Manager MediAsas Analytics

PROTECTHEALTH CORPORATION SDN. BHD.; Cyberjaya; On-site; MYR 180,000 - 240,000; Full time

Job summary

ProtectHealth Corporation Sdn Bhd in Malaysia seeks a Manager, MediAsas Analytics to lead analytic portfolios across DRG, Care Outcome, FWA and provider performance. You will translate healthcare data into meaningful recommendations to support quality and performance improvements.

You will supervise the MediAsas Analytics team, drive complex analytics projects, and deliver dashboards, governance, and actionable insights for management to guide strategic decisions.

Qualifications

• Bachelor’s degree in Actuarial Science, Analytics, Data Science, Statistics, Mathematics, Health Economics, Healthcare/Health Sciences or related discipline.
• 7–10 years of relevant experience in healthcare analytics, claims analytics, healthcare financing, health insurance/takaful, ITO/TPA or similar environments.
• Experience leading analytical projects and/or teams.
• Exposure to DRG/case-mix, FWA, provider or Care Outcome analytics is highly advantageous.
• Strong analytical capability using Excel, SQL, Power BI and Python/R or equivalent tools.

Responsibilities

• Lead analytical projects across DRG, Care Outcome and FWA.
• Manage analytics supporting DRG rate establishment, maintenance and revision.
• Analyse healthcare utilisation, claims, case-mix, cost and provider performance.
• Lead Care Outcome monitoring and healthcare quality analytics.
• Lead FWA analytics across FFS and DRG, including risk profiling and abnormal pattern detection.
• Manage provider benchmarking, healthcare trend analysis and programme evaluation.
• Develop actionable insights and recommendations for management.
• Oversee dashboards, scorecards, predictive analytics and management reporting.
• Ensure analytical accuracy, data quality and appropriate governance.
• Work closely with business and technology stakeholders on integrated analytical solutions.
• Supervise and develop members of the MediAsas Analytics team.

Skills

Excel

SQL

Power BI

Python/R

Education

Bachelor's degree in analytics/healthcare or related discipline

Tools

Excel

SQL

Power BI

Python/R

Job description

About the role The Manager, MediAsas Analytics will lead key analytical portfolios across DRG, Care Outcome, FWA, provider performance and programme analytics.

You will manage complex analytical projects and translate healthcare data into meaningful recommendations that support the quality, performance and effectiveness of MediAsas.

Key responsibilities

Lead analytical projects across DRG, Care Outcome and FWA.

Manage analytics supporting DRG rate establishment, maintenance and revision.

Analyse healthcare utilisation, claims, case-mix, cost and provider performance.

Lead Care Outcome monitoring and healthcare quality analytics.

Lead FWA analytics across FFS and DRG, including risk profiling and abnormal pattern detection.

Manage provider benchmarking, healthcare trend analysis and programme evaluation.

Develop actionable insights and recommendations for management.

Oversee dashboards, scorecards, predictive analytics and management reporting.

Ensure analytical accuracy, data quality and appropriate governance.

Work closely with business and technology stakeholders on integrated analytical solutions.

Supervise and develop members of the MediAsas Analytics team.

What we're looking for

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

Preferably 7–10 years of relevant experience in healthcare analytics, claims analytics, healthcare financing, health insurance/takaful, ITO/TPA or similar environments.

Experience leading analytical projects and/or teams.

Exposure to DRG/case-mix, FWA, provider or Care Outcome analytics is highly advantageous.

Strong analytical capability using Excel, SQL, Power BI and Python/R or equivalent tools.

Strong problem-solving, stakeholder management and communication skills.

Unlock job insights

Hirer responsiveness Salary match Number of applicants

Your application will include the following questions:

• Which of the following statements best describes your right to work in Malaysia?
• What's your expected monthly basic salary?
• How much notice are you required to give your current employer?

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.

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.