Principal Provider Management Officer - 2 Posts at The Social Health Authority (SHA)

Qualifications, Skills and Experience Required:

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

• Cumulative service period of nine (9) years’ relevant work experience, three (3) of which should have been at the grade of Senior Provider Management Officer or in a comparable position.
• Bachelor’s Degree in Commerce, Accounting, Business Administration, Finance or Economics, Business, Medicine, Social Science, or Pharmacy or an equivalent qualification from a recognized institution.
• Member of the relevant professional body where applicable and in good standing.
• Certificate in Management course lasting not less than four (4) weeks from a recognized institution.
• Proficiency in computer applications.
• Shown merit and ability as reflected in work performance and results.

Responsibilities:

The Social Health Authority (SHA) is seeking a dedicated Principal Provider Management Officer. This role focuses on supervising and enhancing health facilities assessment, onboarding, and ensuring compliance with quality standards to improve service delivery and accessibility for SHA members.

Job Purpose: This cadre is responsible for supporting adherence and public awareness on referral guidelines and Empanelment of healthcare providers and ensuring they are operating in line with the set industry and professional standards.

Key Duties and Responsibilities:

• Supervising Health Facilities Assessment and Onboarding.
• Preparing strategies for assessing and onboarding healthcare providers (HCPs).
• Collaborating with Legal Services and Supply Chain Management to ensure all empanelled HCPs are duly contracted.
• Coordinating necessary reviews of the SHI Act and proposing amendments aligned with quality standards.
• Assisting in spearheading forums for engaging healthcare providers to enhance collaboration and service delivery.
• Liaising with Supply Chain Management and Legal Services on the preparation of empanelment of overseas HCPs.
• Implementing the Kenya Quality Model of Health (KQMH) in empanelled healthcare providers to uphold quality standards.
• Assisting in the preparation of concept papers, Board papers, periodic progress reports, and annual reports.