KEY RESPONSIBILITIES 

• Lead the overall establishment and operationalisation of MediAsas. 

• Develop and execute the strategic and implementation roadmap. 

• Establish governance structures and performance frameworks. 

• Oversee DRG administration, pricing, quality assurance, training and Care Outcome and Fraud, Waste & Abuse (COFWA) analytics 

• Build and manage hospital and healthcare provider networks. 

• Establish and manage strategic relationships with ITOs and key partners. 

• Lead a high-performing multidisciplinary team. 

• Drive stakeholder engagement with government agencies, regulators, healthcare providers and industry partners. initiatives and prepare quality reports and management updates. 

EQUIREMENTS 

• Bachelor’s degree in Medicine, Actuarial Science, Economics, Business, Healthcare Management, Analytics or a related field. (Master’s degree or MBA is an advantage) 

• Minimum 10-15 years of relevant professional experience, with substantial senior leadership or executive management experience. 

• Strong experience in the insurance/takaful Operator (ITO) and Medical & Health Insurance/Takaful (MHIT) ecosystem. 

• Proven track record in areas such as medical business management, provider network management, product management, claims and underwriting, FWA/COFWA, healthcare analytics, digital health and business development. 

• Strong stakeholder management and negotiation skills across government, regulators and industry partners. 

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 

• Develop and execute the MediAsas business solutions and digital technology roadmap in alignment with business priorities and PHCorp strategy. 

• Lead the design, implementation and continuous improvement of digital health platforms, system integrations, automation, data analytics and artificial intelligence solutions. 

• Oversee technology programmes from planning through deployment, including scope, budgets, resources, governance, risks, quality and benefits realisation. 

• Partner with PHCorp’s Digital Technologies team to ensure alignment with enterprise architecture, cybersecurity, infrastructure, data governance and technology standards. 

• Advise the Chief Business Officer and senior management on technology trends, investment priorities, solution options and key risks. 

• Lead vendor selection and performance management, including service levels, commercial obligations and delivery outcomes. 

• Build, coach and develop the Business Solutions team while promoting accountability, collaboration and innovation. 

Requirements 

• Bachelor’s degree in Information Technology, Computer Science, Information Systems, Engineering or a related field; a postgraduate qualification is an advantage. 

• At least 10 years of relevant experience in technology, digital solutions, information systems or technology-enabled business transformation, including at least five years in a leadership capacity. 

• Proven experience leading complex technology programmes or digital solution implementations through operational transition. 

• Strong knowledge of digital platforms, systems integration, cloud technologies, cybersecurity, data governance and software development methodologies. 

• Experience managing technology budgets, vendors, contracts, service levels and multidisciplinary teams. 

• Experience in healthcare, insurance, takaful, financial services or another regulated sector is strongly preferred. 

Key Responsibilities 

• Translate business priorities into functional requirements, solution options, delivery plans and measurable outcomes. 

• Manage digital solution implementations, integrations, migrations, enhancements and automation initiatives from planning through operational transition. 

• Define and monitor project scope, timelines, budgets, resources, risks, governance and acceptance criteria. 

• Lead process reviews and requirements-gathering activities, and recommend improvements based on business value, operational data and user feedback. 

• Work with PHCorp’s Digital Technologies team to ensure compliance with cybersecurity, infrastructure, data governance and technology standards. 

• Manage vendor deliverables, service levels, performance, risks and commercial obligations. 

• Lead, coach and allocate work to assigned team members while maintaining delivery quality. 

Requirements 

• Bachelor’s degree in Information Technology, Computer Science, Information Systems, Engineering or a related field. 

• At least seven years of relevant experience in technology, digital solutions, information systems or business transformation, including at least three years in a supervisory or managerial capacity. 

• Demonstrated experience managing complex technology projects or digital solution implementations. 

• Working knowledge of systems integration, cloud technologies, cybersecurity, data governance and software development methodologies. 

• Experience managing vendors, budgets, contracts, service levels and multidisciplinary project teams. 

• Experience in healthcare, insurance, takaful, financial services or another regulated sector is preferred. 

Key Responsibilities 

• Engage business users, document current processes and translate operational needs into functional requirements or user stories. 

• Conduct analysis, benchmarking and solution assessments to support project recommendations and decisions. 

• Coordinate project schedules, actions, dependencies, risks, issues and status updates for assigned initiatives. 

• Support system configuration, integration, migration, testing, deployment and post-implementation activities. 

• Prepare test scenarios, coordinate user acceptance testing, track defects and verify agreed acceptance criteria. 

• Maintain requirements, process maps, project records, operating procedures, user guides and decision logs. 

• Coordinate with PHCorp’s Digital Technologies team, internal stakeholders and vendors, and escalate delivery risks promptly. 

• Support user training, change communication and adoption activities, and guide junior team members where assigned. 

Requirements 

• Bachelor’s degree in Information Technology, Computer Science, Information Systems, Business Analytics, Engineering or a related field. 

• At least four years of relevant experience in business analysis, digital solutions, information systems, project delivery or technology-enabled operations. 

• Hands-on experience documenting requirements, coordinating system implementations and supporting user acceptance testing. 

• Familiarity with project management, Agile delivery, process mapping, data analysis and systems integration concepts. 

• Strong written communication and documentation skills with the ability to coordinate multiple stakeholders and priorities. 

• Experience in healthcare, insurance, takaful, financial services or another regulated sector is an advantage. 

Key Responsibilities 

• Assist in gathering and documenting business requirements, process information, user feedback and operational issues. 

• Support project scheduling, meeting coordination, action tracking, status reporting and maintenance of project records. 

• Assist with system configuration, data preparation, user acceptance testing, deployment and post-implementation support. 

• Record and follow up on system issues, enhancement requests and vendor actions until closure. 

• Prepare and maintain process maps, user guides, procedures, test records and issue logs. 

• Compile and validate operational or system data for reporting and performance monitoring. 

• Support user briefings, training sessions, change communications and adoption activities. 

• Coordinate with PHCorp’s Digital Technologies team and vendors while following information security, data privacy and change-management requirements. 

Requirements 

• Bachelor’s degree in Information Technology, Computer Science, Information Systems, Business Analytics, Engineering or a related field. 

• At least two years of relevant experience in technology projects, information systems, business operations, business analysis or digital solutions. 

• Exposure to requirements gathering, process documentation, system testing, user support or project coordination is preferred. 

• Basic understanding of digital systems, data handling, information security and project delivery practices. 

• Proficiency in Microsoft Office or Microsoft 365 applications and the ability to learn new systems quickly. 

• Experience in healthcare, insurance, takaful, financial services or another regulated sector is an advantage. 

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.

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.