# Senior Manager Health Performance Management

**Company**: Prudential
**Location**: Kuala Lumpur
**Experience**: senior
**Job type**: full-time
**Category**: Finance
**Industry**: Finance

**Apply**: https://prudential.wd3.myworkdayjobs.com/en-US/prudential/job/Kuala-Lumpur-Takaful/Senior-Manager-Health-Performance-Management_26070485?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_8ddabfc7-c62

## Description

We are seeking a Senior Manager for Health Performance Management at Prudential. As a Senior Manager, you will play a key role in monitoring and tracking performance of Fraud, Waste and Abuse activities as part of claim containment agenda.

Responsibilities:

- Monitor and track performance of Fraud, Waste and Abuse activities

- Support team lead and provider management lead on Provider Network Management activities

- Support data preparation and provider network scorecard preparation

- Support ad-hoc request by Provider Network Management team

- Support team lead and Health Ecosystem on other initiatives

- Responsible for regulatory reporting

- Support team lead in preparation of monthly reporting

- Support on Group FWA reporting on the claims benefits tracking

- Other reporting MBR and QBPR

- Support team lead and Claim Operation on data requests and analysis

- Ad-hoc request such as claim appeal analysis

- Data digitization: Heathhives

- Automation of report, such as NCI assessor scorecard, R&C benchmark, and Robotic procedure benchmark

- Provide and cross collaboration analytics works with Sales Enablement, Agency and Product Marketing

Requirements:

- Degree in Analytical areas; Data Science, Actuarial, Engineering, Statistics etc

- Knowledge in any of the following tools or programming language; Python, SQL, Excel, SAS

- Experience in PowerBI or relevant tools

- Experience in Machine Learning or Predictive Modelling projects could be an added advantage

## Skills

### Required
- Data Science
- Actuarial
- Engineering
- Statistics
- Python
- SQL
- Excel
- SAS
- PowerBI
- Machine Learning
- Predictive Modelling

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Source: [Apply at prudential.wd3.myworkdayjobs.com](https://prudential.wd3.myworkdayjobs.com/en-US/prudential/job/Kuala-Lumpur-Takaful/Senior-Manager-Health-Performance-Management_26070485?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)