Benefits Management Officers

To enhance institutional capacity and deliver on its mandate, SHA Board seeks to recruit visionary, result-driven, and experienced professional for the following positions;

BENEFITS MANAGEMENT OFFICER II | SHA/223/2025

Job Term: Permanent and Pensionable

Position Level: SHA 8

Number of positions: 4

Qualifications, Skills and Experience Required:

For appointment to this grade, an candidate must have:

1. Bachelor’s degree in any of the following disciplines: Pharmacy, Health Financing, Health Economics, Actuarial Sciences, Statistics, Nursing, Mathematics, Dentistry, or its equivalent from a recognized institution.
2. Membership with a relevant professional body, where applicable and in good standing;
3. Proficiency in Computer applications.
4. Shown merit and ability as reflected in work performance and results

Responsibilities:

You will assist in implementing the operational plan for Health Benefits management, including risk assessments, strategic purchasing of benefit packages, and analysis of cost-effectiveness.

This is the entry and training grade for this cadre. An officer at this level will work under the guidance of a senior officer.

Duties and responsibilities will entail: –

• Supporting operational planning for Health Benefits management, risk assessments and monitoring performance against strategic objectives in collaboration with other departments.
• Assisting Formulation and implementation of policies and strategies for effective and efficient Health Benefits management in collaboration with other departments.
• Supporting the 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.
• Assisting in collaborations with the health Benefits Package & Tariffs Advisory Panel in evidence-based designing, reviewing, and updating of Benefit packages and Tariffs.
• Implementing of the prescribed Benefits packages and Tariffs under the Primary Healthcare Fund for level 2, 3 and select 4 providers and facilities; under the Social Health Insurance Fund in level 4, 5 and 6 providers and facilities and the Emergency, Chronic and Critical Illness Fund in level 2-6 facilities and providers.
• Participating in Analysing the cost-effectiveness, affordability, budget impact of health benefit offerings and recommend optimizations to maintain sustainability.
• Supporting collaborations with the Benefit Package & Tariffs Advisory Panel, to ensure the benefits packages and tariffs design, review and implementation processes are transparent and inclusive through stakeholder engagement.
• Participating in the effective implementation and continuous improvement of Benefits and Tariffs management information systems, ensuring they support efficient operations and member satisfaction.
• Collecting and analysing data for purposes of claim management in collaboration with other departments.
• Analysing the cost-effectiveness of benefit offerings and recommend optimizations to maintain sustainability.
• Supporting the 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.