
Mukheed Ahmed
Seasoned Health Insurance professional with 16+ years of dedicated experience in the dynamic field of health insurance operations... | Hyderabad, Telangana, India
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Mukheed Ahmed’s Emails mu****@ro****.in
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Mukheed Ahmed’s Location Hyderabad, Telangana, India
Mukheed Ahmed’s Expertise Seasoned Health Insurance professional with 16+ years of dedicated experience in the dynamic field of health insurance operations and healthcare management committed to driving excellence and innovation. My expertise spans across a spectrum of crucial domains within the health insurance industry managing healthcare provider network relations, medical underwriting, health claims management, TPA operations management, system automations & building efficient processes from scratch. Throughout my career, I have consistently demonstrated ability to navigate complex challenges and deliver impactful solutions that enhance operational efficiency and customer satisfaction. Few Notable achievements: •Oversaw 11K network hospital contracting & relationship management, developed Preferred provider network hospital in T54 cities across RSGICL business location, implemented repricing strategies based on claim data experience converted open billing hospital to packaged billing lowering net ACS by 5%, enhanced discounts at preferred hospital. •Developed Case management protocols to arrest waste, abuse in cashless admissions resulting aggregate savings with network hospitals. Maintained strong relationships top group chain hospitals for network agreements. •Streamlined Cashless process, improved operational efficiency & looked after TPA operations. •Played a key role developing provider network strategies, process to achieve 5000 hospitals contracting & onboarding for a seamless cashless experience for standalone health insurance co. •Developed & executed processes to enable cashless auto approvals by digitizing hospital rates & discounts reducing turnaround times significantly. •Designed digital platform for hospital information collection, contracting. onboarding, for efficient Provider management processes. •Key member in executing industry first concierge project to empower customer for optimal utilization of policy benefits to control waste and abuse related to hospitalization cases. •Initiated industry first Tele UW to assess medical and lifestyle risk involved for policy issuance, reducing the time required to issue policies and improving the overall customer experience. •Key member Day 2 system developments in for system integrations for seamless data exchanges enabling one view of customer journey. Let's connect to explore potential synergies and opportunities for collaboration in advancing healthcare accessibility, affordability, and quality.
Mukheed Ahmed’s Current Industry Prudential
Mukheed
Ahmed’s Prior Industry
Goldage Hospitals
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Icici Lombard
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Reliance Health Insurance
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Royal Sundaram General Insurance
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Prudential
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Work Experience

Prudential
Head Provider Network Management
Mon Aug 01 2022 00:00:00 GMT+0000 (Coordinated Universal Time) — Present
Royal Sundaram General Insurance
Head - Provider Network Management Team
Sat Feb 01 2020 00:00:00 GMT+0000 (Coordinated Universal Time) — Mon Aug 01 2022 00:00:00 GMT+0000 (Coordinated Universal Time)
Reliance Health Insurance
Lead - Provider Network Operations
Fri Dec 01 2017 00:00:00 GMT+0000 (Coordinated Universal Time) — Sat Feb 01 2020 00:00:00 GMT+0000 (Coordinated Universal Time)
Icici Lombard
Product Manager
Sat Aug 01 2015 00:00:00 GMT+0000 (Coordinated Universal Time) — Wed Nov 01 2017 00:00:00 GMT+0000 (Coordinated Universal Time)
Icici Lombard
Medical Underwriter - Manager
Thu Dec 01 2011 00:00:00 GMT+0000 (Coordinated Universal Time) — Wed Jul 01 2015 00:00:00 GMT+0000 (Coordinated Universal Time)
Icici Lombard
Customer Service Manager
Wed Jul 01 2009 00:00:00 GMT+0000 (Coordinated Universal Time) — Tue Nov 01 2011 00:00:00 GMT+0000 (Coordinated Universal Time)
Goldage Hospitals
Head of Physiotherapy Department
Mon Oct 01 2007 00:00:00 GMT+0000 (Coordinated Universal Time) — Wed Jul 01 2009 00:00:00 GMT+0000 (Coordinated Universal Time)