Senior Executive MediAsas Analytics

PROTECTHEALTH CORPORATION SDN. BHD.; Cyberjaya; On-site; MYR 90,000 - 130,000; Full time

Job summary

ProtectHealth Corporation Sdn Bhd in Malaysia seeks a Senior Executive, MediAsas Analytics to perform advanced healthcare analytics across DRG, Care Outcome, FWA, provider and programme performance.

This role goes beyond reporting numbers: you will investigate trends, identify drivers, translate data into actionable insights, and support MediAsas decision-making with clear recommendations. You will guide junior team members and develop dashboards, scorecards and analytical reports for management.

Qualifications

• Bachelor's Degree in Actuarial Science, Statistics, Data Science, Analytics, Mathematics, Health Economics, Healthcare/Health Sciences or related discipline.
• Preferably 4–6 years of relevant analytical experience.
• Experience in healthcare, medical claims, health insurance/takaful, healthcare financing or ITO/TPA is strongly preferred.
• Exposure to DRG, case-mix, FWA or provider analytics is an advantage.
• Strong analytical skills using Excel, SQL and Power BI.
• Knowledge of Python/R or equivalent analytical tools is an advantage.
• Strong analytical thinking, attention to detail and ability to communicate insights effectively.

Responsibilities

• Conduct advanced DRG, claims, utilisation, cost and provider analytics.
• Support modelling and impact analysis for DRG rate establishment and revision.
• Analyse case-mix and provider performance under DRG arrangements.
• Conduct Care Outcome and healthcare quality analyses.
• Perform FWA analytics across FFS and DRG and identify unusual patterns or risks.
• Conduct provider benchmarking, risk profiling and root-cause analysis.
• Develop and enhance dashboards, scorecards and analytical reports.
• Support predictive analytics, healthcare trend analysis and programme evaluation.
• Translate analytical findings into clear insights and recommendations.
• Validate datasets and analytical outputs for accuracy and consistency.
• Prepare analytical reports and presentations for management.
• Guide junior team members on analytical assignments where required.

Skills

Excel

SQL

Power BI

Education

Bachelor's degree in relevant field

Job description

About the role The Senior Executive, MediAsas Analytics will perform advanced healthcare analytics across DRG, Care Outcome, FWA, provider and programme performance.

This role goes beyond reporting numbers. You will investigate trends, identify underlying drivers and translate complex healthcare data into meaningful insights that support MediAsas decision-making.

Key responsibilities

Conduct advanced DRG, claims, utilisation, cost and provider analytics.

Support modelling and impact analysis for DRG rate establishment and revision.

Analyse case-mix and provider performance under DRG arrangements.

Conduct Care Outcome and healthcare quality analyses.

Perform FWA analytics across FFS and DRG and identify unusual patterns or risks.

Conduct provider benchmarking, risk profiling and root-cause analysis.

Develop and enhance dashboards, scorecards and analytical reports.

Support predictive analytics, healthcare trend analysis and programme evaluation.

Translate analytical findings into clear insights and recommendations.

Validate datasets and analytical outputs for accuracy and consistency.

Prepare analytical reports and presentations for management.

Guide junior team members on analytical assignments where required.

What we're looking for

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

Preferably 4–6 years of relevant analytical experience.

Experience in healthcare, medical claims, health insurance/takaful, healthcare financing or ITO/TPA is strongly preferred.

Exposure to DRG, case-mix, FWA or provider analytics is an advantage.

Strong analytical skills using Excel, SQL and Power BI.

Knowledge of Python/R or equivalent analytical tools is an advantage.

Strong analytical thinking, attention to detail and ability to communicate insights effectively.

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.