Assistant Director, Benefits Management – 2 Posts
Full time @Social Health Authority · SHA posted 3 months ago in Health Care , in Insurance Shortlist Email JobJob Detail
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Job ID 3394
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Offered Salary 1000
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Career Level Others
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Experience 10 Years +
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Gender Both
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Industry Government
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Qualifications Degree Bachelor
Job Description
Assistant Director, Benefits Management – 2 Posts
Qualifications, Skills and Experience Required:
- Cumulative service period of twelve (12) years relevant work experience, three (3) of which must have been at the grade of Principal Benefits Management Officer or a comparable position.
- Bachelor’s degree in Pharmacy, Health Financing, Health Economics, Actuarial Sciences, Statistics, Nursing, Mathematics, Dentistry, or its equivalent.
- Master’s degree in Health Economics, Health Financing, Statistics, Medicine, Mathematics, Public Health, Health System Management, or its equivalent.
- Membership with a relevant professional body, where applicable and in good standing.
- Certificate in Leadership courses lasting for at least four (4) weeks.
- A valid practicing license where applicable from a recognized institution.
- Proficiency in computer applications.
- Demonstrated managerial, administrative, and professional competence in work performance and results.
Responsibilities:
- Planning Strategic and operational Health Benefits management, risk assessments, and performance monitoring.
- Formulating, implementing, and reviewing policies and strategies for effective Health Benefits management.
- Implementing strategic purchasing of prescribed benefit packages to ensure efficiency, equity, and cost-effectiveness.
- Collaborating with the Health Benefits Package & Tariffs Advisory Panel in evidence-based designing, reviewing, and updating of Benefit packages and Tariffs.
- Implementing prescribed Benefits packages and Tariffs under Primary Healthcare Fund, Social Health Insurance Fund, and Emergency, Chronic and Critical Illness Fund for various facility levels.
- Analysing the cost-effectiveness, affordability, and budget impact of health benefit offerings and recommending optimizations.
- Coordinating the effective implementation and continuous improvement of Benefits and Tariffs management information systems.
- Coordinating data collection and analysis for claim management.
- Compiling reports on Benefits Management.
- Developing, implementing, and reviewing robust internal controls to safeguard the sustainability, affordability, and integrity of benefit packages.
- Ensuring compliance with local and international standards in Benefits Management.
- Coordinating the development and execution of policies and strategies for business process re-engineering.
- Providing expert guidance on reviewing and amending the Social Health Insurance Act.
- Fostering trust and transparency through collaboration with stakeholders.
Applicants must satisfy the requirements of Chapter Six of the Constitution of Kenya by submitting valid and current copies of the following:
- Certificate of Good Conduct from the Directorate of Criminal Investigations.
- Tax Compliance Certificate from the Kenya Revenue Authority.
- Clearance Certificate from the Higher Education Loans Board (HELB).
- Clearance Certificate from the Ethics and Anti-Corruption Commission (EACC).
- Report from a Credit Reference Bureau (CRB).
SHA is an equal opportunity employer committed to diversity and gender equality. Canvassing will lead to automatic disqualification. Only shortlisted candidates will be contacted.
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