8 Audit Management jobs in Malaysia
Manager - Audit Management
Posted 5 days ago
Job Viewed
Job Description
- Part of the team within the Audit Management to implement the Audit Management processes and tools used within Risk Sector Governance
- Engagement, communication and promotion of the established audit management framework, model and processes to key stakeholders and the broader community.
- Prepare reports and statistics on audit issue status for senior management committee meetings. Provide secretariat support to the various management meetings
- Manage multiple audit projects engagement (i.e., planning, curating RFI, management responses etc). Follow-up with audit issue owners to ensure timely completion of corrective and preventive actions.
- Assist in audit planning and budgeting of Synapxe resources to supports audits.
- Administer and support the audit management workflow tool (IRM AM module).
- At least 8 years of experience in IT industry with minimum of 5 years of experience in internal IT audits or as primary contact for internal / external auditors.
- Practitioner who is familiar with assessment of IT General Controls, security framework, regulatory requirements for CII or IT security policies.
- Ability to establish and cultivate relationships with a variety of key stakeholders.
- Ability to work under a fast-paced and dynamic environment.
- Well-developed communication, negotiation and professional writing skills.
- Good inter-personal and stakeholder engagement skills.
- Degree in Computer Science, Computer Engineering or equivalent.
- Strong in data analysis. Able to translate raw data into management summaries (charts, dashboards, etc).
- Professional certification such as CISA, CIA, CISM, CISSP etc would be an advantage
Internal Audit Executive
Posted 21 days ago
Job Viewed
Job Description
br>2. Identify process gaps and recommend improvements to enhance operational efficiency and control effectiveness.
3. Prepare audit plans, perform risk assessments, and develop testing procedures.
4. Document audit findings and work with stakeholders to implement corrective actions.
5. Support continuous improvement initiatives using Lean and other methodologies.
6. Ensure compliance with relevant laws, regulations, and industry standards.
7. Report key audit findings and performance metrics to senior management.
Senior Manager, Specialist & Quality Audit Management and Advisory
Posted 12 days ago
Job Viewed
Job Description
AIA Malaysia Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia
Join or sign in to find your next jobJoin to apply for the Senior Manager, Specialist & Quality Audit Management and Advisory role at AIA Malaysia
Senior Manager, Specialist & Quality Audit Management and AdvisoryAIA Malaysia Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia
Join to apply for the Senior Manager, Specialist & Quality Audit Management and Advisory role at AIA Malaysia
Get AI-powered advice on this job and more exclusive features.
FIND YOUR 'BETTER' AT AIA
We don’t simply believe in being ‘The Best’. We believe in better - because there’s no limit to how far ‘better’ can take us.
We believe in empowering every one of our people to find their 'better' - in the work they do, the career they build, the life they live and the difference they make. So that together we can support even more people - including our own - to live Healthier, Longer, Better Lives.
If you believe in better, we’d love to hear from you.
About The Role
Position Objective :
- To lead, coach, supervise and adjudicate work flow and follow up on medical audit cases and the case management team/Top up GL/Additional doctor request and GL appeals.
- Review and coordinate cases that require the involvement and escalation to providers and internal stakeholders.
- To provide medical advisory within and beyond AHS
- To support operations of the AHS
- To assist in Fraud, Waste and Abuse initiatives.
- To actively participate in all initiatives related to cost savings & containment exercise
- To align claims practices across various units in AIA
- Medical Training for AIA Health Services and stakeholders
- Active lead in regulator collaborations- MOH/MTA/LIAM
- To collaborate with all AIA units in digitalization related to medical claims
We don’t simply believe in being ‘The Best’. We believe in better - because there’s no limit to how far ‘better’ can take us.
We believe in empowering every one of our people to find their 'better' - in the work they do, the career they build, the life they live and the difference they make. So that together we can support even more people - including our own - to live Healthier, Longer, Better Lives.
If you believe in better, we’d love to hear from you.
About The Role
Position Objective :
- To lead, coach, supervise and adjudicate work flow and follow up on medical audit cases and the case management team/Top up GL/Additional doctor request and GL appeals.
- Review and coordinate cases that require the involvement and escalation to providers and internal stakeholders.
- To provide medical advisory within and beyond AHS
- To support operations of the AHS
- To assist in Fraud, Waste and Abuse initiatives.
- To actively participate in all initiatives related to cost savings & containment exercise
- To align claims practices across various units in AIA
- Medical Training for AIA Health Services and stakeholders
- Active lead in regulator collaborations- MOH/MTA/LIAM
- To collaborate with all AIA units in digitalization related to medical claims
- Fraud, Waste & Abuse
- Oversee and improve upon current methodology for FWA detection, resolution and prevention while driving the TDA program of work – Mapping of codes /Guides translation into AI engines and etc
- Managing audits within and beyond AIA - Micare& doctors trendings under FWA
- In charge of analysis on emerging patterns and trends in medical Fraud, Waste and Abuse (FWA) practices
- Trends doctor’s charges and reviews charging behaviour to establish over utilization – which is supplementary to the provider conversation and trending reports.
- Collation of reasonable and customary charges within the industry to ensure that charges are within benchmark.
- Facilitate and implement controls on FWA prevention and minimization of billing wastages.
- Ensuring recoveries are given within the agreed TAT
- Close collaboration with the Field investigators to ensure Fraud outcomes are met
- Active conversation with providers to address Fraud and Waste elements while ensuring strong outcomes are met with the providers
- Medical advisory lead within and beyond AHS
- Overseeing medical advisories from AHS and all stakeholders are replied within TAT
- To review appeals on claims decline with concrete and robust medical literature to support the decision- Within AHS and all complaints related to OFS and BNM
- Provide medical insights to various divisions within AIA such as Health Claims Management, Network Management and Healthcare Strategy, Corporate Solutions, and Customer Experience.
- Strengthening cost containment measures directly related to Operations.
- Supplementary GL issuance team, LOS monitoring
- To ensure SLA and TAT is adhered
- Attrition and people management
- Reporting on Cost savings
- Case Management and complex Case reviews
- Case Management -adhering to the PHFSA schedule& binding of R&C guides
- Attrition and people management
- Reporting on Cost savings
- Audits related to Hospital bills and provider Ops issues
- Strengthening clinical and technical guidelines and assessment.
- Building and improving guidelines that will enable better decision making and Cost savings outcomes meeting stipulated goals set for the year.
- Medical training lead
- Ensuring all medical trainings are conducted with solid outcomes within and beyond AHS
- Assisting trainers beyond AHS- customer care, contact center and CSD to strengthen their medical knowledge
- Collaborations - Within and beyond AIA
- Ensuring Ops is abreast with latest medical advancements - Trainings and Guidelines
- Agency level -Training & complaints Management
- Frontliners -Branch/Contact Centre & Customer corresponding - Training on important Claims materials
- Product and Marketing - Selection of GIO criteria /feedback on product design
- Providers- Active discussion with doctors and hospital management in the FWA space
- Regulator -Supporting MTA, JTC, LIAM, PIAM, Shariah Committee including presentation, meeting, and surveys.
- Investigation for Minor Claims
- Overseeing the investigation process under minor Claims
- Close collaboration with New Business unit- Under writing for Investigation outcome management
- Enhancing and improving processes in place for better customer experience
- Repatriation & evacuation lead
- Managing Advisories related to benefits and medical conditions
- Ensuring payment process is within Stipulated SLA
- PMCM lead
- Ensuring sustainable Utilization
- Ensuring reporting and Queries meet the Stipulate SLA
- Others
- Provide guidance and leadership in resolving issues and that affect the member experience.
- Approving claims within his/her authority limit.
- Review and approval of people movement, talent identification and development activities for the functional areas.
- Provide guidance to direct reports in the areas of continuous improvement.
- Work across functions with peers in other department/divisions to ensure collaboration and achievements for shared goals.
- Interact with senior management for reporting, escalations, complaint handling, issue resolution and regulatory matters.
- Facilitating goal-level creation for the broader function and work with managers to ensure the goals are cascaded to all team member.
- Actively monitoring and support new product launching and provide operation support – system and resources
- Preferably Medical Doctor (MBBS / MD)
- Strong business acumen with strategic thinking – ability to prognosticate factors that drive healthcare costs.
- Good knowledge of current healthcare delivery systems and hospital billing system.
- Good stakeholder engagement skills (Providers / internal teams)
- Working experience in managed care organizations and insurance with familiarity with claims platforms (G400/CRM/MCS/LA)
- Proficiency in Insurance product knowledge and experience
- Dynamic with enthusiasm to lead with passion to provide seamless customer experience while ensuring compliance to insurance regulations.
- Experience in Analysis, Fraud detection is an added advantage.
You must provide all requested information, including Personal Data, to be considered for this career opportunity. Failure to provide such information may influence the processing and outcome of your application. You are responsible for ensuring that the information you submit is accurate and up-to-date. Seniority level
- Seniority level Mid-Senior level
- Employment type Full-time
- Job function Quality Assurance
- Industries Insurance
Referrals increase your chances of interviewing at AIA Malaysia by 2x
Sign in to set job alerts for “Manager Quality Management” roles. Clinical Quality Assurance Manager (Preference for Malaysia or other South East Asia country. Other locations will be considered).Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 3 weeks ago
WP. Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago
Pelabuhan Klang, Selangor, Malaysia 14 hours ago
WP. Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 month ago
Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 4 weeks ago
Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 weeks ago
Kuala Lumpur City, Federal Territory of Kuala Lumpur, Malaysia 1 week ago
Petaling Jaya, Selangor, Malaysia 2 days ago
Petaling Jaya, Selangor, Malaysia 1 day ago
Customer Relations Manager (Remote based)Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 4 weeks ago
Petaling Jaya, Selangor, Malaysia 1 month ago
Strategic Partnership Management OfficerWP. Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 3 weeks ago
Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago
Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 day ago
Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 day ago
Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 day ago
Manager, Regional Clinical Compliance, JAPACKuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia MYR2,500.00-MYR3,800.00 1 month ago
Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 weeks ago
Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 weeks ago
Expression of Interest: Team Lead - Planning & ReportingKuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 3 days ago
Business Risk and Controls - AVP - Transformation - MalaysiaKuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago
Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-LjbffrGroup Continuous Improvement and Internal Audit Manager
Posted 21 days ago
Job Viewed
Job Description
2. dentify areas for improvement and lead cross-functional teams in process improvement projects. br>3. Utilize lean and methodologies to drive operational excellence.
4. Foster a culture of continuous improvement throughout the organization.
5. Plan and execute internal audits to evaluate the effectiveness of internal controls, compliance with policies, and adherence to regulatory requirements.
6. Prepare audit plans and programs, including risk assessments and testing procedures.
7. Document audit findings, provide recommendations, and work with stakeholders to implement corrective actions.
8. Ensure compliance with industry standards, laws, and regulations.
9. Generate detailed reports and presentations on audit and continuous improvement activities.
10. Communicate findings, insights, and recommendations to senior management.
11. Track and report on key performance indicators related to continuous improvement efforts.
Audit Manager (Cahya Mata Sarawak Management Services Sdn Bhd, Kuching)
Posted 12 days ago
Job Viewed
Job Description
Responsibilities
- To provide support to Management in managing business risks & maintain cost-effective controls across the Group;
- To conduct financial, compliance & operational audits across CMSB Group;
- Lead a team of auditors in carrying out audit assignments and prepare Internal Audit reports to provide value-added recommendations to achieve the right balance between risks & controls which will contribute to improved business profitability;
- To assist Group Internal Auditor in carrying out risk/control assessments and preparation of risk-based Annual Audit Plans;
- To assist Group Internal Auditor in the planning and preparation of internal/external quality assurance programmes;
- To assist Group Internal Auditor in resource planning and IA staff development/training needs;
- Plan and ensure Internal Audit Division’s Business Continuity Program / Disaster Recovery Plan is in place;
- Any other reporting and approved assignments by Group Internal Auditor;
- Successful candidates with high potential or managerial talent may be rotated to line operations after 3-4 years stint as part of the management development plan.
Requirements
- Recognised University Degree in Accounting, Finance, Engineering, Quantity Surveying, IT, MBA or equivalent;
- Preferably a member of IIA, CPA, ACCA, MIA, CIMA, BEM, BQSM, ISACA or other recognised professional bodies;
- Preferably a holder of CIA, CRMA, or CISA;
- Relevant experience (5 years in the internal audit function of a listed entity or public accounting firms, preferably in a ‘Big 4’ firm and/or line experience in financial or operations management);
- Candidates with at least 2 years of managerial experience or candidates who are in the Senior Internal Audit Executive for at least 5 years;
- Ability to lead an audit team including planning assignment, resources and execution & staff development;
- Experience with risk assessment, business process analysis & proven capability to evaluate the adequacy of risk management & internal controls;
- Critical thinking skills, organised, good interpersonal, problem-solving & communication skills including strong report writing abilities with strong command of written and spoken English;
- Proficient with MS Word, Excel, Powerpoint, Google Suite and some knowledge of audit management software.
Interested applicants are invited to submit a complete resume with supporting documents, current and expected salary, contact number and enclose a recent passport-sized photograph to:
Human Capital Planning Unit (Group HR Department)
Cahya Mata Sarawak Management Services Sdn Bhd
T: +60 82 238 888 / F: +60 82 333 828
E:
Closing Date: 29 March 2022
All applications will be treated with strict confidence. Only short-listed candidates shall be notified. Remuneration package for the successful candidate shall commensurate with qualifications and experience.
#J-18808-LjbffrAudit Manager (Cahya Mata Sarawak Management Services Sdn Bhd, Kuching)
Posted today
Job Viewed
Job Description
29 March 2022 All applications will be treated with strict confidence. Only short-listed candidates shall be notified. Remuneration package for the successful candidate shall commensurate with qualifications and experience.
#J-18808-Ljbffr
Audit Executive / Senior Audit Executive (Cahya Mata Sarawak Management Services Sdn Bhd, Kuching)
Posted 18 days ago
Job Viewed
Job Description
Responsibilities
- Conduct financial, compliance, technical & operational risk-based audits across the Group;
- Provide value-added recommendations to achieve the right balance between risks & controls to improve business profitability;
- Prepare quality audit reports or other deliverables;
- Carry out risk/control assessments & assist Audit Managers in developing risk-based annual audit plans;
- Assist Audit Managers in the planning and preparation of internal/external quality assurance programmes.
Requirements
- Recognised University Degree in Accounting, Finance, Engineering, Quantity Surveying, IT, or equivalent;
- Preferably a member of IIA, CPA, ACCA, MIA, CIMA, BEM, BQSM, ISACA or other recognised professional bodies;
- Preferably a holder of CIA, CRMA, or CISA;
- Strong Microsoft Office (Word, PowerPoint, and Excel) and Google Suite skills;
- 2 to 3 years of work experience (4 to 5 years for Senior Audit Executive position) in relevant fields involving risk assessment & business process analysis;
- Proven capability to evaluate the adequacy of risk management & internal controls;
- Senior Audit Executive must be able to lead an audit team, including planning assignments, resources, execution & staff development;
- Critical thinking skills, organised, good interpersonal, problem-solving & communication skills, including strong report writing abilities.
Application Process
Interested applicants are invited to submit a complete resume with supporting documents, current and expected salary, contact number, and a recent passport-sized photograph to:
Human Capital Planning Unit (Group HR Department)
Cahya Mata Sarawak Management Services Sdn Bhd
T: +60 82 238 888 / F: +60 82 333 828
E:
Closing Date: 29 March 2022
All applications will be treated with strict confidence. Only short-listed candidates shall be notified. Remuneration package for the successful candidate shall commensurate with qualifications and experience.
CMS is a great place for career growth and opportunity. We are always seeking dynamic, highly motivated candidates to join us. If you fit the bill, upload your resume and take your first step to a world of opportunities.
#J-18808-LjbffrBe The First To Know
About the latest Audit management Jobs in Malaysia !
Audit Executive / Senior Audit Executive (Cahya Mata Sarawak Management Services Sdn Bhd, Kuching)
Posted today
Job Viewed
Job Description
29 March 2022 All applications will be treated with strict confidence. Only short-listed candidates shall be notified. Remuneration package for the successful candidate shall commensurate with qualifications and experience. CMS is a great place for career growth and opportunity. We are always seeking dynamic, highly motivated candidates to join us. If you fit the bill, upload your resume and take your first step to a world of opportunities.
#J-18808-Ljbffr