The Social Health Authority (SHA) Hiring Senior Registration and Compliance Officer/Senior Claims Management Officer (Huduma Centers)  – 183 Posts

Minimum Qualifications:

Bachelors Degree

Job Term:

Permanent and Pensionable

Position Level:

SHA 6

Number of positions:

183

Qualifications, Skills and Experience Required:

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

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

Responsibilities:

Duties and responsibilities at this level will entail:

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

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