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BENEFITS MANAGEMENT OFFICER I | SHA/211/2025 | Application open to allTerm Permanent and Pensionable | Positions: 4 | Deadline: Nov. 18, 2025, 6 p.m.
Minimum Qualifications:
Bachelors Degree
Job Term:
Permanent and Pensionable
Position Level:
SHA 7
Number of positions:
4
Qualifications, Skills and Experience Required:
For appointment to this grade, a candidate must have:
- Cumulative service period of three (3) years’ work experience at the grade of Benefits Management Officer II or in a comparable position;
- 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;
- Membership with a relevant professional body, where applicable and in good standing;
- Proficiency in computer applications; and
- 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.
Key Responsibilities
- Implementing operational plan for Health Benefits management, risk assessments and monitoring performance against strategic objectives in collaboration with other departments.
- Implementing of policies and strategies for effective and efficient Health Benefits management in collaboration with other departments.
- Participating in 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.
- Carrying out collaborations with the health Benefits Package & Tariffs Advisory Panel in evidence-based designing, reviewing, and updating of Benefit packages and Tariffs.
- Implementing 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.
- Analysing the cost-effectiveness, affordability, budget impact of health benefit offerings and recommend optimizations to maintain sustainability.
- Collaborating with the Benefit Package & Tariffs Advisory Panel, ensure the benefits packages and tariffs design, review and implementation processes are transparent and inclusive through stakeholder engagement.
- Implementing and improving 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 data for reports on Benefits Management Analyse the cost-effectiveness of benefit offerings and recommend optimizations to maintain sustainability.
- Supporting effective collaboration with external stakeholders to ensure transparency and trust.
- Implementing robust internal controls to safeguard the sustainability, affordability, and integrity of benefits packages for all 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.
- Implementing policies and strategies for business process re-engineering, driving innovation and efficiency in Benefits Management.
- Providing 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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