Thennarasan R
Chennai
Summary
Healthcare Professional with Core expertise in Business Consulting, Healthcare business, Hospital Operations, Business Vertical development, Financial Budgeting & Planning, Hospital Pricing & Negotiations, Insurance - Empanelment, Billing & AR, Corporates and Govt business, Occupational Health Centre, Industrial Relations, Neighborhood business, Doctor Relation business, Organ Transplantation business, Business proposal & Lead Gen, Digital & Social Media Marketing
Overview
19
19
years of professional experience
Work History
Assistant General Manager – Corporate Relationship
Dr.Rela Institute and Medical Centre
06.2019 - Current
- Company Overview: Dr Rela Hospital, an International Medical facility that stands as a quaternary care hospital in Chennai, offering highly specialized care in all specialties. With a special focus on the care of critically ill and multi-organ transplantation patients, the hospital is the second largest in Chennai. Prof. Mohamed Rela, a globally renowned surgeon in Liver Surgery and Transplantation, the hospital features one of the world’s largest dedicated liver intensive care units. Dr. Md Rela has an outstanding track record of over 5000 successful liver transplant surgeries, making him one of the leading experts in this field globally. With over 400 scientific articles and papers on liver transplantation and complex hepatobiliary pancreatic surgery.
- Establishing and maintaining relationships with Insurance companies, Third-Party Administrators (TPAs), Insurance brokers, and Private Corporates.
- Planning and executing Above The Line (ATL) and Below The Line (BTL) activities to promote hospital facilities, specialties, and specialists.
- Driving both inorganic and organic revenue growth from Insurance business on a month-to-month basis for both Inpatient (IP) and Outpatient (OP) services.
- Acting as a key point of contact between Private Corporates/Insurance companies and the hospital.
- Doctors and Corporate Collaborations.
- Providing support to the Insurance billing team by sharing updated guidelines and price changes for packages.
- Ensuring pricing and documentation accuracy for all insurance-related businesses.
- Handling new tie-ups, renewals, and price negotiations with Insurance companies and Private Corporates.
- Meeting with listed corporates regularly and following up as per hospital requirements.
- Liaising with all statutory office bearers and upholding all necessary Intellectual Property Rights (IPR) to enhance the hospital's brand value.
- Handling the West Bengal and North East Initiatives.
- Branding and Advertisements.
- Occupational Health Centres Management.
- To educate people about healthcare topics, promote health awareness campaigns, and provide convenient ways for patients to connect with healthcare providers.
- Dr Rela Hospital, an International Medical facility that stands as a quaternary care hospital in Chennai, offering highly specialized care in all specialties. With a special focus on the care of critically ill and multi-organ transplantation patients, the hospital is the second largest in Chennai. Prof. Mohamed Rela, a globally renowned surgeon in Liver Surgery and Transplantation, the hospital features one of the world’s largest dedicated liver intensive care units. Dr. Md Rela has an outstanding track record of over 5000 successful liver transplant surgeries, making him one of the leading experts in this field globally. With over 400 scientific articles and papers on liver transplantation and complex hepatobiliary pancreatic surgery.
Manager – Provider Management, Quality and Wellness
United Healthcare
04.2015 - 11.2019
- Company Overview: United Healthcare is a subsidiary of United Health Group, which is among the Fortune 5 companies in the USA. It is also one of the earliest TPAs in India, specializing in delivering claims management solutions for group health insurance. United Healthcare's expertise in this field is well-known for providing top-notch services and innovative solutions.
- Expansion of Network Hospitals across region and Tariffing.
- Implementation of Tripartite MOU as per guidelines of IRDAI.
- Implementation of GIPSA Preferred Provider Network Hospitals across the region.
- Regular monitoring of Tariff Deviations and implementation of Tariff as per agreed MOU.
- Negotiations on real time cases (Savings) Non-Tariff procedure and maintain annual inflation in average claim cost (Claim amount and paid amount) under 3%.
- Early Payment discount of top network hospitals and implementation.
- Payment related issue – Regular follow-up with respective team and insurance company for speed-up payments to network hospitals.
- Monitoring Short payments repository for the region with reconciliation, liaise with HO team to close and minimize liabilities.
- Procuring the No due certificate from Utilized hospitals on every financial year.
- Maintaining 100% accuracy in details uploaded in system, perform period checks to maintain the quality.
- Publishing MIS to network with payment reconciliation.
- Provider Categorization with hospital grading.
- Regular follow-up with network hospitals to procuring Credit bills within a TAT for further processing of payment.
- Maintaining the relationship with all providers with CXO Level.
- Maintain and track key indicators for networking in the region, performing monthly analysis and publishing report to management along with recommendations.
- Risk Management.
- Implementation of case investigation across PAN India on regular basis.
- Publishing weekly and monthly report to management with findings and actionable.
- Data analysis of claims flow and finding the triggers for investigations.
- Non TPA Business.
- Responsible for formulating, implementing and driving business development that includes marketing of product services and business strategy across all PAN India branches.
- Responsible for overall profit and loss account management for the country business partner.
- Ensure Diagnostic Centre available in-depth of Pan India market. More than 2000 Diagnostic centre has been successfully empanlled for company to ensure quality services.
- Implementation of Tariffing as per agreed MOU.
- Mystery Shopping & Auditing with Diagnostic Centres to maintain the quality.
- Payment reconciliation with Diagnostic Centre and getting No due certificates.
- Implementation of Annual Health Check-Ups for corporates.
- United Healthcare is a subsidiary of United Health Group, which is among the Fortune 5 companies in the USA. It is also one of the earliest TPAs in India, specializing in delivering claims management solutions for group health insurance. United Healthcare's expertise in this field is well-known for providing top-notch services and innovative solutions.
Team Leader – Medical Services (Network Hospitals)
Vidal Healthcare (TTK Group)
07.2010 - 02.2015
- Company Overview: Vidal Health Insurance TPA (established in 2002) is one of the India's leading health services management firm and amongst the world's largest third-party administrators.
- TPA Activities.
- Expansion of Network Hospital across the region of Tamilnadu.
- Implementation of Tariffing with negotiations and renewals.
- Conducting the infrastructure auditing and medical auditing with networks to maintain the quality.
- Negotiations of real time cases on medical management and tariffed procedure cases.
- Regular monitoring on Bills pending and maintaining the targets.
- Payment reconciliations with network hospitals and Providing the MIS report on regular basis.
- Conducting Medical auditing with Network Hospital to maintain the quality of the service.
- GIPSA PPN.
- Expansion of Network Hospitals across Chennai and Coimbatore region under GIPSA Preferred Provider Network as per guidelines by Nodal Insurer.
- Tariff Negotiations and implementation under GIPSA Preferred Provider Network.
- Execution of Tripartite MOU with all PPN Hospitals.
- Conducting meeting with all TPA for PPN related issues.
- Regular Monitoring on GIPSA PPN and submitting MIS report to Nodal Insurer.
- Vidal Health Insurance TPA (established in 2002) is one of the India's leading health services management firm and amongst the world's largest third-party administrators.
Executive – Provider Management & Operations
Family Health Plan Insurance TPA LTD (Apollo Hospitals Group)
07.2006 - 02.2010
- Company Overview: Family Health Plan Insurance TPA Limited, it is one of the largest and most acclaimed IRDAI Licensed Third Party Administrators (TPA) in India. With Hyderabad as its headquarters, FHPL has pan-India presence with d across 55 locations across 25 states. By catering to the administration of insurance for individuals, corporations and state/central governments, FHPL has become the first licensed TPA in India.
- Managing office operations, handling communication and correspondence, maintaining office supplies.
- Coordinating meetings and events, organizing travel arrangements.
- Overseeing facility management.
- Assisting in HR functions, and providing General administrative support to various departments.
- Expansion of Network Hospital across the region of Tamilnadu.
- Implementation of Tariffing with negotiations and renewals.
- Conducting the infrastructure auditing and medical auditing with networks to maintain the quality.
- Negotiations of real time cases on medical management and tariffed procedure cases.
- Regular monitoring on Bills pending and maintaining the targets.
- Payment reconciliations with network hospitals and Providing the MIS report on regular basis.
- Conducting Medical auditing with Network Hospital to maintain the quality of the service.
- Family Health Plan Insurance TPA Limited, it is one of the largest and most acclaimed IRDAI Licensed Third Party Administrators (TPA) in India. With Hyderabad as its headquarters, FHPL has pan-India presence with d across 55 locations across 25 states. By catering to the administration of insurance for individuals, corporations and state/central governments, FHPL has become the first licensed TPA in India.
Education
Master of Business Administration - International Business
Pondicherry University
Bachelors of Commerce -
Madras University
Skills
- Strategic & Operation Management
- Creative Problem Solving
- Adaptive and Flexible
- Critical thinking and Decision making
- Excellent verbal and written communication
- Marketing & Business Development
- Customer Relationship development
- Collaboration leadership
- Social media platform integration
- DocuSign & MS Office tools
Languages
Tamil
English
Personal Information
- Father's Name: Mr Rajendran
- Mother's Name: Mrs Lakhsmi Rajendran
- Date of Birth: 05/20/85
- Marital Status: Married
Music & Tamil History Research
- Music: Appreciation and exploration of various music genres, fostering creativity and relaxation.
- Tamil History Research: Passionate about delving into the rich history and cultural heritage of Tamil civilization, exploring its literature, art, and traditions.
Timeline
Assistant General Manager – Corporate Relationship
Dr.Rela Institute and Medical Centre
06.2019 - Current
Manager – Provider Management, Quality and Wellness
United Healthcare
04.2015 - 11.2019
Team Leader – Medical Services (Network Hospitals)
Vidal Healthcare (TTK Group)
07.2010 - 02.2015
Executive – Provider Management & Operations
Family Health Plan Insurance TPA LTD (Apollo Hospitals Group)
07.2006 - 02.2010
Bachelors of Commerce -
Madras University
Master of Business Administration - International Business
Pondicherry University
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