Senior Provider Management Officer - 2 Posts at The Social Health Authority (SHA)

Qualifications, Skills and Experience Required:

Person Specifications: For appointment to this grade, an officer must have:

• Cumulative service period of six (6) years’ relevant work experience, three (3) of which should have been at the grade of Provider Management Officer I or in a comparable position.
• Bachelor’s Degree in Commerce, Accounting, Business Administration, Finance or Economics, Business, Medicine, Social Science, or Pharmacy equivalent qualification from a recognized institution.
• Member of the relevant professional body where applicable and in good standing.
• Proficiency in computer applications.
• Shown merit and ability as reflected in work performance and results.

Responsibilities:

Job Description: Duties and responsibilities at this level will entail:

• Ensuring that healthcare providers are operating in line within the set industry and professional standards.
• Analyzing reports from contracted health facilities.
• Supervising contracts implementation.
• Developing and evaluating strategies for Health Facilities Assessment and Onboarding.
• Submitting list of empanelled HCPs duly contracted.
• Developing and implementing strategies for enhancing increased accessibility to healthcare facilities by SHA members.
• Formulating and implementing specifications for empanelment and contracting of healthcare providers locally and in other selected countries.
• Maintaining accessible and credible database of empanelled and active healthcare providers.
• Ensuring assessment of quality health care providers for purposes of declaration.
• Ensuring enforcement and compliance to contractual provisions by healthcare providers.
• Developing recognition strategies using best practice to engage, motivate and retain health care providers to enhance quality service delivery.
• Developing strategies for ensuring broad access to quality health facilities by all members.
• Ensuring contracting of health providers in line with the benefit package.
• Continuously monitoring and reviewing guidelines on access of healthcare services outside the country.
• Monitoring contracts lapse time and initiating renewal process.