Website:
onerx.ai
Job details:
Head of Insurance — OneRX
India · Founding-team · Reports to the CEO
Mumbai / Delhi
Why this role exists
OneRX is the clinical evidence and decision-support platform used by 700+ oncologists across India. We put peer-reviewed evidence and global treatment guidelines — NCCN, ESMO, ASCO, NCG, ICMR — in front of a doctor at the moment a treatment is chosen.
We are now building the layer Indian health insurers need and nobody has built: a clinical-concordance and appropriateness engine for oncology pre-authorisation, designed to plug into NHCX and live inside IRDAI's one-hour cashless window. Same clinical engine; a new buyer. The opportunity is to own a category that could be the largest revenue line in the company.
We're hiring the person who will run it end-to-end.
What you'll own
- The insurance vertical, end-to-end — product, commercials, and the relationship with every health insurer in India that matters.
- The flag-report product itself: the concordance engine, the equivalent-pathway reference, the audit trail. You'll work day-to-day with our clinical panel and engineering team to evolve it.
- Pilots one, two, three — typically a 90-day shadow analysis on the insurer's own historical claims, followed by integration into their pre-auth workflow.
- The commercial model — fixed-fee SaaS, gain-share, or a hybrid, depending on the deal.
- A small team that grows around you as the channel grows.
Who we're looking for
You are MBBS + MBA, and you have spent meaningful time inside a health insurer or major TPA — ideally on the claims side: medical review, pre-authorisation, clinical audit, claims operations, or product. You understand how a Claims Review Committee works because you've sat on one, not because you read about it.
You have an active network across Indian health insurers — Chief Underwriting Officers, Chief Claims Officers, Chief Medical Officers, heads of product and innovation. You've sold to them, or you've worked alongside them, and you can open doors across the major insurers without a cold email.
You can read a clinical pre-authorisation request and tell us whether the regimen makes sense — and you can sit across from a CFO and explain why an evidence-based concordance engine compounds three different revenue levers on their book.
You know what NHCX is, what the IRDAI Master Circular 2024 changed, what the one-hour and three-hour mandates mean operationally, and why the Claims Review Committee provision is the most consequential sentence in the document.
You don't need us to tell you the difference between fraud, abuse, and waste — or between guideline-concordance and rule-based FWA.
What you don't need
You don't need to have shipped software. We have a strong engineering team and a clinical panel. We need you to think like a product owner; we don't need you to write code.
What this is, honestly
A founding-team-adjacent role at a Pre Revenue company building a category that didn't exist eighteen months ago. You report directly to the CEO.
Compensation will be a combination of cash, revenue share and ESOP's
It's also the harder job. You're selling something new to a slow buyer in a regulated market. Cycles are long. The reward is that you build a moat in a corner of Indian healthcare no one else is positioned to build.
How to apply
Send a note to Vivek.slaria@originbluy.com with a paragraph on why this is interesting, and one example of an Indian health insurer's clinical-claims problem you would want to solve first.
No formal CV at this stage — we read the note.
Click on Apply to know more.