health camps
Assistant General Manger (Hospital Relation and Networking)
Star Health & Allied Insurance Co. Ltd.
01.2012 - 11.2024
Senior Medical Officer (Cashless Handling)
Paramount TPA Healthcare TPA Pvt. Ltd., Jaipur
01.2011 - 01.2012
Assistant Medical Officer (Cashless and Reimbursement)
Anyuta Medinet Healthcare TPA Pvt. Ltd., Jaipur
01.2011 - 01.2012
Assistant Medical Officer (Cashless and Reimbursement)
Genins India TPA Ltd.
08.2009 - 06.2011
Homeopathic Consultant
Ganda Homoeopathic Clinic
01.2004 - 01.2009
- Consulted with clients to provide homeopathic remedies and guidance.
Education
BHMS - Bachelor in Homeopathic Medicine and Surgery
M.P.K. Rajasthan Homoeopathic Medical College
Jaipur01-2002
Post Graduate Diploma - Clinical Research
IACR (Indian Academy of Clinical Research), Vidyanagar
JaipurOnline Diploma - Medical Informatics
Medversity & Apollo Hospitals
HyderabadSenior Higher Secondary - undefined
St. Xavier School
JaipurSecondary School - undefined
St. Xavier School
JaipurSkills
Healthcare networking
Healthcare IT Systems
Strategic planning
Operations management
Partnership management
Cross-team collaboration
Team collaboration
Problem resolution
Conflict negotiation
Timeline
Sr Manager Regional Head Hospital Networking and Hospital Relationship Providers Network for Rajasthan, Punjab, Himachal Pradesh, Jammu & Kashmir
AWC Technologies Pvt. Ltd.
01.2025 - Current
Assistant General Manger (Hospital Relation and Networking)
Star Health & Allied Insurance Co. Ltd.
01.2012 - 11.2024
Senior Medical Officer (Cashless Handling)
Paramount TPA Healthcare TPA Pvt. Ltd., Jaipur
01.2011 - 01.2012
Assistant Medical Officer (Cashless and Reimbursement)
Anyuta Medinet Healthcare TPA Pvt. Ltd., Jaipur
01.2011 - 01.2012
Assistant Medical Officer (Cashless and Reimbursement)
Genins India TPA Ltd.
08.2009 - 06.2011
Homeopathic Consultant
Ganda Homoeopathic Clinic
01.2004 - 01.2009
Online Diploma - Medical Informatics
Medversity & Apollo Hospitals
Senior Higher Secondary - undefined
St. Xavier School
Secondary School - undefined
St. Xavier School
BHMS - Bachelor in Homeopathic Medicine and Surgery
M.P.K. Rajasthan Homoeopathic Medical College
Post Graduate Diploma - Clinical Research
IACR (Indian Academy of Clinical Research), Vidyanagar
PERSONAL INFORMATION
Father's Name: Dr. V.P. Ganda, MBBS