Mohammed Abrar

• Led national implementation of corporate wellness and outpatient insurance benefit models across insurer and TPA ecosystems.
• Developed actuarial frameworks to support outpatient product design and utilization logic.
• Directed cross-functional alignment between product, claims, operations, and provider relations teams.
• Drove governance standards for provider contracting, audit readiness, and pricing control.
• Engaged CHROs and CXOs across client organizations to execute cost-efficient wellness ecosystems.
• Coordinated risk reporting, health analytics, and utilization outcome reviews.
• Delivered standardized processes for OPD claims handling and corporate health program activation.

• Directed execution of wellness and outpatient care programs for corporate clients under broker-led service models.
• Designed utilization dashboards and data summaries to support underwriting discussions and client reporting.
• Collaborated with insurer and TPA teams to structure preventive health packages and claims-prevention strategies.
• Managed diagnostic center and hospital network engagement for aligned benefit delivery.
• Executed annual health checks (AHCs), vaccination drives, and targeted interventions for high-risk employee groups.
• Created standard workflows for onboarding, communications, and engagement for employee wellness programs.
• Supported employer negotiations on health benefit enhancements and renewal planning.

• Expanded hospital and diagnostic partner network in alignment with TPA benefit plans and clinical protocols.
• Managed onboarding, documentation, and contracting for new providers across assigned zones.
• Conducted on-site and remote tariff rationalization discussions with empaneled providers.
• Enforced compliance through periodic audits, contract reviews, and escalations management.
• Supported cashless claim operations through hospital coordination and pre-authorization flow reviews.
• Facilitated data integration for empanelled facilities to align with TPA claims systems.

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