Senior Registration and Compliance Officers - 99 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 Registration and Compliance 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:

• Carrying out the empanelment process for licensed health providers and facilities to ensure compliance with the SHA Act.
• Carrying out beneficiary registration processes and addressing any issues that arise.
• Monitoring operational activities for compliance with the SHA Act.
• Conducting compliance audits on providers and beneficiaries.
• Implementing operational strategies for member registration and public education.
• Engaging with stakeholders to support membership registration efforts.
• Collaborating with County Governments and partners to promote SHA membership.
• Participating in stakeholder engagement activities to achieve registration and revenue targets.
• Implementing performance-based contracting methodologies and monitoring contract performance.
• Preparing monitoring and evaluation reports for review.
• Implementing clinical audit policies and strategies.
• Conducting health needs assessments and risk assessments.
• Participating in Health Needs Assessments for clinical interventions and technologies.
• Assisting in the inclusion of drugs and consumables in the SHA positive list.