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Be part of us and create a healthier nation.

Join our ProtectHealth team, where we see care not as just a service, but the beneficial for each community that we serve. ProtectHealth offers a dynamic work environment, great opportunities for professional development, healthy working environment and competitive pay and benefits package.

We are committed to reached out and served our beneficiaries with our community and developed a good benefit package for relevant target group to provide right healthcare services.

Vacancies

MediAsas Vacancies

Currently there is no vacancy available.

KEY RESPONSIBILITIES 

Lead the strategy, direction and delivery of MediAsas Analytics. 

  • Oversee DRG rate establishment,maintenanceand revision through robust analytical evidence. 
  • Drive Care Outcome and FWAanalyticsacross 

Fee-for-Service (FFS) and DRG arrangements. 

  • Providestrategic insights to support programme effectiveness, provider performance and healthcare quality. 
  • Establishand maintain dashboards, scorecards, predictive analytics and business intelligence reporting. 
  • Strengthen data governance, analyticalqualityand reporting standards. 
  • Collaborate with internal and external stakeholders including ITO Management, Provider Management, Digital Technology, BusinessSolutionand regulatory bodies (e.g. BNM). 
  • Lead, coach and develop a high-performing analytics team.

 

REQUIREMENTS 

  • Bachelor’s Degree in Actuarial Science, Analytics, Data Science, Statistics, Mathematics, Health Economics, Healthcare/HealthSciences or a related field 
  • Minimum 10 years of relevant experience in healthcare/medical analytics, medical claims, healthcare financing, health insurance/takaful, ITO/TPA or similar environment.
  • Previousleadership or managerial experience is strongly preferred. 
  • Experience in DRG/case-mix, healthcare claims, provider analytics, healthcare costanalysisand/or FWA is highly advantageous. 
  • Strong knowledge of analytical and business intelligence tools such as Power BI, Python,SQLand predictive analytics tools. 
  • Excellent strategic thinking, stakeholdermanagementand executive communication skills. 

KEY RESPONSIBILITIES 

Lead analytical portfolios across DRG, Care Outcome and FWA (FFS & DRG). 

  • Manage analytical projects and translate findings into actionable recommendations.
  • Analyse utilisation, claims, cost, case-mix and provider performance. 
  • Develop and maintain dashboards, scorecards and management reports. 
  • Collaborate with ITO Management, Provider Management, Digital Technology, Business Solution and other stakeholders. 
  • Ensure data quality, governance, and analytical standards. 

Supervise and develop team members. 

 

 

 

REQUIREMENTS 

  • Bachelor’s Degree in Actuarial Science, Analytics, Data Science, Statistics, Mathematics, HealthEconomics or related field. 
  • Preferably 7-10 years of relevant experience in healthcare analytics, claims analytics, health insurance/ takaful, ITO/TPA or similar environment.
  • Experience in DRG, FWA, provider or Care Outcome analytics is highly advantageous.
  • Strong analytical skills using Excel, SQL, Power Bl and Python/R or equivalent tools.
  • Good problem-solving, stakeholder management, and communication skills. 

KEY RESPONSIBILITIES 

Conduct advanced analysis for DRG, Care Outcome and FWA (FFS & DRG). 

  • Analyse claims, utilisation, cost, case-mix and provider performance data. 
  • Perform data modelling, trend and root-cause analysis and identify key insights. 
  • Develop and maintain dashboards, scorecards and analytical reports. 
  • Translate complex data into meaningful recommendations.
  • Support programme evaluation, provider benchmarking and risk profiling. 
  • Collaborate with internal and external stakeholders on analytical projects.
  • Guide and support junior team members where required. 

REQUIREMENTS 

  • Bachelor’s Degree in Actuarial Science, Statistics, Data Science, Analytics, Mathematics, HealthEconomics or related field. 
  • Preferably 4-6 years of relevant analytical experience in healthcare, medical claims, health insurance/takaful, ITO/TPA or similar environment. 
  • Experience in DRG, case-mix, FWA or provider analytics is an advantage.
  • Strong analytical skills using Excel, SQL, Power Bl and Python/R or equivalent tools.
  • Good problem-solving skills, attention to detail and ability to communicate insights effectively.

 

KEY RESPONSIBILITIES 

  • Prepare,cleanand validate healthcare, claims and provider data. 
  • Support analysis for DRG, Care Outcome and FWA (FFS & DRG).
  • Maintaindashboards, KPI reports and analytical summaries. 
  • Conduct routine and ad-hoc analyses, including trend and variance analysis.
  • Assistin DRG rate review and evaluation through data preparation and analysis. 
  • Monitorprovider performance and programme indicators. 
  • Support senior team members on analytical projects.
  • Maintaindata quality, documentation and reporting templates. 
  • Work with internal stakeholders to meet analytical and reporting requirements.

 

REQUIREMENTS 

  • Bachelor’s Degree in Actuarial Science, Statistics, Data Science, Analytics, Mathematics, Economics, Health Economics, Computer Science, Healthcare/ HealthSciences or a related field. 
  • Preferably 1-3 years of relevant experience in analytics, healthcare, medical claims, insurance/takaful, ITO/TPA or related fields.
  • Healthcare or claims data exposure is an advantage.
  • Good analytical skills with Microsoft Excel.
  • Knowledge of Power Bl and SQL is preferred.
  • Knowledge of Python/Rorother analytical tools is an advantage.
  • Strong attention to detail,problem-solvingand willingness to learn. 
  • Passionate about using data to improve healthcare for Malaysians.

KEY RESPONSIBILITIES 

Lead the overall strategy, development and optimisation of ITO partnerships. 

  • Oversee the end-to-end ITO lifecycle, including onboarding, contracting,performanceand governance. 
  • Monitorpartner performance against KPls and SLAs and drive improvement initiatives. 
  • Manage contractual obligations,complianceand regulatory requirements. 
  • Build andmaintainstrategic relationships with ITOs, vendors, government agencies and key stakeholders. 
  • Collaborate with Provider Network and Analytics teams on DRG, COFWA and cost-containment initiatives.
  • Drive operational excellence, process improvement and digital transformation initiatives.
  • Lead and develop the ITO Partner Management team.

 

REQUIREMENTS 

  • Bachelor’s Degree in Business Administration, Healthcare, Healthcare Management or equivalent.
  • Approximately 10 years of relevant experience in healthcare, health insurance/takaful, TPA or related industry.
  • Strong exposure in stakeholder management, claims, provider/panel management, FWA, cost containment, vendors or TPAs.
  • Strong commercial negotiation, contract and stakeholder management skills.
  • Demonstrated leadership and people management experience.

Experience in healthcare cost containment and/or FWA. 

KEY RESPONSIBILITIES 

Manage day-to-day engagement and working relationships with assigned ITO partners. 

  • Coordinate ITO onboarding, contracting and operational alignment activities.
  • Monitor ITO performance against KPls and SLAs, and coordinate improvement actions.
  • Prepare performance reports and dashboards for management and partner reviews.
  • Support contract administration, governance and compliance requirements.
  • Work with Provider Network and Analytics teams on DRG, COFWA and cost-containment initiatives.
  • Identify operational issues, performance gaps and opportunities for improvement.
  • Coordinate with internal and external stakeholders to ensure effective MediAsas delivery.
  • Support process improvement and digitalisation initiatives.

 

 

REQUIREMENTS 

  • Bachelor’s Degree in Business Administration, Healthcare, Healthcare Management or equivalent.
  • Preferably 4-7 years of relevant experience in healthcare, health insurance/takaful, TPA or related fields.
  • Experience in partner/stakeholder management, claims, provider management, FWA or cost containment is an advantage.
  • Good analytical and problem-solving skills with proficiency in Microsoft Office.
  • Strong communication and stakeholder management skills.
  • Able to work independently and manage multiple priorities.
  • Passionate about contributing to better healthcare for Malaysians.

Operation Vacancies

KEY RESPONSIBILITIES 

  1. Lead the strategy,developmentand optimisation of the healthcare provider network. 
  2. Oversee the end-to-endproviderlifecycle, performance and compliance. 
  3. Drive provider performance, cost-containment and Fraud, Waste & Abuse (FWA) initiatives.
  4. Lead commercial negotiations and manage strategic provider relationships.
  5. Lead and develop theProvider Network Management team.

 

REQUIREMENTS 

  1. Bachelor’s Degree in Healthcare Management, Medicine, Pharmacy, Nursing, Allied Health, Business/HealthAdministration or related field. 
  2. Approximately 10 years of relevant healthcare industry experience, preferably in hospitals, health insurance, managed care, TPA or provider network management.
  3. Strong hands-on experience in provider/panel network management.
  4. Strong commercial negotiation,contractand stakeholder management capabilities. 
  5. Demonstratedleadership and people-management experience. 
  6. Experience in healthcare cost containment and/or FWA.

KEY RESPONSIBILITIES 

  1. Manage the end-to-end provider lifecycle, including onboarding,renewalsand credentialing. 
  2. Monitor provider performance,complianceand improvement plans. 
  3. Manage provider relationships, operationalescalationsand performance issues. 
  4. Support commercial negotiations, contract management, cost-containmentand FWA initiatives.
  5. Supervise and develop team members while driving operational and process improvements.

 

REQUIREMENTS 

 

  1. Bachelor’s Degree in Healthcare Management, Medicine, Pharmacy, Nursing, Allied Health, Business/HealthAdministration or related field. 
  2. 7–10 years of relevant healthcare industry experience, preferably in hospitals, health insurance, managed care, TPA or provider network management.
  3. Strong experience in healthcare provider/panel network management.
  4. Experience in provider contracting, performance and relationship management.
  5. Previousexperience supervising a team or leading healthcare operational projects. 
  6. Strong analytical, stakeholder management, problem-solvingand communication skills.

KEY RESPONSIBILITIES 

  1. Manage an assigned portfolio of healthcare providers, including onboarding,credentialingand renewals. 
  2. Monitor provider performance, servicestandardsand contractual compliance. 
  3. Analyseprovider data to identify performance gaps, utilisation trends and improvement opportunities. 
  4. Manage provider enquiries, operationalissuesand performance improvement actions. 
  5. Support cost-containment, Fraud, Waste & Abuse (FWA),auditsand provider governance initiatives. 

 

REQUIREMENTS 

  1. Bachelor’s Degree in Healthcare Management, Medicine, Pharmacy, Nursing, Allied Health, Business/HealthAdministration or related field. 
  2. 4–7 years of relevant experience in healthcare, hospital, health insurance, managed care, TPA or provider network environments.
  3. Experience in provider/panel management, providerrelationsor healthcare operations. 
  4. Strong analytical, problem-solving, stakeholdermanagementand communication skills. 
  5. Exposure to provider credentialing, performance monitoring, contract administration, costcontainmentor FWA is an advantage. 

KEY RESPONSIBILITIES 

  1. Coordinateproviderempanelment, credentialing, onboarding and renewals. 
  2. Maintainprovider records, agreements and documentation. 
  3. Monitor provider performance, servicestandardsand compliance requirements. 
  4. Handle provider enquiries, operationalissuesand follow-up actions. 
  5. Support provider reporting, cost-containment, FWA and improvement initiatives.

 

REQUIREMENTS 

  1. Bachelor’s Degree in Healthcare Management, Medicine, Pharmacy, Nursing, Allied Health, Business/HealthAdministration or related field. 
  2. 2–4 years of relevant healthcare experience, preferably in hospitals, health insurance, TPA, managed care or provider network management.
  3. Experience in provider/panel management, healthcare operations, medicaladministrationor healthcare claims is preferred. 
  4. Good communication, stakeholder coordination, problem-solvingand attention to detail. 
  5. Comfortable working with healthcare data,reportsand documentation. 

KEY RESPONSIBILITIES 

  1. Maintainand improve organisational quality management systems and governance frameworks. 
  2. Develop and review policies, SOPs,guidelinesand controlled documents. 
  3. Coordinate internal audits and support external, regulatory and certification audits.
  4. Monitor audit findings, corrective actions (CAPA)and compliance requirements.
  5. Drive process improvement initiatives and prepare quality reports and management updates.

 

REQUIREMENTS 

  1. Bachelor’s Degree in Quality Management, Healthcare Administration, BusinessManagement or related field. 
  2. 4–6 years of relevant experience in quality management, governance, compliance, operational excellence,riskor related areas. 
  3. Good knowledge of quality standards such as ISO 9001 and audit/compliance processes.
  4. Experience in developing or implementing quality standards,frameworksand management systems. 
  5. Strong analytical, problem-solving,communicationand stakeholder management skills. 
  6. Quality certification such as CQA, Six Sigma or equivalent is an advantage.

ProtectHealth Corporation Sdn. Bhd. (ProtectHealth) is a wholly owned subsidiary of ProtecthHealth Malaysia, established under the Ministry of Health (MOH). As a non-profit Company, ProtectHealth coordinates, administers and manages initiatives related to financing healthcare services as mandated by MOH.

We are seeking an experienced CEO to manage the entire operations of the Company. The appointed CEO will be a visionary and compassionate leader with the capacity to think strategically and act decisively. Build and model a great company culture, provide inspired leadership to the entire executive team, establish media partnerships and a great working relationship with the board of directors and stakeholders.

Strong candidates on a CEO career path are also encouraged to apply.

Requirements:

â–ª The candidates shall have proven CEO track record in managing an organizations and experience working in matrix structure and environment.
â–ª Must have a strong understanding of financials and operations aspect as a whole.
â–ª Experience in insurance or healthcare services industry is ideal.

Interested candidates kindly send your updated CV to [email protected]

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