Compliance and Empanelment lead

About 2070 Health
2070Health is India's premier Venture Studio, pioneering an innovation platform dedicated to building groundbreaking healthcare companies from the ground up. Our mission is to identify and seize disruptive opportunities within the healthcare sector. What sets us apart from conventional venture capital and accelerator models is our active involvement in idea generation, day-to-day operations, and strategic decision-making, all geared toward fostering the growth of each newly established enterprise.

Additionally, we are proud to have the steadfast support of W Health Ventures.

About Everhope Oncology

Everhope Oncology is on a mission to transform cancer care by making high-quality treatment more accessible, patient-friendly, and closer to home. Backed by Narayana Health, one of India's leading hospital systems, W Health Ventures, a healthcare venture capital firm, and 2070 Health, a healthcare-focused venture studio, Everhope has secured $10 million in seed funding to establish a nationwide network of medical and surgical oncology facilities.

Starting in Delhi and Mumbai, Everhope plans to expand to 10 cities over the next three years, bringing expert-led early diagnosis, daycare chemotherapy, and surgical oncology to locations where patients need them most.

India faces a growing cancer burden, with over 150 million people expected to be diagnosed in their lifetime. Everhope is tackling this challenge head-on by creating smaller, strategically located centers that eliminate the logistical and emotional barriers to care.

If you're passionate about shaping the future of oncology and want to be part of a high-impact, patient-first organization, join us in building a new era of cancer treatment—one that prioritizes convenience, empathy, and innovation.

Role Overview

We are looking for an experienced and detail-oriented Compliance and Empanelment Lead to join our team at 2070Health. This role will play a critical part in ensuring that our healthcare initiatives comply with all relevant regulations and standards while also managing and optimizing the process of empanelment with service providers and partners. You will work closely with various stakeholders to develop and implement compliance strategies and frameworks that align with our organizational goals.

Compliance:

• Ensure adherence to all statutory, legal, and regulatory healthcare compliances applicable to hospitals.
• Maintain accurate records of agreements, licenses, and statutory renewals.
• Coordinate with legal advisors and external authorities for audits, inspections, and assessments.
• Monitor compliance across departments and raise red flags for any deviation.
• Draft and review MoUs, contracts, and documents related to empanelment and partnerships.

Empanelment Management:

• Drive and maintain empanelment with TPAs, corporates, PSUs, CGHS, ECHS, ESI, and other government/insurance bodies.
• Handle documentation, applications, follow-ups, and negotiations for new empanelments and renewals.
• Liaise with billing and recovery teams to ensure smooth claim settlements.
• Maintain updated rate lists, terms of empanelment, and communication logs.
• Work closely with hospital marketing and billing teams to improve patient footfall through empanelment channels.

Recovery & Reporting:

• Track payment cycles and ensure timely follow-up with TPAs for claim settlements.
• Support in preparing monthly MIS reports on empanelment status, recovery, and pending dues.
• Coordinate with internal finance and audit teams on claim discrepancies and rectifications.

Key Skills & Competencies:

• Strong understanding of hospital operations, TPAs, and regulatory frameworks.
• Effective communication and negotiation skills.
• Detail-oriented with strong documentation and organizational skills.
• Ability to coordinate across departments and manage external relationships.
• Knowledge of healthcare billing and audit processes.

Qualifications & Experience:

• Bachelor’s degree; LL.B preferred (as in Rajesh’s case).
• Minimum 8–10 years of experience in empanelment, legal compliance, or hospital liaison roles.
• Prior experience with multispecialty hospitals or TPA/insurance sector is highly desirable.