Director, Provider and Beneficiary Management 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.