Head Medical Analytics

Protecthealth Corporation; Sepang; On-site; MYR 100,000 - 150,000; Full time

Job summary

A healthcare analytics organization in Sepang is seeking a Head of Medical Analytics to lead data-driven initiatives enhancing healthcare quality. The role involves strategic leadership, data analysis for quality improvement, managing analytics teams, and ensuring compliance with healthcare regulations. Candidates should possess a relevant bachelor's degree, extensive experience in healthcare analytics, and strong technical skills in data visualization and statistical methods. This position offers an opportunity to impact healthcare decision-making and contribute to organizational strategies.

Qualifications

• Bachelor’s degree in Medicine, Public Health, Health Informatics or related fields.
• Postgraduate qualification is an added advantage.
• Minimum 8–10 years of experience in healthcare analytics or related fields.

Responsibilities

• Provide strategic leadership of the Medical Analytics Section.
• Analyse data to identify quality improvement trends.
• Deliver data-driven insights for medical audits and quality reviews.
• Design dashboards and management reports to monitor healthcare quality.
• Conduct utilisation reviews and impact assessments.

Skills

Data extraction and transformation

Statistical modelling

Machine learning

Healthcare systems understanding

Communication skills

Problem-solving

Education

Bachelor’s degree in Medicine or related fields

Postgraduate qualification in relevant discipline

Tools

Advanced analytical tools

Job description

Protecthealth Corporation – Sepang, Selangor

The Head of Medical Analytics is responsible for leading the Medical Analytics Section in transforming healthcare data into actionable insights that support quality assurance, policy decision-making, cost containment, and clinical governance.

This role analyses medical, claims, utilisation, and provider performance data to enhance healthcare quality, optimise resource utilisation, identify risks, and support evidence-based decision-making across ProtectHealth’s healthcare programmes and initiatives.

What you'll be doing

• Provide strategic leadership and oversight of the Medical Analytics Section, ensuring analytics initiatives align with Quality Assurance objectives, organisational strategy, and national healthcare priorities.
• Analyse data to identify trends, variations, risks, and opportunities for quality improvement and cost optimisation.
• Deliver data-driven insights to support medical audits, quality reviews, and clinical governance activities, including the identification of inappropriate utilisation or non-compliance.
• Design, implement, and oversee dashboards, scorecards, and management reports to monitor healthcare quality, efficiency, outcomes, and provider performance.
• Translate complex healthcare data into clear insights and actionable recommendations to support Management, Committees, and Board-level decision-making.
• Conduct utilisation reviews, outcome analyses, and impact assessments to support the design, monitoring, and refinement of healthcare programmes and benefit packages.
• Ensure accuracy, consistency, confidentiality, and compliance of medical and healthcare data in line with regulatory requirements and internal governance standards.
• Work closely with internal stakeholders, including Medical Audit, Claims, Operations, Finance, IT, and Health Advocacy, to ensure analytics outputs are relevant and actionable.
• Manage, mentor, and develop the Medical Analytics team, building capability, standardising methodologies, and fostering a high-performance analytics culture.
• Establish early-warning indicators to detect emerging quality, utilisation, or cost risks and drive continuous improvement through best practices and analytics innovation.

What we're looking for

• Bachelor’s degree in Medicine, Public Health, Health Informatics, Data Science, Biostatistics, Health Economics, or related fields.
• A postgraduate qualification (Master’s or equivalent) in a relevant discipline is an added advantage.
• Minimum 8–10 years of experience in healthcare analytics, medical data analysis, health insurance, healthcare administration, or related fields.
• Strong exposure to claims data, utilisation review, provider performance analysis, or healthcare programme evaluation.
• Strong understanding of healthcare systems, clinical workflows, medical coding, and healthcare financing.
• Significant experience in medical analytics, ideally within the healthcare industry
• Strong technical skills in data extraction, transformation, analysis and visualisation
• Proficiency in using advanced analytical tools and techniques, such as statistical modelling, machine learning and artificial intelligence
• Excellent problem-solving and critical thinking abilities to derive meaningful insights from complex data
• Strong communication and stakeholder management skills to effectively present and translate analytical findings
• Proven track record of leading and developing high-performing analytics teams
• Relevant tertiary qualifications in a quantitative discipline, such as data science, statistics or applied mathematics