Role Description

The Head of Health Financing will lead and oversee the strategic planning, development, and implementation of health financing initiatives. This role will focus on ensuring sustainable financing mechanisms that align with ProtectHealth Corporation’s mission to deliver accessible, high-quality, and affordable healthcare services. The incumbent will collaborate with government agencies, private sector stakeholders, and international organizations to advance healthcare financing solutions.

Responsibilities

1. Develop and execute the health financing strategy to achieve organizational goals, ensuring alignment with national healthcare policies and objectives.
2. Lead the design, implementation, and evaluation of health financing programs, including funding mechanisms such as insurance schemes and public-private partnerships.
3. Build and maintain relationships with key stakeholders, including government agencies, private insurers, healthcare providers, and donors.
4. Manage budgets and financial planning for health financing initiatives, ensuring financial sustainability and risk mitigation.
5. Manage and oversee the recruitment, development, and performance of the health financing team, ensuring efficient and effective departmental operations.
6. Advocate for sustainable healthcare funding solutions at local and international forums, collaborating with policymakers to promote equitable healthcare financing.
7. Establish KPIs and monitor the performance of health financing programs, making adjustments to strategies as needed to achieve objectives.

Requirements

1. Bachelor’s degree in Healthcare Management, Health Economics, Finance, Public Health, or a related field (Master’s degree preferred).
2. Minimum of 15 years of experience in public/private healthcare management, healthcare financing, healthcare funding, or insurance.
3. Proven track record in developing and implementing successful healthcare financing strategies.
4. Strong understanding of healthcare systems, economics, and funding mechanisms.
5. Experience working with government agencies, international organizations, and private sector stakeholders.

Role Description

The Head of Health Advocacy is a senior leadership role responsible for driving health advocacy initiatives that align with ProtectHealth Corporation’s mission. This role involves influencing policy, developing health programs, and fostering collaborations to promote public health and well-being.

Responsibilities

1. Develop and execute comprehensive health advocacy strategies to address public health priorities.
2. Lead the design, implementation, and evaluation of impactful health programs focused on physical, behavioural, and mental health.
3. Establish and strengthen partnerships with stakeholders such as government agencies, healthcare providers, and NGOs.
4. Advocate for healthcare improvements by influencing policies and representing the organization at key events.
5. Create and utilize innovative advocacy tools to effectively communicate health priorities and influence stakeholders.
6. Drive organizational effectiveness by fostering cross-functional collaboration and optimizing workflows to enhance team productivity and impact.
7. Drive continuous improvement by monitoring program outcomes and identifying opportunities for innovation.

Requirements

1. Bachelor’s degree in Public Health, Healthcare Management, Behavioral Sciences, or a related field. A Master’s degree is highly preferred.
2. A minimum of 10 years of experience in healthcare management, with a focus on developing and implementing health solutions/programs.
3. Demonstrated expertise in communication, behavioural health, and mental health advocacy.
4. Strong understanding of healthcare systems, public health policies, and regulatory environments.
5. Proven track record of influencing health policy and advocating for systemic change.
6. Exceptional leadership, strategic thinking, and organizational skills.
7. Excellent communication and interpersonal abilities, with experience engaging diverse stakeholders.

Role Description

The Head of Strategic Purchasing leads the creation and execution of cost-effective strategies for healthcare procurement, focusing on benefit design, payment mechanisms, and provider management. With 15 years of experience in healthcare financing and strategic purchasing, this role drives initiatives like benefit package development, service optimization, and cost savings through effective negotiations.

Responsibilities

1. Develop and oversee the implementation of strategic purchasing frameworks that align with organizational objectives and improve healthcare service delivery.
2. Design and execute benefit packages, such as the PeKa B40 program, tailored to the needs of relevant target groups and stakeholders.
3. Lead payment mechanism innovation and negotiate contracts with healthcare providers to optimize resource allocation, enhance efficiency, and achieve cost savings.
4. Identify and purchase the right healthcare services to meet organizational goals while managing provider networks and ensuring continuous improvement of service standards.
5. Leverage data analytics to identify trends and opportunities in healthcare purchasing and service delivery, driving evidence-based decisions.
6. Foster strategic partnerships with suppliers, providers, and stakeholders to build value-based care models and sustainable purchasing practices.
7. Ensure compliance with regulatory requirements, maintain ethical procurement practices, and lead a high-performing team to foster innovation and accountability.

Requirements

1. Bachelor’s degree in healthcare management, business administration, or a related field (Master’s preferred).
2. At least 15 years of progressive experience in public or private healthcare management, with a focus on healthcare financing, strategic purchasing, and benefit design.
3. Strong expertise in healthcare payment mechanisms, including value-based care models.
4. Proven track record of leading large-scale healthcare procurement and strategic purchasing initiatives.
5. Excellent negotiation, analytical, and stakeholder engagement skills.
6. Demonstrated ability to manage and motivate cross-functional teams in a dynamic environment.
7. Strong understanding of regulatory and compliance requirements in the healthcare industry.

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