Ongoing Recruitment at The Social Health Authority (SHA)

​​​​​​Responsibilities:

Duties at this level entail overseeing the empanelment of licensed and satisfied health providers and facilities to ensure compliance with the SHA Act, regulations, and guidelines, and spearheading the efficient, transparent, and inclusive registration of beneficiaries. The Director monitors compliance with the SHA Act across all operational activities, providing strategic guidance to Operations Managers. Other responsibilities include coordinating the development, implementation, monitoring, and review of sustainable operational strategies for registration and public education/awareness and liaising with the Strategy and Planning team to optimize value for money in healthcare service purchasing through business process re-engineering. The role involves engaging with stakeholders in Public, Private, and Sponsored Programs Sectors to identify membership registration opportunities, ensuring collaboration with County Governments for SHA membership among residents, and overseeing stakeholder engagement activities to meet registration and revenue targets. The Director also develops and implements performance-based contracting methodologies (including indicators, monitoring, and payment terms), coordinates the production and dissemination of monitoring and evaluation reports, ensures the implementation of clinical audit policies, and develops methodologies for strategic and operational planning (including health needs and risk assessments). Participation in Health Needs Assessments for clinical interventions, pharmaceuticals, and technologies is also required.

Person Specifications (Minimum Requirements): For appointment to this grade, an Officer must have:

• Cumulative service period of fifteen (15) years relevant work experience, with five (5) of those years in a senior management position or equivalent.
• A Bachelor’s Degree in Commerce, Accounting, Business Administration, Finance or Economics, Business, Medicine, Social Science, Pharmacy, or equivalent qualification from a recognized institution.
• A Master’s Degree in Strategic Management, Finance, Business Administration, or equivalent qualification from a recognized institution.
• Membership to the relevant professional body where applicable and in good standing.
• A Certificate in Leadership Course lasting not less than four (4) weeks from a recognized institution.
• A valid practicing license where applicable.
• Proficiency in computer applications.
• Demonstrated merit and ability as reflected in work performance and results.

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Responsibilities:

Duties and responsibilities entail overseeing the implementation of actuarial assessment and benefit design policies, strategies, guidelines, and processes. The Director undertakes actuarial assessments to inform benefit packages and coordinates the implementation of internal control measures for sustainable insurance and medical schemes. This role also involves overseeing the implementation of appropriate rating guidelines for existing products, coordinating the preparation of periodic actuarial assessment and benefit design reports, and overseeing the identification, customization, and implementation of appropriate medical coding systems and health management information systems. The Director oversees the design and development of models for new benefits packages based on customer needs, reviews, processes, and validates medical claims from healthcare providers, and appraises medical claims based on the benefit package. Issuing pre-authorizations for healthcare services, developing an e-claims management system, undertaking quality assurance surveillance for claims, and establishing systems to detect and identify fraud are also key responsibilities. The Director sensitizes claimants on the consequences of submitting false claims, collects and analyzes data for claim management, prepares quarterly claims reports for submission to the Board and Cabinet Secretary, and manages contracted and outsourced claims management services.

Qualifications, Skills and Experience Required:

Person Specifications (Minimum Requirements): For appointment to this grade, a candidate must have:

• Cumulative service of fifteen (15) years of work experience, with five (5) of those years at a Senior Management level or in a comparable position.
• A Bachelor’s Degree in Medicine, Nursing, Clinical Medicine, Medicine and Surgery, Statistics, Mathematics, Health Financing, Health Economics, Pharmacy, Actuarial Sciences, Dentistry, or equivalent qualification from a recognized institution.
• A Master’s Degree in Medicine, Nursing, Medicine and Surgery, Business Administration, Public Health, Health System Management, Health Economics, Health Financing, Statistics, Mathematics, or equivalent qualification from a recognized institution.
• A valid practicing license where applicable from a recognized institution.
• Membership of a recognized professional body and in good standing.
• A Certificate in Leadership courses lasting for at least four (4) weeks from a recognized institution.
• Demonstrated managerial, administrative, and professional competence in work performance and results.

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Responsibilities:

Job Purpose:

The Director of Corporate Services provides leadership, direction, and coordination in the provision of corporate support services at SHA, including Human Resource Management, Administration, Corporate Communication, and Information and Communication Technology.

Job Description:

Duties and responsibilities entail advising the Chief Executive Officer with timely and accurate advice on Human Resource Management, Corporate Communication, Administration, and Information Communication Technology activities. The Director oversees the development and implementation of strategic and operational plans for these departments, fostering accountability and success. Key functions include spearheading a strong internal customer service culture, building a sustainable positive workforce environment, and promoting continuous improvement and business excellence. The role coordinates the review of corporate services' policies and procedures, oversees enforcement of statutory regulations affecting HR, Administration, Corporate Communication, and ICT operations, and develops/maintains strategies for property management, assets, acquisition, disposal, and rationalization. The Director also oversees administrative and logistical support services (mail, reception, transport), directs maintenance and security of Authority infrastructure, develops team capability reflecting organizational values, and provides administrative support through transport, security, records, facilities, and asset management. Oversight of outsourced services (cleaning, insurance, security, fire protection) and ensuring occupational safety and health standards are established and complied with are also critical. Finally, the Director ensures compliance with legal and statutory requirements.

Qualifications, Skills and Experience Required:

Person Specifications (Minimum Requirements): For appointment to this grade, a candidate must have:

• A minimum period of fifteen (15) years of relevant work experience, with five (5) years in a Senior management position or a comparable role.
• A Bachelor's degree in Human Resource Management, Public Administration, Business Administration, Business Management, Political Science, Public Communication, Computer Science, Information Technology, Information Systems, Information Science, Business Information Technology, Electrical Engineering, Telecommunication Engineering, or equivalent qualification from a recognized institution.
• A Master’s Degree in any of the above-listed disciplines or equivalent qualification from a recognized institution.
• Relevant Professional qualification from a recognized institution.
• Membership to a professional body where applicable and in good standing.
• A Certificate in Leadership course lasting not less than four (4) weeks from a recognized institution.
• A valid practicing licence where applicable.
• Proficiency in computer applications.
• Demonstrated managerial, administrative, and professional competence in work performance and results.

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Responsibilities:

Duties and responsibilities entail establishing a pool for receiving and paying funds for Primary Health Care (PHC), Social Health Insurance (SHI), Emergency, Chronic Diseases, and Critical Illness (ECC) services, and overseeing resource mobilization for these funds from various sources (National Assembly appropriations, household contributions, grants, donations, fees, levies, gifts). The Director ensures funds are received for health services, oversees the strategic purchasing of PHC, SHI, and ECC Health Care services from contracted facilities, and leads the development and review of operational guidelines for these funds. Other key responsibilities include leading the planning and budgeting process for all funds, ensuring the preparation and submission of annual financial statements to relevant agencies, identifying resource gaps, and lobbying for adequate fund allocation. The Director ensures the maintenance of books of accounts, prepares periodic reports on operations and performance, collaborates with government agencies on capacity building and stakeholder engagement, and ensures compliance with statutory and regulatory requirements. Engaging with service providers for efficient health service delivery, developing mechanisms to track and report fund flows for transparency and accountability, monitoring recovery of medical benefits funds, evaluating fund utilization and impact, overseeing capacity-building initiatives, coordinating integrated data sharing, and developing long-term strategies for expanding coverage are also crucial functions.

Qualifications, Skills and Experience Required:

Person Specifications (Minimum Requirements): For appointment to this grade, an Officer must have:

• Cumulative service period of fifteen (15) years relevant work experience, with five (5) of those years in a senior management position or a comparable role.
• A Bachelor’s Degree in Commerce, Accounting, Business Administration, Finance or Economics, Business, Medicine, Social Science, Pharmacy, or its equivalent qualification from a recognized institution.
• A Master’s Degree in Strategic Management, Finance, Business Administration, or equivalent qualification from a recognized institution.
• Membership to the relevant professional body where applicable and in good standing.
• A Certificate in Leadership Course lasting not less than four (4) weeks from a recognized institution.
• A valid practicing licence where applicable.
• Proficiency in computer applications.
• Demonstrated merit and ability as reflected in work performance and results.

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Qualifications, Skills and Experience Required:

Person Specifications (Minimum Requirements): For appointment to this grade, an Officer must have:

• Cumulative service period of fifteen (15) years relevant work experience, five (5) of which should have been at senior management level or in a comparable position in the public or private sector. 
• Master’s degree in any of the following disciplines: Commerce (Accounting/Finance option), Economics, Mathematics, Statistics, Auditing, Business Administration or its equivalent qualification from a recognized institution;
• Bachelor’s degree in any of the following disciplines: Commerce (Accounting/Finance option), Economics, Mathematics, Statistics, Business Administration or its equivalent qualification from a recognized institution; 
•  Membership to the relevant professional body where applicable and in good standing.
• A Certificate in Leadership Course lasting not less than four (4) weeks from a recognized institution.
• A valid practicing licence where applicable.
• Proficiency in computer applications.
• Demonstrated merit and ability as reflected in work performance and results.  

Key Competencies

• Strong analytical skills
• Communication skills
• Strong interpersonal skills
• Negotiation skills

Responsibilities:

Job Purpose

The Director, Internal Audit, will oversee the operations of the Internal Audit function within the Authority, by assessing and giving recommendations on the effectiveness of internal controls, risk management, and governance processes. This role is responsible for providing strategic leadership, direction, and coordination of the internal audit function in line with the provisions of the Social Health Insurance Act, 2023. The position plays a key role in integrating the Authority’s audit functions with its strategic goals to drive operational effectiveness, ensure compliance with statutory and regulatory frameworks, and enhance the reliability and integrity of the organization’s operations.

Job Description

The Director, Internal Audit shall:

• Formulate, seek approval by the Board and coordinate the implementation of internal audit directorate policies, strategies and procedures
• Harmonize and align the internal audit directorate’s functions with the strategic objectives of the Authority
• Prepare and seek approval of the Annual Audit Plan by the Board Audit Committee and ensure effective implementation of the approved plan
• Provide secretarial services to the Audit Committee of the Board, ensuring effective communication of audit findings and recommendations.
• Report audit findings to Management and the Board’s Audit Committee, ensuring transparency and adherence to the SHI Act 2023’s reporting requirements.
• Advise the Board, Senior Management and the CEO on emerging trends and developments affecting internal controls, governance and risk management, and proactively recommend corrective actions and improvements. 
• Oversee the implementation of audit recommendations (both internal and external), tracking progress and reporting updates to Senior Management and the Audit Committee to ensure continuous improvement in operational controls.
• Foster effective collaboration with the Board Audit Committee, staff, external auditors, relevant government agencies, and other stakeholders, ensuring all audit processes are in line with the SHI Act 2023.
• Review and evaluate the progress made towards achieving the strategic plan objectives and performance targets, reporting findings to the CEO and Senior management, with actionable insights for improvement.
• Provide timely and accurate advice to the Chief Executive Officer on the performance of internal audit functions in alignment with the Authority’s strategic goals, operational plans, and budget, ensuring compliance with the Social Health Insurance Act, 2023.
• Coordinate the activities of external auditors and other assurance providers geared towards improving operations of the Authority. 
• Ensure performance targets are set and performance assessment undertaken for staff within the directorate.

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Qualifications, Skills and Experience Required:

• Fifteen (15) years of cumulative service period of relevant work experience, with at least three (3) years at Assistant Director level or comparable.
• Bachelor’s Degree in Medicine, Nursing, Clinical Medicine, Medicine and Surgery, Statistics, Mathematics, Health Financing, Health Economics, Pharmacy, Actuarial Sciences, Dentistry, Commerce, Accounting, Business Administration, Finance or Economics, Business, Social Science, or equivalent from a recognized institution.
• Master’s Degree in Medicine, Nursing, Medicine and Surgery, Business Administration, Public Health, Health System Management, Health Economics, Health Financing, Statistics, Mathematics, Strategic Management, Finance, Business Administration, or equivalent from a recognized institution.
• Membership of a recognized professional body/Institute in good standing.
• Certificate in Leadership courses lasting at least four (4) weeks from a recognized institution.
• A valid practicing license where applicable from a recognized institution.
• Demonstrated managerial, administrative, and professional competence in work performance and results.

Responsibilities:

Job Purpose: 

This cadre is responsible for implementing the SHI Act in respective areas of jurisdiction and ensuring efficient and effective service delivery through Branch Offices, Huduma, and Primary Care Network (PCN) Centres. Deputy Directors from Registration and Compliance, Claims Management, and Benefits Management may be deployed to this office.

Job Description: 

• Overseeing implementation of the SHA Act, legislations, policies, strategies, standards, and guidelines.
• Monitoring, analyzing, and reporting on the performance of Branches as a strategic business unit.
• Driving member registration, revenue collection, and claims processing in the Branch.
• Identifying new business opportunities within the Region of jurisdiction through analysis of needs and trends, and providing documented recommendations.
• Initiating and recommending the establishment and relocation of branches within the region.
• Implementing strategies to eliminate fraud, wastage, and abuse at branch level.
• Supporting engagement of communities within the Region to build the credibility and reputation of SHA and the social insurance sector.
• Enhancing communication between Branches in the Region, Headquarters, and other business functions like Huduma Centers.
• Ensuring prudent management of Cost Centers.
• Liaising with branch heads to prepare work plans and budgets.
• Following up medical cases to identify and manage high-risk cost cases.
• Preparing and submitting periodic reports on branch performance.
• Convening periodical stakeholder engagements.
• Ensuring audit functions are conducted at the region and branch offices.
• Preparing regular financial and operations reports for the Region.
• Monitoring benefit administration and utilization in Branches.
• Arbitrating between Branches regarding areas of jurisdictions.
• Providing assurance that appropriate institutional policies and procedures are followed.
• Evaluating the adequacy and reliability of information available to branch management for decision-making.

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Qualifications, Skills and Experience Required:

• Fifteen (15) years of cumulative service period of relevant work experience, with at least three (3) years at Assistant Director, Legal Services or comparable.
• Bachelor of Laws degree from a recognized and accredited institution.
• Master’s degree in Law from a recognized and accredited institution.
• Post Graduate Diploma in Law from Kenya School of Law.
• Admitted as an Advocate of the High Court of Kenya with a valid Practicing Certificate.
• Certificate in Leadership Course lasting not less than four (4) weeks from a recognized and accredited institution.
• Registered as a member of the Law Society of Kenya in good standing.
• Proficiency in computer applications.
• Demonstrated merit and ability as reflected in work performance and results.

Responsibilities:

Job Purpose: 

Legal Officers are responsible for providing legal advisory services to the Board and Management of the Authority including contract preparation and administration, legislative drafting, and compliance with legal and regulatory legislation.

Functions: 

• Developing and vetting policy papers and instruments with legal implications for approval by the Authority.
• Advising the Authority on statutory obligations.
• Conducting Legal Due Diligence on all prospective Lessees, Licensees, Partners or other third parties with whom the Authority is to enter a legal relationship.
• Ensuring timely compliance with rules and regulations affecting the Authority, including the Code of Conduct and Ethics.
• Attending to all legal matters of the Authority including advising, vetting, and drafting of legal agreements.
• Providing legal guidance on contractual and statutory obligations binding to the Organization.
• Coordinating litigations for the Authority.
• Providing guidance on governance and adherence to statutory obligations.
• Preparing all Authority’s contracts, handling all litigation and conveyance matters.
• Facilitating the development of all Bills and Policies that have bearing on the Authority’s mandate.
• Establishing and managing the Legal Registry.
• Providing and interpreting legal information, conducting training, and disseminating appropriate legal requirements to staff.
• Safeguarding the Authority’s interests and ensuring they are adequately defended before the courts.
• Managing, reviewing, and monitoring progress of all outstanding litigation.
• Issuing instructions and liaising with the Authority’s appointed Advocates to ensure they act in the Authority’s interest.
• Ensuring the Authority complies with constitutional, regulatory, and all relevant laws in force through legal advisory services and efficient contractual risk management.
• Undertaking extensive review of different requests for approval, licenses, to ascertain legal soundness and ensure proper implementation.
• Documenting and maintaining records of all enforcement and compliance assignments and developing legal accountability structures.
• Managing, reviewing, and updating all the Authority’s codes, regulations, rules, guidelines, and by-laws for consistency and compliance with National and County Legal Frameworks.
• Establishing and managing the Authority’s Alternative Dispute Resolution Mechanism.
• Developing the Authority’s proactive and preventive legal policies and strategies aimed at forestalling disputes, controversies, and litigation.
• Advising the Board, Management, and relevant Departments on changes in Law.

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Qualifications, Skills and Experience Required:

• Fifteen (15) years of cumulative service period of relevant work experience, with at least three (3) years at Assistant Director, Provider Management or comparable.
• Bachelor’s Degree in Commerce, Accounting, Business Administration, Finance or Economics, Business, Medicine, Social Science, or Pharmacy equivalent qualification from a recognized institution.
• Master’s Degree in Strategic Management, Finance, Business Administration or equivalent qualification from a recognized institution.
• Member of the relevant professional body where applicable and in good standing.
• Certificate in Leadership Course lasting not less than four (4) weeks from a recognized institution.
• A valid practicing license where applicable from a recognized institution.
• Proficiency in computer applications.
• Demonstrated merit and ability as reflected in work performance and results.

Responsibilities:

Job Purpose:

 This cadre is responsible for supporting adherence to and public awareness of referral guidelines and the Empanelment of healthcare providers, ensuring they operate in line with established industry and professional standards.

Functions: 

• Enforcement of compliance with SHI ACT, related legislation and policies on beneficiary and provider management.
• Coordinating the development, implementation, monitoring, and reviewing of sustainable operational strategies relating to beneficiary, provider, and stakeholders’ management.
• Liaising with Strategy and Planning function in the development, implementation, and review of SHA policies relating to beneficiary, provider, and stakeholders’ management.
• Engaging with stakeholders in the Public, Private, and Sponsored Programs Sectors towards attainment of Universal Health Coverage.
• Providing technical advice to the CEO and Board of Management on issues pertaining to beneficiary, provider, and stakeholders’ management.
• Coordinating the development and implementation of strategies and policies to enhance beneficiary, provider, and stakeholders management.
• Coordinating the development and implementation of strategies for enhancing increased geographical access to healthcare services.
• Coordinating the implementation of quality improvement strategies and policies in empanelled health care facilities.
• Resolving complaints from both Beneficiaries and Providers.
• Production and dissemination of all monitoring and evaluation reports including statistical reports for beneficiary and Provider Management.
• Establishing, maintaining, and updating quality assurance systems in accordance with International Best Practices.
• Collecting, analyzing, monitoring, and controlling reports from contracted health facilities.
• Administering contracts, including preparing, signing, reviewing, adjustment, and payment based on performance reports.
• Coordinating the Performance Contracting process.
• Defining standard operating procedures for the implementation of performance-based contracting, including contract performance monitoring, performance verification, payments, sanctions, grievance redress, and contract renewal and modification.
• Overseeing empanelment of healthcare providers and ensuring they are operating in line with the set industry and professional standards.

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Qualifications, Skills and Experience Required:

• Fifteen (15) years of cumulative service period of relevant work experience, with at least three (3) years at Assistant Director, Registration and Compliance or comparable.
• Bachelor’s Degree in Commerce, Accounting, Business Administration, Finance or Economics, Business, Medicine, Social Science, or Pharmacy equivalent qualification from a recognized institution.
• Master’s Degree in Strategic Management, Finance, Business Administration, or equivalent qualification from a recognized institution.
• Member of the relevant professional body, where applicable, and in good standing.
• Certificate in Leadership Course lasting not less than four (4) weeks from a recognized institution.
• A valid practicing license, where applicable, from a recognized institution.
• Proficiency in computer applications.
• Demonstrated merit and ability as reflected in work performance and results.

Responsibilities:

Job Description: 

• Coordinating the empanelment of licensed and satisfied health providers and health facilities to ensure compliance with the SHA Act, regulations, and relevant guidelines.
• Coordinating registration of beneficiaries and ensuring the process is efficient, transparent, and inclusive.
• Monitoring compliance with the SHA Act and related legislation across all operational activities and providing strategic guidance.
• Developing, implementing, monitoring, and reviewing sustainable operational strategies for registration and public education and awareness.
• Liaising with the Strategy and Planning team to develop, implement, and review SHA policies related to business process re-engineering for optimizing value for money in healthcare service purchasing.
• Engaging with stakeholders in the Public, Private, and Sponsored Programs Sectors to identify and optimize membership registration opportunities.
• Collaborating with County Governments and other potential partners to ensure all respective county residents have SHA membership.
• Overseeing stakeholder engagement activities to enhance the achievement of set targets in member registration and revenue collection.
• Developing and implementing performance-based contracting methodologies, including performance indicators, quality indicators, contract monitoring, and payment terms.
• Coordinating the production and dissemination of all monitoring and evaluation reports, including statistical reports.
• Ensuring the implementation of policies and strategies for effective and efficient clinical audits.
• Developing methodologies for strategic and operational planning, including health needs assessment, risk assessments, and progress monitoring against strategic objectives.
• Participating in Health Needs Assessments for clinical interventions, pharmaceuticals, and technologies with other responsible bodies.

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Qualifications, Skills and Experience Required:

• Fifteen (15) years of cumulative service period of relevant work experience, with at least three (3) years in the grade of Assistant Director, Fund Management or comparable.
• Master’s degree in Commerce (Finance/Accounting option), Economics, Business Management, Finance, Business Administration, or equivalent from a recognized institution.
• Bachelor’s degree in Commerce (Finance/Accounting option), Economics, Mathematics, Statistics, Business Administration, or equivalent from a recognized institution.
• Certified Public Accountant (CPA)K by KASNEB or any other relevant qualification from a recognized institution.
• Membership in a relevant professional body where applicable and in good standing.
• A valid practicing license where applicable from a recognized institution.
• Certificate in Leadership course lasting not less than four (4) weeks from a recognized institution.
• Proficiency in computer applications.
• Demonstrated merit and ability as reflected in work performance and results.

Responsibilities:

Job Purpose: 

• Funds and Management Officers are responsible for ensuring the Authority's financial resources are collected and managed prudently, accountably, and transparently to achieve effectiveness, economy, and efficiency, and maintaining a financial management system for accurate and reliable accounts useful for management decisions and statutory reporting.

Functions: 

• Advising the Director of Funds & Financial Management on the strategic direction of funds.
• Coordinating annual estimates and overall budget preparation for all Funds under SHA.
• Preparing and reviewing annual work plans for the funds.
• Overseeing the development and implementation of reforms in budget processes for the funds.
• Liaising with the exchequer and Parent Ministry to ensure timely and complete disbursements of budget allocations.
• Monitoring and reviewing financial and physical implementation of Fund-related projects and programs.
• Ensuring accurate maintenance of Fund accounts records and adherence to approved financial policies and procedures.
• Coordinating responses to queries raised in audit management reports/letters for all Funds.
• Coordinating the preparation and submission of quarterly and annual accounts for all Funds.
• Ensuring the maintenance and regular updating of general ledgers and financial systems.
• Ensuring timely preparation and distribution of accurate financial reports.
• Identifying deficits/gaps in Funding in collaboration with Planning and Linkages and recommending priority areas.
• Implementing financial management and accounting regulations, systems, and procedures as per the PFMA.
• Ensuring prudent financial management in the Fund.
• Ensuring the Funds’ assets and liabilities are safeguarded and recorded correctly.
• Ensuring the verification of claims received from the claims management office based on prescribed tariffs, verified claims, and benefit package.
• Overseeing the payment of health providers and health facilities for quality health services.
• Mentoring, coaching, and developing staff.

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Qualifications, Skills and Experience Required:

• Fifteen (15) years of cumulative service period of relevant work experience, with at least three (3) years in the grade of Assistant Director, Finance and Accounts or comparable.
• Master’s degree in Commerce (Finance/Accounting option), Economics, Business Management, Finance, Business Administration, or equivalent from a recognized institution.
• Bachelor’s degree in Commerce (Finance/Accounting option), Economics, Mathematics, Statistics, Business Administration, or equivalent from a recognized institution.
• Certified Public Accountant (CPA)K by KASNEB or any other relevant qualification from a recognized institution.
• Membership in a relevant professional body where applicable and in good standing.
• A valid practicing license where applicable from a recognized institution.
• Certificate in Leadership course lasting not less than four (4) weeks from a recognized institution.
• Proficiency in computer applications.
• Demonstrated merit and ability as reflected in work performance and results.

Responsibilities:

Job Purpose: 

• This cadre is responsible for ensuring prudent management of financial resources and the reporting thereof within the existing legal framework.

Functions: 

• Coordinating development and implementation of financial regulations, policies, strategies, and plans.
• Reviewing budgets.
• Implementing Budgetary and expenditure control.
• Facilitating monitoring of revenue collection and expenditure based on approved budgets.
• Ensuring preparation of bank reconciliation statements.
• Developing and implementing internal financial controls.
• Coordinating preparation of financial and management reports and statements.
• Managing accurate and complete financial records of the Authority.
• Ensuring compliance with relevant laws, regulations, procedures, and guidelines.
• Coordinating the maintenance of financial records for projects and programs.
• Communicating the approval of annual estimates to various departments.
• Coordinating proposals for supplementary funds and re-allocations.
• Coordinating Government grants and other donor funds.
• Authorizing payments and claims within set limits as approved.
• Spearheading the identification, analysis, and management of financial risk control in the Authority.
• Responding to parliamentary questions and audit queries.
• Overseeing the preparation of periodic financial management reports.

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Qualifications, Skills and Experience Required:

• Fifteen (15) years of cumulative service period of relevant work experience, with at least three (3) years at Assistant Director, Benefits Management Officer or comparable. 
• Bachelor’s degree in Actuarial Science, Statistics, Mathematics, Commerce, Business Administration, Risk Management, Insurance, or equivalent from a recognized institution.
• Master’s degree in Actuarial Science, Statistics, Mathematics, Business Administration, Strategic Management, Risk Management, Insurance or equivalent from a recognized institution.
• Membership with a relevant professional body, where applicable and in good standing.
• Certificate in Leadership courses lasting at least four (4) weeks from a recognized institution.
• A valid practicing license where applicable from a recognized institution.
• Proficiency in computer application.
• Demonstrated managerial, administrative, and professional competence in work performance and results.

Responsibilities:

Job Purpose: 

• The role of an actuary (within this cadre) is to provide independent advice on the financial risks facing an insurer; and determine profitability and sustainability of coverage of policies. The primary responsibility is to assess and manage the financial risks associated with reinsurance contracts and portfolios.

Functions: 

• Ensuring strategic and operational planning for Health Benefits management, risk assessments, and monitoring performance against strategic objectives in collaboration with other departments.
• Formulating, implementing, and reviewing policies and strategies for effective and efficient Health Benefits management in collaboration with other departments.
• Coordinating strategic purchasing of prescribed benefit packages in close collaboration with the Directorate of Fund Management and other departments, ensuring efficiency, equity, and cost-effectiveness in service delivery.
• Collaborating with the Health Benefits Package & Tariffs Advisory Panel in evidence-based designing, reviewing, and updating of Benefit packages and Tariffs.
• Coordinating the implementation of prescribed Benefits packages and Tariffs under the Primary Healthcare Fund (for levels 2, 3, and select 4 providers/facilities), Social Health Insurance Fund (for levels 4, 5, and 6 providers/facilities), and the Emergency, Chronic and Critical Illness Fund (for levels 2-6 facilities/providers).
• Analyzing the cost-effectiveness, affordability, and budget impact of health benefit offerings and recommending optimizations to maintain sustainability.
• Collaborating with the Benefit Package & Tariffs Advisory Panel to ensure transparent and inclusive design, review, and implementation processes for benefits packages and tariffs through stakeholder engagement.
• Overseeing effective implementation and continuous improvement of Benefits and Tariffs management information systems, ensuring they support efficient operations and member satisfaction.
• Providing guidance in collecting and analyzing data for purposes of health Benefits management in collaboration with other departments.
• Ensuring preparation of reports on Benefits Management.
• Establishing, implementing, and reviewing robust internal controls to safeguard the sustainability, affordability, and integrity of benefits packages for all stakeholders.
• Ensuring effective collaboration with external stakeholders.
• Ensuring compliance with local and international standards in Benefits Management (as prescribed in the Act), fostering alignment with globally recognized best practices and enhancing the Authority’s reputation.
• Overseeing development and execution of policies and strategies for business process re-engineering, driving innovation and efficiency in Benefits Management.
• Overseeing provision of expert guidance in Benefits management on reviewing and amending the Social Health Insurance Act, ensuring responsiveness to the evolving healthcare landscape and adherence to quality standards.

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Qualifications, Skills and Experience Required:

• Fifteen (15) years of cumulative service period of work experience, with at least three (3) years at Assistant Director, Claims Management Officer or comparable.
• Bachelor’s Degree in Medicine and Surgery from a recognized institution (for Medical Review). 
• Master’s Degree in Medicine and Surgery from a recognized institution (for Medical Review).
• A valid practicing license from a recognized institution.
• Certificate in Leadership course lasting not less than four (4) weeks from a recognized institution.
• Proficiency in computer applications.
• Demonstrated managerial, administrative, and professional competence in work performance and results.

Responsibilities:

Job Purpose: 

• This cadre is responsible for ensuring that claims are processed and cases are managed efficiently and effectively.

Functions: 

• Coordinating medical reviews and interpretation of medical reports.
• Overseeing the reviewing, processing, and validating of medical claims from healthcare providers and healthcare facilities to ensure accuracy and adherence to policies.
• Coordinating the appraisal of medical claims based on the benefit package to ensure fair and timely disbursement of funds.
• Overseeing the issuance of pre-authorizations for access to healthcare services based on the benefit package while ensuring efficiency in service delivery.
• Ensuring assessment of quality health care providers for purposes of declaration.
• Ensuring enforcement and compliance with contractual provisions by healthcare providers.
• Spearheading the development and operationalization of an e-claims management system for improved claims processing and fraud detection.
• Coordinating the undertaking of quality assurance surveillance in respect of claims to identify gaps and recommend corrective actions.
• Establishing systems and controls for detecting and identifying fraud appropriate to the Authority’s exposure and vulnerability to minimize financial risks.
• Facilitating sensitization of claimants on the consequences of submitting false and fraudulent claims to enhance compliance and transparency.
• Coordinating the collection and analysis of data for purposes of claim management to inform strategic decisions and policy formulation.
• Supervising the preparation of quarterly reports on claims for submission to the Board and the Cabinet Secretary to ensure timely reporting and accountability.
• Carrying out any other functions as necessary for the better execution of the Authority’s mandate under the Act.
• Coordinating the management of contracted and outsourced claims management services to enhance efficiency and service delivery.

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Qualifications, Skills and Experience Required:

• Fifteen (15) years of cumulative service period of relevant work experience, with at least three (3) years at Assistant Director, Human Resource Management and Development or comparable.
• Bachelor's degree in Human Resource Management or equivalent, OR Bachelor’s degree in Social Science, Public Administration, Business Administration, or equivalent plus Higher Diploma in Human Resource from a recognized institution.
• Master's degree in Human Resource Management, Administration, Business Administration, or equivalent.
• Certified Human Resource Practitioners (CHRP-K) with a valid practicing license.
• Certificate in Leadership Course or its equivalent lasting not less than four (4) weeks from a recognized institution.
• Membership of the Institute of Human Resource Management in good standing.
• A valid practicing license where applicable from a recognized institution.
• Proficiency in computer applications.
• Demonstrated merit and ability as reflected in work performance and results.

Responsibilities:

Job Purpose: 

• Human Resource Officers are responsible for the planning, recruitment, deployment, development, and retention of competent and adequate human capital across all functions of the Organization to meet its strategic business objectives.

Functions: 

• Providing professional leadership in the development and implementation of human resources plans and budgets.
• Conducting workforce analysis, determining optimum staff requirements, and designing organizational structure to maximize synergies.
• Analyzing organizational structures, business processes, and workplace relationships to strengthen collaboration.
• Overseeing job analysis to develop job descriptions and competency profiles for human capital planning, recruitment, performance management, job evaluation, pay structure design, and career planning.
• Coordinating the recruitment and selection process to ensure SHA has qualified human resources.
• Developing and coordinating the implementation of staff induction and on-the-job orientation programmes.
• Assessing training needs analysis and baseline attitude surveys to design and implement relevant training programmes.
• Coordinating the implementation of the performance management system, ensuring continuous monitoring and measurement of performance.
• Overseeing the implementation of an effective human resource management information system for monitoring employee activities.
• Overseeing proper maintenance, storage, and security of personnel records.
• Coordinating resolution of employee grievances and disciplinary cases, and assisting employees with counseling services.
• Administering the provision of employee medical and insurance packages.
• Developing and implementing human resource policies and procedures aimed at enhancing workplace relations and employee commitment.
• Liaising with relevant professional bodies and government agencies on the interpretation and application of human resource management regulations.
• Developing, implementing, and evaluating staff career and succession plans to ensure attraction, retention, motivation, and job satisfaction.

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Qualifications, Skills and Experience Required:

• Fifteen (15) years of cumulative service period of relevant work experience, with at least three (3) years in a Management Level or comparable position.
• Bachelor’s degree in Social sciences or Administration/Management from a recognized institution.
• Master’s degree in Social sciences or Administration/Management from a recognized institution.
• Certificate in Leadership Course lasting not less than six (6) weeks from a recognized institution.
• Membership to a relevant professional body where applicable and in good standing.
• A valid practicing license where applicable from a recognized institution.
• Proficiency in computer application skills.
• Shown merit and ability as reflected in work performance and results.

Responsibilities:

Job Purpose: 

This cadre is responsible for providing support services in transport logistics, office management, outsourced services, asset inventory, and other related support services to the organization.

Functions: 

• Devising and implementing security procedures and policies.
• Planning of office accommodation/layout to ensure proper usage of space and effective workflow.
• Participating in reviewing and developing procurement policies and procedures for office supplies.
• Facilitating overall general office services.
• Maintaining office equipment and disposing of unserviceable equipment through approved procedures.
• Ensuring general cleanliness.
• Controlling the location and movement of equipment.
• Coordinating security services of the Authority.
• Overseeing maintenance and provision of transport.
• Ensuring organization assets are safeguarded.
• Overseeing provision of transport, logistics, security, and other support services.
• Liaising with stakeholders on security matters.
• Coordinating investigations of all security incidences.
• Recommending rental management; ensuring smooth operations of administrative services.
• Ensuring safe custody and proper handling of the Authority’s vehicles and other resources.

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Qualifications, Skills and Experience Required:

• Fifteen (15) years of cumulative service period of relevant work experience, with at least three (3) years at Assistant Director, ICT or comparable.
• Bachelor's degree in Computer Science, Computer Engineering, Information Technology, Business Information Technology, or equivalent from a recognized institution.
• Master's degree in Computer Science, Software Engineering, Information Technology, Business Information Technology, or equivalent from a recognized institution.
• Qualifications in Microsoft Certified System Engineer (MCSE), Cisco Certified Network Associate (CCNA), Certified Information Security Management (CISM), Certified Information Systems Auditor (CISA), or equivalent Database Management skills (MSSQL/ORACLE/MYSQL/IBM), Web development certifications (PHP, HTML, ASP), or relevant qualifications from a recognized institution.
• Membership to a professional body where applicable and in good standing.
• Certificate in Leadership Course lasting not less than four (4) weeks from a recognized institution.
• A valid practicing license where applicable from a recognized institution.
• Demonstrated managerial, administrative, and professional competence in work performance and results.

Responsibilities:

Job Purpose: 

• This cadre is responsible for providing strategic direction, leadership, professional advice, and effective management of all aspects of Information and Communications Technology to the Authority.

Functions: 

• Formulating, implementing, and reviewing information communication technology policies, strategies, procedures, standards, and guidelines.
• Advising the Authority on matters of Information Communication Technology.
• Ensuring compliance with all statutory and regulatory government targets in respect of ICT.
• Maintaining, monitoring, and updating ICT infrastructures in the Authority.
• Spearheading the digitization of Authority’s records.
• Reviewing business user requirements to automate operations and improve systems.
• Ensuring timely backup of Authority information and records.
• Developing technological solutions and seeking partnerships with relevant stakeholders for integration and implementation.
• Planning, developing, reviewing, implementing information communication technology corporate disaster recovery and business continuity strategy.
• Providing specifications and standards in the procurement of all information technology hardware, software, and services.
• Providing technical support services to ICT users and training them to acquire skills needed to implement computer-based information systems.
• Ensuring management, protection, and security of data.
• Maintaining and updating information communication technology hardware and software.

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Qualifications, Skills and Experience Required:

• Fifteen (15) years of cumulative service period of relevant work experience, with at least three (3) years in the grade of Assistant Director, Corporate Communications or comparable.
• Bachelor’s degree in Public Communication, Public Relations, Mass Communication, or equivalent from a recognized institution.
• Master’s degree in Public Communication, Public Relations or Mass Communication or equivalent from a recognized institution.
• Certificate in Leadership course lasting not less than four (4) weeks from a recognized institution.
• Membership to a relevant professional body where applicable and in good standing.
• A valid practicing license where applicable from a recognized institution.
• Proficiency in computer applications.
• Shown merit and ability as reflected in work performance and results.

Responsibilities:

Job Purpose: 

• This cadre is responsible for overseeing the initiation, formulation, implementation, and review of communication policies and strategies; planning and implementation of Corporate Social Responsibility (CSR) and other branding initiatives; development, publication, and dissemination of corporate Information Education and Communication (IEC) materials; organization of public events; public and stakeholder relations; general protocol; and liaison with media to enhance the visibility and corporate image of SHA.

Functions: 

• Developing, implementing, and reviewing communication strategies for SHA.
• Overseeing general protocol at SHA.
• Coordinating the organization of public events.
• Advising on media issues and acting as a link between the media's key stakeholders and the Authority.
• Monitoring media.
• Ensuring appropriate branding and visibility within and without the Authority.
• Arranging for media coverage of all SHA’s events.
• Sourcing for appropriate television and radio programs to disseminate information.
• Documenting SHA events through video, photography, and press cuttings.
• Preparing and placing radio and TV infomercials.
• Coordinating the preparation of official speeches.
• Coordinating the preparation of the SHA’s newsletter and corporate materials.
• Overseeing the preparation of exhibitions and trade fairs.
• Ensuring that appropriate feedback mechanisms are in place in the SHA.

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Qualifications, Skills and Experience Required:

• Fifteen (15) years of cumulative work experience, with at least three (3) years at Assistant Director, Planning and Linkages or comparable.
• Bachelor’s Degree in Economics, Project Planning and Management, Strategic Management, Business Administration, Management, or a related field from a recognized institution.
• Master’s Degree in Economics, Project Planning and Management, Strategic Management, Business Administration, Management, or a related field from a recognized institution.
• Certificate in Leadership course lasting not less than four (4) weeks from a recognized institution.
• Membership to a relevant professional body, where applicable and in good standing.
• 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:

Job Purpose: 

• Officers in this cadre will be responsible for driving the process of articulating the Authority’s strategy, coordinating business research and innovation, monitoring and evaluating programmes, and ensuring quality management and risk management.

Functions: 

• Developing and formulating corporate and annual plans across the Authority and ensuring their adoption.
• Coordinating the cascading of the corporate strategic objectives.
• Managing and developing business Key Performance Indicators (KPIs) infrastructure to facilitate analysis and performance against plans and strategic objectives.
• Deploying the strategic plan to all cadres of staff and measuring its performance aligned with the performance appraisal tool.
• Analyzing and measuring corporate performance on a monthly, quarterly, and annual basis.
• Identifying relationships with prospective and current partners.
• Selecting and targeting market segments attractive to pursue, in line with the defined business strategy.
• Establishing close partnerships by working in collaboration with various stakeholders across different sectors.

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Qualifications, Skills and Experience Required:

• Fifteen (15) years of cumulative work experience, with at least three (3) years in the grade of Assistant Director, Supply Chain Management, or comparable.
• Bachelor’s degree in Supply Chain Management, Commerce (Supplies Management option), Procurement or equivalent from a recognized institution.
• Master’s degree in Supplies Chain Management, Commerce (Supplies Management option), Procurement or equivalent from a recognized institution.
• Certificate in Leadership Course lasting not less than four (4) weeks from a recognized institution.
• Membership to a relevant professional body where applicable and in good standing.
• A valid practicing license where applicable from a recognized institution.
• Proficiency in computer application skills.
• Shown merit and ability as reflected in work performance and results.

Responsibilities:

Job Purpose: 

This position exists to provide strategic leadership in the overall management of supply chain functions, oversee policy formulation, implementation and monitoring of sound procurement and supply chain management policies and practices, sourcing, assess and measure the performance of suppliers to acquire the most cost-effective deals for the Authority in accordance with the Public Procurement and Asset Disposal Act (PPADA), 2015 and Public Procurement and Asset Disposal Regulations (PPADR), 2020.

Functions: 

• Developing and reviewing procurement policies and procedures.
• Issuing administrative guidance on implementation and interpretation of the Public Procurement and Asset Disposal Act, 2015, regulations and other statutes.
• Formulating supply policy management to ensure that the Authority’s supply objectives are met.
• Reviewing procurement, stockholding, and stock control policies on a progressive basis.
• Ensuring that supplies accounting and other stores procedures are followed.
• Coordinating purchase requirements with user departments.
• Maintaining updated supplies list.
• Developing and reviewing purchasing policies and procedures to keep up with changing economic trends.
• Procuring various materials and other supplies for the Authority at the most competitive prices.
• Organizing and managing procurement processes in the Authority.
• Ensuring correct interpretation of government regulations on supply chain management in the Authority.

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Qualifications, Skills and Experience Required:

• Fifteen (15) years of cumulative service period of work experience, with at least three (3) years in the grade of Assistant Director, Internal Audit, or comparable.
• Bachelor’s degree in Commerce (Accounting/Finance option), Economics, Mathematics, Statistics, Business Administration, or equivalent from a recognized institution.
• Master’s degree in Commerce (Accounting/Finance option), Economics, Mathematics, Statistics, Auditing, Business Administration, or equivalent from a recognized institution.
• Certified Public Accountants (CPA-K) or Certified Internal Auditors (CIA) Part III from a recognized institution.
• Certificate in Leadership course lasting not less than four (4) weeks from a recognized institution.
• Membership to a relevant professional body where applicable and in good standing.
• A valid practicing license where applicable from a recognized institution.
• Proficiency in computer applications.
• Shown merit and ability as reflected in work performance and results.

Responsibilities:

Job Purpose: 

• This cadre is responsible for providing overall direction and leadership of the internal audit function for planning and conducting operational, financial and compliance audits to evaluate the effectiveness of internal controls and organizational risk in the Authority.

Functions: 

• Carrying out internal audits to ensure compliance with approved management policies, procedures, and control systems.
• Reviewing and recommending sound internal controls.
• Carrying out special audit assignments and investigations.
• Planning and implementing annual audit programs.
• Reviewing and development of audit manuals.
• Participating in the preparation of budgets and ensuring effective controls.
• Ensuring compliance with organizations’ policies and procedures; liaising with other departments on implementation of internal control recommendations.
• Ensuring effective utilization of resources.
• Advising the Authority on financial matters.
• Reviewing of SHA’s annual budgets and accounts.
• Ensuring achievement of set targets of the department.
• Preparing timely and accurate reports.
• Performing any other duty as may be assigned from time to time.

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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 Legal Officer or a comparable position.
• Bachelor of Laws degree from a recognized and accredited institution.
• Masters’ degree in Law from a recognized and accredited institution.
• Post Graduate Diploma in Law from Kenya School of Law.
• Admitted as an Advocate of the High Court of Kenya with a valid Practicing Certificate.
• Certificate in Leadership Course lasting not less than four (4) weeks from a recognized and accredited institution.
• Registered as a member of the Law Society of Kenya (LSK) in good standing.
• Proficiency in computer applications.
• Shown merit and ability as reflected in work performance and results.

Responsibilities:

Job Description: 

• Providing legal guidance on contractual and statutory obligations binding to the Authority.
• Providing and interpreting legal information, conducting training, and disseminating appropriate legal requirements to staff.
• Managing, reviewing, and monitoring the progress of all outstanding litigation and post-litigation outcomes.
• Ensuring compliance with constitutional, regulatory, and all relevant laws through legal advisory services and efficient management of contractual risks.
• Undertaking extensive review of requests for approval licenses to ascertain legal soundness and ensure proper implementation.
• Documenting and maintaining records of enforcement and compliance assignments and developing legal accountability structures.
• Establishing and managing the Authority's Register of Regulations, Rules, Guidelines, and By-Laws.
• Legal drafting of the Authority's regulations, rules, guidelines, and by-laws.
• Managing, reviewing, and updating the Authority's regulations for consistency and compliance with national and county legal frameworks.
• Managing and supervising the Authority’s Alternative Dispute Resolution (ADR) Mechanism.
• Developing proactive and preventive legal policies and strategies to forestall disputes and litigation.
• Undertaking risk management on internal legal and regulatory matters and liaising with relevant departments to address identified legal risks.
• Facilitating Legal Compliance Audits.
• Preparing, reviewing, and modifying contractual instruments for business activities, and negotiating/drafting documentation for transactions.
• Conducting Legal Due Diligence on prospective partners.
• Establishing and managing the Lease Register and License Register.
• Monitoring and reviewing agreements, licenses, leases, and similar instruments.
• Developing and vetting policy papers and instruments with legal implications.
• Advising the Authority on various legal requirements and obstacles.
• Ensuring timely compliance with rules and regulations, including the Code of Conduct and Ethics.
• Initiating and progressing the enactment of legislation proposed by the Authority.

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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 Registration and Compliance Officer or a comparable position.
• Bachelor’s Degree in Commerce, Accounting, Business Administration, Finance, Economics, Business, Medicine, Social Science, or Pharmacy or equivalent qualification from a recognized institution.
• Master’s Degree in Strategic Management, Finance, Business Administration or equivalent qualification from a recognized institution.
• Membership in the relevant professional body where applicable and in good standing.
• Certificate in Leadership Course lasting not less than four (4) weeks from a recognized institution.
• A valid practicing license where applicable from a recognized institution.
• Proficiency in computer applications.
• Demonstrated merit and ability as reflected in work performance and results.

Responsibilities:

Job Description: 

• Implementing the empanelment process for licensed health providers and facilities to align with the SHA Act and regulations.
• Coordinating beneficiary registration to ensure efficiency, transparency, and inclusivity.
• Monitoring operational activities for SHA Act compliance and providing strategic guidance.
• Supporting the development, implementation, and review of sustainable operational strategies for member registration and public awareness.
• Collaborating with the Strategy and Planning team to refine SHA policies related to business process re-engineering.
• Engaging with stakeholders in Public, Private, and Sponsored Programs Sectors to identify membership opportunities.
• Working with County Governments and partners to promote SHA membership.
• Facilitating stakeholder engagement to achieve registration and revenue targets.
• Implementing performance-based contracting methodologies, including contract monitoring and evaluation.
• Coordinating the preparation and dissemination of monitoring and evaluation reports.
• Ensuring the implementation of clinical audit policies and strategies.
• Developing methodologies for health needs assessment, risk assessments, and progress monitoring.
• Participating in Health Needs Assessments for clinical interventions, pharmaceuticals, and technologies.
• Supporting the inclusion of drugs and consumables in the SHA positive list.
• Contributing to the ongoing revision of the provider payment system.

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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 Provider Management Officer or a comparable position.
• Bachelor’s Degree in Commerce, Accounting, Business Administration, Finance, Economics, Business, Medicine, Social Science, or Pharmacy or equivalent qualification from a recognized institution.
• Master’s Degree in Strategic Management, Finance, Business Administration or equivalent qualification from a recognized institution.
• Membership in the relevant professional body where applicable and in good standing.
• Certificate in Leadership Course lasting not less than four (4) weeks from a recognized institution.
• A valid practicing licence where applicable.
• Proficiency in computer applications.
• Demonstrated merit and ability as reflected in work performance and results.

Responsibilities:

• Developing and coordinating the implementation of policies and strategies for assessing and onboarding healthcare providers (HCPs).
• Advising on necessary reviews of the SHI Act and proposing amendments aligned with the evolving business environment and quality standards.
• Spearheading forums for engaging healthcare providers to enhance collaboration and service delivery.
• Ensuring the empanelment of overseas HCPs to expand service accessibility, in consultation with Supply Chain Management and Legal Services.
• Overseeing the implementation of the Kenya Quality Model of Health (KQMH) in empanelled healthcare providers to uphold quality standards.
• Preparing concept papers, Board papers, periodic progress reports, and annual reports detailing departmental achievements.
• Developing strategies for awarding healthcare providers who deliver quality services and sanctioning those that fail to meet standards.

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Qualifications, Skills and Experience Required:

• Cumulative service period of twelve (12) years relevant work experience, three (3) years of which must be at the level of Principal Fund Management Officer or a comparable position.
• Bachelor’s degree in Commerce (Finance option), Economics, Business Administration (Finance option), Business Management (Finance option), Finance, or its equivalent and relevant qualification from a recognized institution.
• Master’s degree in Finance, Business Administration (Finance/Accounting option), Business Management (Finance/Accounting option) or its equivalent and relevant qualification from a recognized institution.
• Certified Public Accountant (CPA)K by Kenya Accounts and Secretaries Examination Board (KASNEB) or any other relevant qualification from a recognized institution.
• A valid practicing license where applicable from a recognized institution.
• Certificate in Leadership course lasting not less than four (4) weeks at a recognized institution.
• Membership to a relevant professional body where applicable and in good standing.
• Proficiency in computer application skills.
• Demonstrated merit and ability as reflected in work performance and results.

Responsibilities:

• Coordinating the preparation of budgets for Primary Health Care Fund (PHCF), Social Health Insurance Fund (SHIF), and Emergency, Chronic Diseases, and Critical Illness Fund (ECCF) services.
• Controlling expenditure commitments at the Department.
• Analysing and scrutinizing expenditure proposals, and ensuring expenditures are within voted allocations.
• Initiating proposals seeking funds for additional expenditure.
• Analysing project proposals and budget estimates, and monitoring commitments for recurrent, development, and donor funds.
• Undertaking risk analysis in budget management and forecasting expenditure.
• Prioritizing projects and activities for financial allocations.
• Providing accurate and timely management financial reports and business performance data.
• Reviewing final accounts of the PHF and ensuring general ledgers are maintained and updated.
• Facilitating timely and accurate reports and their distribution to appropriate users.
• Ensuring timely and accurate reconciliation of accounts.
• Ensuring safe custody of financial records and other accountable documents related to the funds.
• Mentoring, coaching, and developing staff.

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Qualifications, Skills and Experience Required:

• Cumulative service period of twelve (12) years relevant work experience, three (3) years of which must be at the level of Principal Finance and Accounts Officer or a comparable position.
• Bachelor’s degree in Commerce (Finance option), Economics, Business Administration (Finance option), Business Management (Finance / Accounting option), Finance or its equivalent and relevant qualification from a recognized institution.
• Master’s degree in Finance, Business Administration (Finance/ Accounting option), Business Management (Finance/ Accounting option) or its equivalent and relevant qualification from a recognized institution.
• Certified Public Accountant (CPA)K by Kenya Accounts and Secretaries Examination Board (KASNEB) or any other relevant qualification from a recognized institution.
• A valid practicing license where applicable from a recognized institution.
• Certificate in Leadership course lasting not less than four (4) weeks at a recognized institution.
• Membership to a relevant professional body where applicable and in good standing.
• Proficiency in computer application skills.
• Demonstrated merit and ability as reflected in work performance and results.

Responsibilities:

• Coordinating development and implementation of financial regulations, policies, strategies, and plans.
• Reviewing budgets and implementing budgetary and expenditure control.
• Coordinating monitoring of revenue collection and expenditure based on approved budgets.
• Verifying bank reconciliation statements.
• Developing and implementing internal financial controls.
• Coordinating preparation of financial and management reports and statements.
• Managing accurate and complete financial record of the Authority.
• Ensuring compliance with relevant laws, regulations, procedures, and guidelines (e.g., PFM Act, National Treasury circulars).
• Coordinating proposals for supplementary funds and re-allocations.
• Coordinating Government grants and other donor funds.
• Authorizing payments and claims within set limits.
• Managing financial risk control in the Authority.
• Liaising with administration to manage and maintain the Authority's asset register.
• Coordinating maintenance of financial records for projects and programs.
• Liaising with internal and external auditors and responding to audit queries.
• Coordinating preparation of periodic financial management reports.

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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.

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Qualifications, Skills and Experience Required:

Promotional - Claims Management (Medical Review): 

• Cumulative service period of twelve (12) years relevant work experience, three (3) of which should have been at the grade of Principal Claims Management Officer or a comparable position.
• Bachelor’s Degree in Medicine and Surgery from a recognized institution.
• Master’s Degree in Medicine and Surgery from a recognized institution.
• A valid practicing license from a recognized institution.
• Certificate in Leadership course lasting not less than four (4) weeks from a recognized institution.
• Proficiency in computer applications.
• Demonstrated managerial, administrative, and professional competence in work performance and results.

Responsibilities:

• Coordinating medical reviews and interpretation of medical reports.
• Coordinating the reviewing, processing, and validating of medical claims from healthcare providers and facilities for accuracy and adherence to policies.
• Coordinating the appraisal of medical claims based on the benefit package to ensure fair and timely disbursement of funds.
• Ensuring issuance of pre-authorizations for access to healthcare services.
• Maintaining and operationalizing an e-claims and case management system.
• Ensuring sensitization of claimants on the consequences of submitting false and fraudulent claims.
• Coordinating the collection and analysis of data for claim management to inform strategic decisions.
• Preparing quarterly reports on claims for submission to the Board and Cabinet Secretary.
• Carrying out any other necessary functions for the Authority’s mandate.
• Coordinating the management of contracted and outsourced claims management services.
• Coordinating quality assurance surveillance to identify gaps and recommend corrective actions.
• Ensuring assessment of quality healthcare providers for declaration, enforcement, and compliance to contractual provisions.
• Establishing systems and controls for detecting and identifying fraud to minimize financial risks.

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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 Human Resource Management and Development Officer or a comparable position.
• Bachelor's degree in Human Resource Management or equivalent qualification from a recognized institution; OR Bachelor’s degree in Social Science, Public Administration, Business Administration, or equivalent qualification from a recognized institution plus Higher Diploma in Human Resource from a recognized institution.
• Master’s degree in Human Resource Management, Administration, Business Administration, or equivalent qualification from a recognized institution.
• Certified Human Resource Practitioners (CHRP-K) with a valid practicing license.
• Certificate in Leadership Course or its equivalent lasting not less than four (4) weeks from a recognized institution.
• Membership of the Institute of Human Resource Management in good standing.
• A valid practicing license where applicable from a recognized institution.
• Proficiency in computer applications.
• Demonstrated merit and ability in work performance and results.

Responsibilities:

• Developing human resources plans and budgets.
• Participating in job analysis to develop job descriptions and competency profiles.
• Participating in the recruitment and selection process to ensure qualified human resources.
• Overseeing proper records management of human resources development information and administrative support services.
• Participating in the development and implementation of human resource policies and procedures to enhance workplace relations.
• Liaison between Authority Management and the Union to promote industrial harmony.
• Attending to trade disputes raised by the union.
• Overseeing the smooth running of the staff clinic.
• Planning, monitoring, and evaluating the performance of departmental staff and implementing development action plans.
• Providing input in the development, implementation, and evaluation of strategic human resource management plans.
• Conferring with relevant professional bodies and government agencies on training policies and regulations.
• Designing and coordinating staff training programs based on identified needs.
• Developing training resources.
• Facilitating training programmes using appropriate methodologies.
• Monitoring and evaluating the effectiveness of training programs.
• Ensuring compliance with organizational policies and regulations.

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Qualifications, Skills and Experience Required:

• Cumulative service period of twelve (12) years of relevant work experience, three (3) of which must be in the grade of Principal Administration Officer or a comparable position.
• Bachelor’s degree in Social sciences or Administration/ Management from a recognized institution.
• Master’s degree in Social Sciences or Administration/ Management from a recognized institution.
• Certificate in Leadership Course lasting not less than four (4) weeks from a recognized institution.
• Membership to a relevant professional body where applicable and in good standing.
• A valid practicing license where applicable from a recognized institution.
• Proficiency in computer application.
• Shown merit and ability as reflected in work performance and results.

Responsibilities:

• Preparing the Administration budget.
• Ensuring general cleanliness.
• Maintaining office equipment and disposing of unserviceable equipment through approved procedures.
• Ensuring timely maintenance of office equipment and facilities.
• Ensuring safe custody and proper handling of the Authority’s vehicles and other resources.

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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 ICT Officer or a comparable position.
• Bachelor’s degree in Information Technology, Computer Science, Computer Engineering, or equivalent qualification from a recognized institution.
• Master's degree in Information Technology, Computer Science, Computer Engineering, or equivalent qualification from a recognized institution.
• Qualifications in Microsoft Certified System Engineer (MCSE), Cisco Certified Network Associate (CCNA), Certified Information Security Management (CISM), Certified Information Systems Auditor (CISA), Database Management skills (MSSQL/ORACLE/MYSQL/IBM), Web development certifications (PHP, HTML, ASP) or relevant qualifications from a recognized institution.
• A valid practicing license where applicable from a recognized institution.
• Membership to a professional body where applicable and in good standing.
• Certificate in Leadership Course lasting not less than four (4) weeks from a recognized institution.
• Shown merit and ability as reflected in work performance and results.

Responsibilities:

• Formulating, implementing, and reviewing ICT policies, procedures, and systems.
• Planning, designing, implementing, and aligning ICT strategies for effective management of services at all levels.
• Overseeing the Authority’s intranet and internet issues.
• Advising management on the institutionalization of effective ICT governance structures.
• Providing specifications and standards in the procurement of ICT software and equipment.
• Planning, developing, reviewing, and implementing ICT business disaster recovery strategy.
• Researching on emerging ICT trends.
• Ensuring compliance with established ICT standards, procedures, and regulations.
• Updating the Authority’s website.
• Providing technical support services to computer users and training them to acquire necessary skills.
• Planning and budgeting for the Department.

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Qualifications, Skills and Experience Required:

• Cumulative service period of twelve (12) years relevant work experience, three (3) of which must have been in the grade of Principal Corporate Communications Officer or a comparable position.
• Bachelor’s degree in Public Communication, Public Relations, Mass Communication, or its equivalent qualification from a recognized institution.
• Master’s degree in Public Communication, Public Relations, Mass Communication, or its equivalent qualification from a recognized institution.
• Certificate in Leadership Course lasting not less than four (4) weeks from a recognized institution.
• Membership to a relevant professional body where applicable and in good standing.
• A valid practicing license where applicable from a recognized institution.
• Proficiency in computer applications.
• Shown merit and ability as reflected in work performance and results.

Responsibilities:

• Developing comprehensive public affairs and communications strategies.
• Managing Authority’s relationship with the media.
• Designing and approving corporate materials and branding.
• Coordinating all the Authority's public functions.
• Reviewing the Authority’s corporate image.
• Fostering stakeholder relations.
• Ensuring appropriate feedback mechanisms are in place.
• Coordinating the Authority’s advertising and publicity.
• Ensuring maintenance of all public affairs and communications records and photographs.
• Providing professional assistance to the Authority in all areas of communications, public relations, and media relations.

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Qualifications, Skills and Experience Required:

• Cumulative service period of twelve (12) years of relevant work experience, three (3) of which must be in the grade of Principal Corporate Communications Officer or a comparable position 
• Bachelor’s degree in Public Communication, Public Relations, Mass Communication, Marketing, or its equivalent qualification from a recognized institution.
• Master’s degree in Public Communication, Public Relations, Mass Communication, Marketing, or its equivalent qualification from a recognized institution.
• Certificate in Leadership Course lasting not less than four (4) weeks from a recognized institution.
• Member of a relevant professional body where applicable and in good standing.
• A valid practicing license where applicable from a recognized institution.
• Proficiency in computer application.
• Shown merit and ability as reflected in work performance and results.

Responsibilities:

• Developing, implementing, and reviewing policies, guidelines, regulations, and guidelines on customer experience.
• Monitoring the implementation of the Citizen Service Charter.
• Monitoring the implementation of departmental plans and strategies.
• Participating in the development of customer satisfaction survey tools.
• Onboarding SHA products to customers for their confident use of services.
• Gathering and analyzing customer feedback to identify areas for improvement and strategic decision-making.
• Customer Complaints Management and Resolutions.
• Maintaining relationships with various account holders/Accounts Management through the CRM system.
• Producing guidance to officers on SHA products.
• Creating and maintaining creative content for digital platforms.
• Managing communication infrastructure through reviewing the knowledge base.
• Ensuring continuous training of Customer experience officers for quality and consistency of service.
• Developing best practices in Customer experience strategies and managing the customer journey.
• Creating contributor awareness and encouraging responsible and informed contributor choice.
• Coordinating Customer Experience activities.
• Analyzing customer feedback reports for strategic decision-making.
• Monitoring and evaluating the work performance of subordinates.

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Qualifications, Skills and Experience Required:

• Cumulative service period of twelve (12) years of work experience, three (3) of which should have been at the grade of Principal Planning Officer or a comparable position.
• Bachelor’s Degree in Economics, Project Planning and Management, Strategic Management, Business Administration, Management or a related field from a recognized institution.
• Master’s Degree in Strategic Management, Business Administration, Management or a related field from a recognized institution.
• Membership to a relevant professional body where applicable and in good standing.
• Certificate in Leadership Course lasting not less than four (4) weeks from a recognized institution.
• 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:

• Participating in developing and reviewing the Corporate Strategic Plan (CSP) and organizational annual operating plan.
• Ensuring preparation of Board of Trustees and Managing Trustee’s (MT’s) Performance Contracts (PC).
• Cascading MT’s performance contract and developing Balanced Scorecards (BSCs) for heads of divisions, departments, regions, and branches.
• Monitoring and evaluating PC performance indicators.
• Collaborating with departmental teams to solve partner challenges effectively.
• Cultivating and coordinating partnerships with Government agencies, the private sector, international agencies, civic organizations, and foreign missions.
• Ensuring maintenance of the repository and monitoring all Authority’s partnerships and external linkages.
• Identifying relationships with prospective and current partners for win-win partnerships.
• Establishing close partnerships by working in collaboration with various stakeholders.
• Organizing and providing leadership to multi-stakeholder alliances, consortia, committees, task forces, or technical working groups.

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Qualifications, Skills and Experience Required:

• Cumulative service period of twelve (12) years of relevant work experience, three (3) of which must have been at the grade of Principal Supply Chain Officer or a comparable position.
• Bachelor’s degree in Supply Chain Management, Commerce (Supplies Management option), Procurement or its equivalent qualification from a recognized institution.
• Master’s degree in Supplies Chain Management, Commerce (Supplies Management option), Procurement or its equivalent qualification from a recognized institution.
• Certificate in Leadership Course lasting not less than four (4) weeks from a recognized institution.
• Membership to a relevant professional body where applicable and in good standing.
• A valid practicing license where applicable from a recognized institution.
• Proficiency in computer application skills.
• Shown merit and ability as reflected in work performance and results.

Responsibilities:

• Initiating, formulating, and advising on policy on procurement and supplies.
• Reviewing, updating, interpreting, and implementing existing procurement policies, regulations, and procedures.
• Approving procurement plans in accordance with the budget process.
• Reporting on the performance of suppliers and contractors.
• Introducing modern inventory management techniques and approaches.
• Approving disposal of unserviceable stores.
• Overseeing implementation of e-procurement strategies.
• Recommending disposal of unserviceable stores.
• Conducting market research and surveys.

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Qualifications, Skills and Experience Required:

• Cumulative service period of twelve (12) years of relevant work experience, three (3) of which must be in the grade of Principal Internal Auditor or in a comparable position.
• Bachelor’s degree in Commerce (Accounting/Finance option), Economics, Mathematics, Statistics, Business Administration, or its equivalent qualification from a recognized institution.
• Master’s degree in Commerce (Accounting/Finance option) Economics, Mathematics, Statistics, Auditing, Business Administration, or its equivalent qualification from a recognized institution.
• Certified Public Accountants (CPA-K) or Certified Internal Auditors (CIA) Part III from a recognized institution.
• Certificate in Leadership Course lasting not less than four (4) weeks from a recognized institution.
• A valid practicing license where applicable from a recognized institution.
• Membership to a relevant professional body and in good standing.
• Proficiency in computer applications.
• Shown merit and ability as reflected in work performance and results.

Responsibilities:

• Planning and coordinating internal audit activities.
• Ensuring adherence to accounting procedures.
• Developing and reviewing audit management systems.
• Verifying final audit reports/queries on financial statements.
• Directing and monitoring audit inspections of the Authority’s records.
• Reviewing audit programmes and work plans for the Authority.
• Validating annual audit reports.
• Verifying the accuracy and disclosures in financial statements.
• Evaluating and documenting audit evidence.
• Ascertaining the adequacy of the Authority’s internal control and providing remedial advice.

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Qualifications, Skills and Experience Required:

Promotional-Claims Management-Medical Review: 

• Cumulative period of services of nine (9) years of work experience, three (3) of which should have been at the grade of Senior Claims Management Officer or in a comparable position.
• Bachelor’s Degree in Medicine and Surgery from a recognized institution.
• A valid practicing license.
• Certificate in Management course lasting not less than four (4) weeks from a recognized institution.
• Membership to the relevant professional body and in good standing.
• Proficiency in computer applications.
• Shown merit and ability as reflected in work performance and results.

Responsibilities:

• Undertaking medical reviews and interpretation of medical reports.
• Undertaking reviewing, processing, and validating of medical claims from healthcare providers and facilities for accuracy and adherence to policies.
• Undertaking the appraisal of medical claims based on the benefit package to ensure fair and timely disbursement of funds.
• Implementing the issuance of pre-authorizations for access to healthcare services based on the benefit package to facilitate timely service provision.
• Collecting and analyzing data for the e-claims and case management system to enhance efficiency and accountability.
• Conducting quality assurance surveillance in respect of claims to ensure adherence to policies and detect irregularities.
• Carrying out sensitization of claimants on the consequences of submitting false and fraudulent claims to reduce fraudulent activities.
• Collecting and analyzing data for purposes of claim management to facilitate informed decision-making and continuous process improvement.
• Collating and analyzing of data for preparation of quarterly reports on claims for submission for transparency and accountability.
• Ensuring compliance with contractual obligations contracted and outsourced claims management services.