Strategic Hospital Network Partnerships Lead

AIA Malaysia; Kuala Lumpur; On-site; MYR 60,000 - 90,000; Full time

Job summary

AIA Malaysia is seeking a Medical Officer to act as the key liaison between AIA/AHS and panel hospitals, ensuring strong relationship management, cost containment, claims coordination, and operational excellence.

The role involves building relationships with specialist doctors, ensuring delivery of right services at the right time and cost, and supporting digital transformation initiatives within hospital settings.

Qualifications

• Medical degree (MBBS or equivalent) with full registration.
• Minimum 3 years of clinical experience, preferably in private hospital settings.
• Strong interpersonal and communication skills; must be confident and outspoken.
• Proven ability to build rapport with hospital stakeholders and work collaboratively.
• Analytical mindset with attention to detail in claims and billing practices.
• Willingness to be based at or travel frequently to assigned hospitals.

Responsibilities

• Relationship Management: Build and maintain strong, professional relationships with hospital management, doctors, and medical staff.
• Act as the primary liaison between AIA/AHS and panel hospitals to address concerns, resolve disputes, and ensure smooth collaboration.
• Cost Management: Monitor treatment costs and billing practices to ensure alignment with cost containment strategies.
• Fraud Detection & Risk Management: Identify and report suspicious billing patterns or potential fraud cases.
• Claims Handling: Support fast-tracking of urgent and high-priority claims and mediate disputes.
• Operational Efficiency & Process Improvement: Provide feedback to internal teams on hospital operational challenges and suggest actionable improvements.
• Digital initiatives: Support e-claims processing and cashless payment systems.

Skills

Relationship management

Communication

Analytical mindset

Problem-solving

Independent working

Education

MBBS or equivalent

Job description

AIA Malaysia is seeking a Medical Officer to act as the key liaison between AIA/AHS and panel hospitals, ensuring strong relationship management, cost containment, claims coordination, and operational excellence.

The role involves building relationships with specialist doctors, ensuring delivery of right services at the right time and cost, and supporting digital transformation initiatives within hospital settings.