About the role

The Benefit Package Manager is responsible for developing plans for high-quality, cost-effective purchasing of healthcare services designed to ensure maximum health outcomes for the beneficiaries. This role is also responsible for locating, negotiating, and contracting the best healthcare service/solution providers while considering aspects such as quality of care, value for money, and the ability of healthcare providers to respond quickly to changing market demands and health needs. Additionally, the role requires project management skills in the deployment of healthcare programs, plans, and schemes where good knowledge and understanding of healthcare service provision, contracting processes, and healthcare delivery are essential.

What you’ll be doing

1. Defining Benefit Package Coverage:

   • Conducting an in-depth literature review on potential services for inclusion inbenefit packages.

   • Analyse industry trends and emerging technologies to proactively address supply-demand challenges, mitigate risks, ensure supply continuity, and leverage new opportunities.

   • Establishing the scope and extent of coverage, including but not limited to outpatient visits for primary acute care, chronic care, prescription medications, preventive services, specialised treatments, and health aid equipment.

   • Manage all phases of sourcing healthcare service provider(s) and supplier(s),ensuring accountability and efficiency.

2. Cost Containment:

   • Assisting in the decision-making process for cost-sharing mechanisms such as deductibles, copayments, and coinsurance, which impact the financial responsibility of beneficiaries.

   • Conduct cost and/or price analysis to safeguard against paying unreasonable prices and negotiate favourable business terms and conditions. Coordinate all legal terms and conditions with the appropriate corporate legal representatives.

   • Assist in producing budgets and cost reviews and ensure cost savings after reviewing the department’s information and data analysis available to enable the company’s operational efficiency.

3. Negotiation with Providers/Suppliers:

   • Identify cost-saving opportunities, foster competitive environments, and negotiate creatively to assure seamless availability of all medical and healthcare products and services to align with the company’s objectives.

4. Member Education:

   • Communicate benefit package details to members and stakeholders, ensuringclarity on covered services, any limitations and restrictions, and how to access and utilise the covered benefits effectively.

5. Health Technology Assessment (HTA):

   • Ensuring that the Section provides evidence-based assessments of healthcaretechnologies, procedures, and drugs to ensure their appropriateness, cost-effectiveness, and clinical benefit. This may include evaluating the value, safety,and efficacy of new interventions before inclusion in the benefit package.

What we’re looking for

• Degree in Business Studies, Healthcare Management, BioMedical Science, PublicHealth, or equivalent. Advanced qualifications (e.g., MBA, MPH) preferred.
• Minimum 3-5 years of experience in a similar role.
• Work experience in a healthcare-related field is preferred.
• Experience in conducting survey and analysis data are necessary.
• Experience in developing business proposals and plans, with healthcare-related experience being an added advantage.
• Excellent organisational, interpersonal, creative, and achievement-orientated skills.
• Excellent written and verbal communication skills in both English and Malay.
• Strong leadership and decision-making capabilities.
• Able to cooperate and navigate ideas within a team is a fundamental must.
• Capable of working independently with minimal supervision.
• Skilled at managing multiple projects within tight timeframes.

DATELINE

31 January 2025

About the Role

We are seeking an experienced Senior Executive Provider Evaluation with a strong legal background to join our team at ProtectHealth Corporation Sdn. Bhd. This role is essential in evaluating and validating healthcare providers to ensure compliance with our standards, regulatory requirements, and industry best practices. You will also lead a team and collaborate with cross-functional teams to ensure providers meet our organisation’s mission and vision.

What would you be doing

• Perform detailed assessments of healthcare providers to ensure they meet ourquality, regulatory, and legal standards.
• Stay up-to-date with healthcare laws and industry regulations to ensure providers conform to all statutory and contractual requirements.
• Oversee a team of executives and non-executives in the Provider Evaluation Unit,ensuring smooth operations and resolving any personnel issues.
• Manage approved provider and vendor lists (APL & AVL) and ensure compliance with external provider policies.
• Work closely with cross-functional teams to support provider onboarding,performance monitoring, and continuous improvement.
• Present evaluation results and make recommendations for provider performance during management reviews and audits.
• Be an active participant in company initiatives and foster a culture of teamwork.
• Any other tasks that management assigns.

What We’re Looking For

1. Bachelor’s degree in Law, Healthcare Management, Business Administration, or arelated field.
2. Minimum 5 years of experience in provider evaluation, healthcare operations, or alegal role in healthcare.
3. Strong understanding of regulatory, statutory, and healthcare standards.
4. Proven leadership skills with the ability to manage teams and handle staffchallenges.
5. Strong communication, analytical, and problem-solving skills.
6. A proactive individual who is engaged in company activities and can bring positive energy to the team.

DATELINE
31 January 2025

About the Role

The Benefit Package Executive is responsible for developing plans for high-quality, cost-effective purchasing of healthcare services designed to ensure maximum beneficiaries’ health outcomes. This role is also responsible for locating, negotiating, and contracting the best healthcare service/solution providers while considering aspects such as quality of care, value for money, and the ability of healthcare providers to respond quickly to changing market demands and health needs. Additionally, the role requires project management skills in the deployment of healthcare programs, plans, and schemes, and a good knowledge and understanding of healthcare service provision, contracting processes, and healthcare delivery are essential.

What you’ll be doing

1. Defining benefit package coverage:

• Conducting an in-depth literature review on potential services for inclusion in benefit packages.
• Analyse industry trends and emerging technologies to proactively address supply-demand challenges, mitigate risks, ensure supply continuity, and leverage new opportunities.
• Establishing the scope and extent of coverage, including but not limited to outpatient visits for primary acute care, chronic care, prescription medications, preventive services, specialised treatments, and health aid equipment.
• Manage all phases of sourcing healthcare service provider(s) and supplier(s), ensuring accountability and efficiency.

2. Cost Containment:

• Assisting in the decision-making process for cost-sharing mechanisms such as deductibles, copayments, and coinsurance, which impact the financial responsibility of beneficiaries.
• Conduct cost and/or price analysis to safeguard against paying unreasonable prices and negotiate favourable business terms and conditions. To coordinate all legal terms and conditions with the appropriate corporate legal representatives.
• Assist in producing budget and cost reviews and ensure cost savings after reviewing the department’s information and data analysis available to enable the company’s operational efficiency.

3. Negotiation with providers/suppliers:

• Identify cost-saving opportunities, foster competitive environments, and negotiate creatively to ensure seamless availability of all medical and healthcare products and services to align with the company’s objectives.

4. Member Education:

• Communicate benefit package details to members and stakeholders, ensuring clarity on covered services, any limitations and restrictions, and how to access and utilise the covered benefits effectively.

5. Health Technology Assessment (HTA):

• Ensuring that the Section provides evidence-based assessments of healthcare technologies, procedures, and drugs to ensure their appropriateness, cost-effectiveness, and clinical benefit. This may include evaluating the value, safety, and efficacy of new interventions before inclusion in the benefit package.

What we’re looking for

1. Degree in Business Studies, Healthcare Management, BioMedical Science, PublicHealth, or equivalent.

2. 1–3 years in a related field (healthcare, procurement, or benefits administration).

3.  Work experience in a healthcare-related field is preferred.

4. Experience in conducting surveys and analysing data is necessary.

5. Experience in developing business proposals/plans, with healthcare-related experience being an added advantage.

6. Excellent organisational, interpersonal, creative, and achievement-orientated skills.

7. Excellent written and verbal communication skills in both English and Malay.

8. Able to cooperate and navigate ideas within a team is a fundamental must.

9. Capable of working independently with minimal supervision.

10. Skilled at managing multiple projects within tight timeframes.

11. Proficiency in Microsoft Office Suite.

12. Excellent communication and teamwork skills.

DATELINE
31 January 2025

Role Description

The incumbent will be responsible for establishing and leading a new procurement section from the ground up, managing complex procurement projects, negotiating contracts with suppliers, and building strong relationships with key vendors.

Responsibilities

• Develop and implement the procurement function, including establishing policies, procedures, and processes to ensure operational excellence and compliance.
• Lead and manage the procurement of goods and services for assigned categories, ensuring timely delivery, adherence to budget, and quality standards.
• Create and execute strategic sourcing plans to identify and secure the most qualified and cost-effective suppliers.
• Conduct comprehensive market research and supplier analysis to evaluate potential vendors and negotiate optimal pricing and terms.
• Build and nurture strong relationships with key suppliers, fostering collaboration and ensuring long-term partnerships.
• Oversee the entire procurement lifecycle, from requisition to contract management and supplier performance evaluation.
• Identify and implement process improvements to enhance the efficiency and effectiveness of procurement operations.
• Analyse procurement data and generate detailed reports to track performance, identify trends, and measure cost savings.
• Stay informed about market trends, industry best practices, and legal developments impacting procurement to ensure the department’s competitive edge.
• Contribute to the overall procurement strategy and align procurement goals with the organization’s objectives.

Requirement

1. A bachelor’s degree in Business Administration, Supply Chain Management, or a related field.
2. 7-10 years of proven experience in procurement, with a strong track record of setting up and managing procurement functions, preferably within the healthcare industry.
3. Demonstrated success in achieving cost savings and optimizing procurement processes.
4. Expertise in managing complex procurement projects and negotiating high-value contracts.
5. Strong understanding of sourcing strategies, negotiation techniques, and contract management principles.
6. Proficiency in procurement software and technology tools.
7. Excellent leadership, organizational, and communication skills, with the ability to build and lead a team effectively.
8. Strategic mindset with the ability to align procurement operations with organizational goals.
9. Self-motivated and capable of working independently in a dynamic and fast-paced environment.
10. Ability to travel and work with internal and external stakeholders to achieve procurement objectives.

DATELINE

31 January 2025