Medical Affairs Manager

Job Responsibilities

Ensure that all medical and clinical activities comply with local, national, and international regulations and accreditation standards (JCI, ACHS, MSQH).

Assist in formulating and updating hospital policies and procedures related to medical governance, consultant management, and professional ethics.

Ensure all policy revisions are properly approved, communicated, and implemented across relevant departments.

Maintain and update hospital Medical Staff By Laws, Rules, and Regulations, ensuring these reflect current legislation and best practices.

Establish and maintain a robust Clinical Governance framework that supports ethical clinical practices and decision-making – setup of clinical governance meetings (e.g. MDAC, Division Meeting, Sub‑Division Meeting) by making the necessary logistic arrangements prior to the meeting, sending memos / reminders to doctors, and preparing relevant meeting documents in advance.

Stay updated with changes in healthcare laws, policy and regulations to ensure ongoing compliance in clinical practices – serve as a liaison between the hospital and regulatory bodies (e.g., MMC, NSR) on matters related to medical governance.

Conduct regular internal audits on consultant compliance and governance documentation :

• Ensure all independent practitioners have valid licenses, indemnity coverage, and active National Specialist Register (NSR) or relevant professional certifications;
• Ensure timely renewal and monitoring of Consultant Appointment Letters, Practice Privileges, and Clinic Agreements.

Compliance Monitoring & Risk Management

Documentation and Reporting

Stakeholder & Consultant Relations

Assist and support ongoing ad‑hoc projects and assignments required by the department.

Oversee the credentialing and privileging process for independent consultants, visiting specialists, and employed consultants.

Coordinate review of credentialing applications by the Medical & Dental Advisory Committee (MDAC) and its subcommittees (e.g., Credentialing & Privileging Subcommittee).

Maintain an up‑to‑date Consultant Database including specialty, qualifications, privileges, indemnity, and practice scope.

Implement and monitor re‑credentialing and re‑privileging processes according to hospital policy and accreditation standards.

Ensure new consultants undergo orientation and are briefed on hospital bylaws, code of conduct, and clinical governance expectations.

Job Requirements

Possess Medical Degree / Bachelor of Nursing from an accredited University.

Registered with Malaysian Medical Council (MMC).

Minimum 8 years of experience in healthcare or hospital environment with at least 3 years in medical affairs, clinical governance or compliance management.

Has experience working with independent consultants or medical governance frameworks preferred.

Strong understanding of PHFSA 1998, MMC guidelines, MOH licensing standards and hospital accreditation systems (ACHS, JCI, MSQH).

Application Questions

Your application will include the following questions :

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