Strategic Provider Network Manager

PROTECTHEALTH CORPORATION SDN. BHD.; Cyberjaya; On-site; MYR 70,000 - 110,000; Full time

Job summary

ProtectHealth Corporation Sdn Bhd invites applications for the role of Executive, Provider Network Management. You will support day-to-day management, empanelment, credentialing, onboarding, performance monitoring and engagement of the provider network.

The role works with healthcare providers and internal stakeholders to maintain accurate records, ensure compliance, and drive cost-containment and efficiency across the provider network.

Qualifications

• 2–4 years of relevant working experience in healthcare provider management or related field.
• Experience with empanelment, credentialing, onboarding or performance monitoring is preferred.
• Ability to work with healthcare data and reports.
• Strong communication and stakeholder coordination skills.

Responsibilities

• Coordinate provider empanelment, credentialing, onboarding, renewal and other provider lifecycle activities.
• Review provider submissions and supporting documentation against established requirements.
• Maintain accurate and up-to-date provider records, agreements and related documentation.
• Monitor provider performance against established KPIs, SLAs and service requirements.
• Track provider issues, complaints and corrective actions and ensure timely follow-up.
• Handle routine provider enquiries and operational matters and elevate significant issues where required.
• Coordinate provider communications, meetings, briefings and engagement activities.
• Assist in compiling and reviewing provider utilisation, cost and performance information.
• Support healthcare cost-containment and Fraud, Waste & Abuse (FWA) monitoring activities.
• Assist with provider contract administration, compliance reviews and audit-related activities.
• Prepare provider reports, trackers and operational updates.
• Support process improvement, digitalisation and other provider network initiatives.

Skills

Strong communication

Stakeholder coordination

Problem-solving

Attention to detail

Education

Bachelor's Degree

Job description

ProtectHealth Corporation Sdn Bhd invites applications for the role of Executive, Provider Network Management. You will support day-to-day management, empanelment, credentialing, onboarding, performance monitoring and engagement of the provider network.

The role works with healthcare providers and internal stakeholders to maintain accurate records, ensure compliance, and drive cost-containment and efficiency across the provider network.