Medical Doctor - Medical Services & Case Management (KL-based)

Allianz; Kuala Lumpur; Hybrid; MYR 150,000 - 200,000; Full time

Job summary

A leading global health services provider in Kuala Lumpur is seeking a knowledgeable professional to manage complex medical cases. This hybrid role involves case management, conducting pre-authorizations, and clinical negotiations, aimed at ensuring efficient and cost-effective care. The ideal candidate will have a medical degree, strong clinical judgment, and proficiency in negotiation. Join us at Allianz Partners for a fulfilling career in a supportive and inclusive environment focused on personal and professional development.

Benefits

Various courses and development programs

Work Well programs for health and wellbeing

Qualifications

• Minimum 2 years of clinical experience or residency, ER exposure is a plus.
• Registered medical doctor required, active clinical practice license not necessary.
• Experience in healthcare insurance or managed care is advantageous.

Responsibilities

• Manage high-cost/complex cases ensuring appropriate care.
• Conduct pre-authorizations for inpatient treatment.
• Lead clinical adjudication and negotiate care plans.

Skills

Strong clinical judgment

Negotiation skills

Fluent English

Digital tool proficiency

Education

Medical degree

Tools

Microsoft Office

Job description

Allianz Partners is a worldwide leader in international health and medical assistance within Allianz Group. We turn complex situations into coordinated care, so members receive safe, appropriate treatment wherever they are. Join our Global Medical Services team to amplify your clinical impact beyond hospital walls.

This KL-based, non-bedside role focuses on applying medical judgment to complex, high-impact cases and championing cost-effective, evidence-based care. Partnering with global medical leadership and diverse teams, you'll help shape decisions and pathways across local, regional, and global contexts in an office-based setting.

Note: This role will be employed under Allianz Partners Malaysia (AWP SERVICES SDN BHD).

What you'll do

• Case manage high-cost/complex cases, ensuring appropriate, safe, and cost-effective care
• Conduct pre-authorizations for inpatient treatment and review medical claims
• Lead clinical adjudication and negotiate fair, evidence-based care plans and costs
• Provide internal clinical consultation to Care Operations, Underwriting, Actuarial, and Medical Provider Management (MPM) team
• Build and maintain effective relationships with providers, brokers, and clients (in collaboration with MPM)
• Partner with global medical decision-makers to align on best practice and outcomes
• Contribute to clinical guidelines, process improvements, and knowledge sharing
• Ad hoc duties aligned to the Medical Services function
• Note: Training and onboarding support will be provided. No regular travel required.

Who you are

• Medical degree with at least 2 years of clinical experience/residency (ER exposure advantageous)
• Registered medical doctor; active clinical practice licence not required for this role
• Strong clinical judgment with the ability to balance medical appropriateness and cost-effectiveness
• Healthcare insurance/assistance or managed care experience is an advantage
• Negotiation skills and experience engaging with hospitals/providers are a plus
• Fluent English; Malay, Mandarin and/or Cantonese are beneficial. Other languages are a plus
• Proficient with Microsoft Office and comfortable with digital tools
• Eligible to work in Malaysia

Working pattern and location

• Hybrid: 3 days in office, 2 days WFH
• Work 5 days/week within a 7-day operation (07:00-22:00). Typically 4 weekday office-hour days (Mon-Fri, 09:00-18:00) and one late shift weekly.
• You must be able to rotate to early/late, weekend, and public holiday shifts as needed. Two consecutive days off per roster.
• Office: UOA CENTRE OFFICE, KLCC

What success looks like (6-12 months)

• Consistent delivery of safe, medically appropriate, and cost-effective case outcomes
• Strong partnerships with providers and internal stakeholders; trusted clinical advisor in APAC
• Visible contribution to playbooks, pre-authorization quality, and high-value claim oversight

What we offer:

Our employees play an integral part in our success as a business. We appreciate that each of our employees is unique and has unique needs and ambitions, and we enjoy being a part of their journey.

We are there to empower and encourage you with your personal and professional development, ensuring that you take control by offering a large variety of courses and targeted development programs. All that in a global environment where international mobility and career progression are encouraged. Caring for your health and wellbeing is a key priority for us. This is why we build Work Well programs to provide you with peace of mind and give the flexibility in planning and arranging for a better work‑life balance.

If you’re excited about the role but don’t meet every single requirement, please apply—we value potential, learning agility, and diverse experiences.

88140 | Physicians | Professional | Allianz Partners | Full-Time | Permanent

Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us.

At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. And the foundation for this is our inclusive workplace, where people and performance both matter, and nurtures a culture grounded in integrity, fairness, inclusion and trust.

We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.

Join us. Let’s care for tomorrow.