Head, Medical Network Management

Great Eastern; Kuala Lumpur; On-site; MYR 100,000 - 130,000; Full time

Job summary

A leading insurance company in Kuala Lumpur seeks a Head of Medical Network Management. This role requires at least 8 years of experience in network development within healthcare, overseeing a provider network to support business goals and enhance policyholder experience. Responsibilities include leading strategic initiatives, managing provider contracts, and ensuring compliance with governance standards. The ideal candidate will demonstrate strong communication, analytical, and problem-solving skills, fostering collaboration and accountability within the department.

Qualifications

• Minimum 8 years of experience with Network Development and Management in healthcare.
• Experience directing Network Management Contracting, Processes & Services.
• Good knowledge in current healthcare delivery systems.

Responsibilities

• Lead and manage strategic and operational functions of the Medical Network Management department.
• Oversee the inclusion, review, and removal of panel hospitals.
• Collaborate with other departments for integration into broader operations.

Skills

Effective communication

Analytical skills

Problem solving

Teamwork

Business acumen

Education

Bachelor’s Degree in healthcare or related discipline

Job description

To lead and manage the strategic and operational functions of the Medical Network Management department, ensuring an efficient, cost-effective, and accessible panel provider network that supports the company’s business goals and enhances policyholder experience. This role plays a key part in supporting Operations through effective provider governance, stakeholder alignment, and continuous improvement of the network ecosystem

• Drive the overall direction and priorities of Medical Network Management department in line with Company and operational strategies.
• Oversee the inclusion, review, and removal of panel hospitals through a structured, criteria-based process.
• Ensure that all network decisions are aligned with cost sustainability, accessibility, and medical quality.
• Lead commercial and operational discussions with panel providers to secure favorable terms, value-added services, and service level improvements.
• Foster collaborative relationships with key providers while upholding the company’s governance standards.
• Lead initiatives related to the development and sustainability of the medical provider network.
• Ensure network activities such as empanelment, contract management, and performance monitoring, are governed by clear SOPs and are audit-compliant.
• Contribute to business planning, cost management efforts, and healthcare strategy through insights and network data.
• Collaborate with other departments/stakeholders to ensure seamless integration of provider management into broader operations.
• Provide guidance, coaching and direction to the team to ensure high performance and delivery of department objectives.
• Foster a collaborative and accountable team culture.
• Takes accountability in considering business and regulatory compliance risks and takes appropriate steps to mitigate the risks.
• Maintains awareness of industry trends on regulatory compliance, emerging threats and technologies in order to understand the risk and better safeguard the company.
• Highlights any potential concerns /risks and proactively shares best risk management practices.
• Bachelor’s Degree in any discipline, preferably in healthcare or health administration related discipline.
• Minimum 8 years of experience with Network Development and Management in healthcare and insurance.
• Experience directing Network Management Contracting, Processes & Services is essential.
• Communicate effectively in writing, orally, and with others to assimilate, understand, and convey information, in a manner consistent with job functions.
• Strong business acumen with communication, analytical, problem solving, documentation and organization skills.
• Good knowledge in current healthcare delivery systems and hospital patient management and billing system.
• High level of integrity, takes accountability of work and good attitude over teamwork.
• Takes initiative to improve current state of things and adaptable to embrace new changes

How you succeed

• Champion and embody our Core Values in everyday tasks and interactions.
• Demonstrate high level of integrity and accountability.
• Take initiative to drive improvements and embrace change.
• Take accountability of business and regulatory compliance risks, implementing measures to mitigate them effectively.
• Keep abreast with industry trends, regulatory compliance, and emerging threats and technologies to understand and highlight potential concerns/ risks to safeguard our company proactively.

Who we are

Founded in 1908, Great Eastern is a well-established market leader and trusted brand in Singapore and Malaysia. With over S$100 billion in assets and more than 16 million policyholders, including 12.5 million from government schemes, it provides insurance solutions to customers through three successful distribution channels – a tied agency force, bancassurance, and financial advisory firm Great Eastern Financial Advisers. The Group also operates in Indonesia and Brunei.

The Great Eastern Life Assurance Company Limited and Great Eastern General Insurance Limited have been assigned the financial strength and counterparty credit ratings of "AA-" by S&P Global Ratings since 2010, one of the highest among Asian life insurance companies. Great Eastern's asset management subsidiary, Lion Global Investors Limited, is one of the leading asset management companies in Southeast Asia.

Great Eastern is a subsidiary of OCBC, the longest established Singapore bank, formed in 1932. It is the second largest financial services group in Southeast Asia by assets and one of the world’s most highly-rated banks, with an Aa1 rating from Moody’s and AA- by both Fitch and S&P. Recognised for its financial strength and stability, OCBC is consistently ranked among the World’s Top 50 Safest Banks by Global Finance and has been named Best Managed Bank in Singapore by The Asian Banker.