Head, MediAsas Analytics

PROTECTHEALTH CORPORATION SDN. BHD.; Cyberjaya; On-site; MYR 260,000 - 520,000; Full time

Job summary

ProtectHealth Corporation Sdn Bhd in Cyberjaya invites an experienced analytics leader to head the MediAsas Analytics Unit, focusing on DRG, Care Outcome, and FWA analytics. Reporting to the Chief Business Officer, you will shape data-driven insights that improve healthcare quality and provider performance.

You will build dashboards, predictive models, and performance metrics, drive automation and AI adoption, and collaborate with ITO Management, Provider Management, Digital Technology and other

Qualifications

• Bachelor's Degree in relevant analytics/health field.
• Minimum 10 years healthcare analytics experience.
• Leadership or managerial experience preferred.
• Experience in DRG, case-mix, provider analytics or FWA advantageous.
• Strong knowledge of BI and analytics tools (Power BI, Python, SQL).

Responsibilities

• Lead strategy and delivery of MediAsas Analytics.
• Support DRG rate establishment, maintenance, evaluation, revision.
• Drive Care Outcome and FWA analytics across FFS and DRG.
• Oversee provider performance, healthcare trends, risk profiling.
• Present findings to management and stakeholders.
• Lead dashboards, predictive analytics, BI and performance measurement.
• Strengthen data governance and reporting standards.
• Promote automation, AI and advanced analytics.
• Collaborate with IT and business stakeholders.
• Lead and develop analytics team.

Skills

Leadership

Stakeholder management

Executive communication

Strategic thinking

Education

Bachelor's degree in Analytics/Healthcare/Related field

Tools

Power BI

Python

SQL

Predictive analytics tools

Job description

About the role We are seeking an experienced analytics leader to head the MediAsas Analytics Unit, with a core focus on Diagnosis-Related Group (DRG), Care Outcome, and Fraud, Waste & Abuse (FWA) analytics.

Reporting to the Chief Business Officer, you will lead the development of data-driven insights that support healthcare quality, provider performance, programme effectiveness and strategic decision-making. You will also play a key role in strengthening ProtectHealth's capabilities towards becoming a Centre of Excellence for DRG and COFWA analytics.

What You’ll Do

Lead the strategy, direction and delivery of MediAsas Analytics.

Lead analytics supporting DRG rate establishment, maintenance, evaluation and revision.

Drive Care Outcome and FWA analytics across Fee-for-Service (FFS) and DRG arrangements.

Oversee provider performance, healthcare trend, risk profiling and programme analytics.

Provide strategic insights and evidence-based recommendations to Management.

Lead dashboards, predictive analytics, business intelligence and performance measurement initiatives.

Strengthen data governance, analytical quality and reporting standards.

Drive adoption of automation, AI and advanced analytical capabilities.

Collaborate with ITO Management, Provider Management, Digital Technology, Business Solution and other key stakeholders.

Present analytical findings to senior management, committees and relevant external stakeholders.

Lead, coach and develop a high-performing analytics team.

What we're looking for

Bachelor's Degree in Actuarial Science, Analytics, Data Science, Statistics, Mathematics, Health Economics, Healthcare/Health Sciences or a related discipline.

Minimum 10 years of relevant experience in healthcare/medical analytics, medical claims, healthcare financing, health insurance/takaful, ITO/TPA or a similar environment.

Previous leadership or managerial experience is strongly preferred.

Experience in DRG/case-mix, healthcare claims, provider analytics, healthcare cost analysis and/or FWA is highly advantageous.

Strong knowledge of business intelligence and analytical technologies such as Power BI, Python, SQL and predictive analytics tools.

Strong strategic thinking, stakeholder management and executive communication skills.

Incorporated on 19 December 2016, ProtectHealth Corporation Sdn Bhd (ProtectHealth) is a wholly-owned subsidiary of ProtectHealth Malaysia, established under the Ministry of Health, Malaysia (MOH).

As a not-for-profit company, ProtectHealth coordinates, administers and manages initiatives related to financing healthcare services as mandated by MOH.