National Health Insurance: Employment Opportunities

NATIONAL HEALTH INSURANCE FUND

EMPLOYMENT OPPORTUNITIES

INTRODUCTION:

The National Health Insurance Fund (NHIF) is a statutory Health Insurance Scheme

established by Act of Parliament No.9 of 1999, to undertake the responsibility of

insuring medical care services to its members. The Fund commenced its operations in 2001. Its head office is located at, Kurasini (Bendera Tatu) Dar es Salaam.

NHIF now seeks to recruit dynamic, intelligent and result – oriented Tanzanians with high integrity, to fill the following vacancies:

1. QUALITY ASSURANCE OFFICER III 5 POSTS

i. Duties and Responsibilities

• Conduct inspection and supportive supervisions of health facilities.

• Deals with verification and checking of prescriptions.

• Makes researches or market surveys with a view to establishing the actual costs for   services, medicines, pharmaceutical items and other medical consumables.
• Initiates accreditation processes for health facilities.

• Addresses issues related to management of clinical cases or quality aspects.

• Ensures that the National and Professional Standard Treatment, Guidelines and the Fund’s

   policies, regulations, procedures and standards are adhered to by services providers.

• Attends and addresses members enquiries and complaints

• Attends clinical meetings in accredited facilities

• Prepares and submit work reports to the immediate supervisor

• Performs any other related duties as may be assigned by the Supervisor.

ii. Qualifications and experience

• Degree in clinical medicine from a recognized institution

• Work experience of not less than three years in clinical practice at the level of  

  Regional hospital / District hospital or equivalent status.

• Licensed Medical Practitioner Certificate from Medical Council of Tanganyika or Medical
  Council of Zanzibar.

2. ASSISTANT QUALITY ASSURANCE OFFICER III 5 POSTS

i. Duties and Responsibilities

• Conduct inspection and supportive supervisions of health facilities.

• Deals with verification and checking of prescriptions.

• Initiates accreditation processes for health facilities.

• Assists in addressing issues related to management of clinical cases or quality aspects.

• Ensures that the National and Professional Standard Treatment Guidelines and the Fund’s

  policies, regulations, procedures and standards are adhered to by services providers.

• Attends and addresses members enquiries and complaints

• Attends clinical meetings in accredited facilities

• Prepares and submit work reports to the immediate supervisor

• Performs any other related duties as may be assigned by the supervisor.

ii. Qualifications and experience

• Advanced Diploma in clinical medicine from a recognized institution

• Not less than three years work experience in clinical practice at a Hospital or Health Centre level.

• Licensed Medical Practitioner Certificate from Medical Council of Tanganyika or Medical Council of Zanzibar.

3. COMPLIANCE AND FIELD OPERATIONS OFFICER III-5 POSTS

i. Duties and Responsibilities

• Receives and compiles information on compliance and prepares various respective reports.

• Follow-up on all potential employers for registration purposes.

• Corresponds with employers on various compliance issues like outstanding statutory

  contributions, penalties etc.

• Collects statutory contributions and penalties from contributing employer

• Makes prompt responses to queries and complaints on compliance issues.

• Initiates and conducts seminars to employers and members in order to enhance their

  understanding of the scheme.

• Ensures that employers’ files are kept in order and in safe environment.

• Updates and maintains contribution registers.

•Prepares periodic reports on such all activities and submit to the immediate supervisor.

• Performs any other related duties as may be assigned by immediate Supervisor.

ii. Qualifications

University Degree or its equivalent, preferably in Law, Insurance, Social Security Administration, Business Administration or Management. Relevant work experience is an added advantage.

4. CLAIMS OFFICER III -3 POSTS

i Duties and Responsibilities

• Undertakes claims processing.

• Coordinates members and providers correspondence on Claims matters and ensures that  
  various queries are replied.

• Analyses rejected claims and processes re-submitted claims.

• Takes part in various researches related to claims administration activities.

• Maintains proper and up-to-date records of benefits processed and paid.

• Dispatches claim forms and service providers’ cheques.

• Compiles information (inputs) for preparation of various periodic reports on benefits

  administration matters.

• Performs any other related duties as may be assigned by the immediate supervisor.

ii. Qualifications and Experience

• Direct Entry Qualifications

University Degree in Nursing, Public Health, Health Economics, Business Administration, Social Security Administration, or equivalent qualifications. Relevant work experience is an added advantage.

5. ASSISTANT ACCOUNTANT III -4 POSTS

i. Duties and Responsibilities

• Assists in monitoring expenditure trends.

• Prepares payments in accordance with financial regulations and approved budget.

• Assists in maintaining non-current assets register.

• Assists in preparing periodic financial reports.

• Prepares payments vouchers in accordance with the laid down policies and procedures.

• Keeps accounting records related to contributions, investment and other income.

• Prepares bank reconciliation

• Assists in monitoring staff debtors’ accounts.

• Performs any other related duties as may be assigned by the immediate supervisor.

ii. Qualifications and Experience

University Degree or equivalent qualification majoring in Accounting. Relevant work experience is an added advantage.

6. SENIOR ADMINISTRATIVE OFFICER II -1 POST

i. Duties and Responsibilities

• Maintains safety equipment and create safety awareness across the Fund.

• Monitor the use of stationery, secretarial services, furniture, and communication tools,
  mailing services, office premises, securityservices and utilities.

• Undertakes administrative services in accordance with the applicable laws and Fund’s

  systems, policies and regulations.

• Assists in formulating and reviewing administrative policies and regulations and ensures
  adherence of the same.

• Facilitates internal transport logistics and timely maintenance of motor vehicles.

• Supervises the open registry filing systems and monitors file movement to ensure both

  efficiency and security

• Participates in developing, planning and administering employees’ social recreational
  programmes to increase productivity and staff morale.

• Processes insurance matters for the Fund’s staff and fixed assets.

• Updates records of fixed assets and properties and ensures proper management of
  physical assets.

• Participates in preparation of periodic reports on the status ofadministrative services.

• Enforces procedures for handling of mail, recording, storage and movement of documents.

• Maintains administrative services records and statistics.

• Performs any other related duties as may be assigned by the immediate supervisor.

ii. Qualifications and Experience

Degree in Public Administration, Human Resource Management Sociology or equivalent qualifications coupled with minimum period of three (3) years of work experience in a similar position in a reputable organisation.

7. SENIOR HUMAN RESOURCE OFFICER II -1 POST

i. Duties and Responsibilities

• Conducts human resource survey to ascertain strengths and weaknesses to facilitate staff
  planning needs.

• Organizes, coordinates and reviews training programmes with a view of recommending
  changes where necessary.

• Maintains and monitors staff remuneration and incentives.

• Handles employees’ grievances, communication channels and recommends measures for 
  harmonious grievances resolution.

• Deals with staff social security and welfare matters.

• Undertakes employees’ performance review and appraisals.
• Handles matters related to staff separation including terminal benefits.

• Prepares periodic reports on the status of human resources matters.

• Performs any other related duties as may be assigned by the immediate supervisor.

ii. Qualifications and Experience

Degree in Human Resource Management/Public Administration/Sociology or equivalent qualifications coupled with minimum period of three (3)years of work experience in a similar position in a reputable organization.

8. PHARMACEUTICAL SERVICES OFFICER II-3 POSTS

i. Duties and Responsibilities

• Conducts inspections of accredited pharmacies and ADDOs.

• Deals with verification and checking of prescriptions

• Makes researches or market surveys with a view to establishing the actual costs for
  medicines, pharmaceutical items and other medical consumables.

• Initiates accreditation processes for pharmacies and ADDOs.

• Takes measures to solve minor problems arising from management of clinical cases
 (medicines relates aspects).

• Ensures that the National and Professional Standard Treatment Guidelines and the Fund’s policies, regulations, procedures and standards are adhered to by services providers.
• Performs any other related duties as may be assigned by the supervisor.

ii. Qualifications and Experience

Bachelor degree in Pharmacy or equivalent qualifications coupled with a minimum period of three (3) years of relevant work experience in a related field. Knowledge in computer, a certificate of internship and registration by the Pharmacy Council are essential.

9. RISK OFFICER-1 POST

i. Duties and Responsibilities

• Working with senior management to develop the overall enterprise risk management vision, risk management strategy , risk management policy , as well as risk appetite and tolerance levels for the approval by the Director General and Board;

• Communicating the risk management policy , risk management strategy and risk
  management implementation plan to all stakeholders in the Fund;
• Setting up of the risk management structure and risk management reporting lines;
• Continuously driving the risk management process towards best practice;

• Developing common risk assessment methodology that is aligned with the Fund’s
 objectives at strategic, tactical and operational levels for approval by Director General;

• Coordinating risk assessment at corporate/directorates/department/division business unit
  on a regular basis;

• Sensitizing management of the need to perform risk assessments for all major changes,

 capital expenditure, projects, institutional restructuring and similar events and assist to

 ensure that the attendant processes, particularly reporting are completed efficiently;

• Assisting management in developing and implementing risk responses for each identified

  material risk;

• Participating in the development of the combined assurance plan for the institution,

  together with internal audit and management

• Ensuring effective information systems exist to facilitate overall risk management

  improvement within the Fund;

• Continuously transferring risk management principles and practices, through training

  interventions to all stakeholders within the Fund;

• Advising management in the development of financing structures;
• Collating and consolidating the results of the various assessments;

• Analyzing the results of the assessment process to identify trends, within the risk control
 profiles and develop the necessary high level control interventions to manage these trends;

• Compiling the necessary reports to the Risk Oversight Committee;

• Providing input into the development and subsequent review of the fraud prevention strategy, business continuity plans occupational health, safety and environmental policies, and practices and disaster management plans.

ii Qualifications and Experience

• At least University Degree in the relevant field of study coupled with at least 5 years work experience in similar position in a reputable and similar organization. Postgraduate specialized qualifications will be an added advantage.

10. MEMBERSHIP OFFICER III-4 POSTS

i. Duties and Responsibilities

• Deals with enrollments and registrations of members and issuance of Membership IDs.

• Facilitates response to members enquires on matters related to their membership.

• Assist with updating and maintenance of membership data.

• Conducts advocacy to members and potential customers.

• Follows -up invalid members.

• Facilitate preparations of various periodic reports on status of nrollment, registration and
  membership.

• Assist with Correspondences with employees and employers on matters concerning
  enrollment, registration and membership.

• Performs other related duties as may be assigned by the supervisor.

ii. Qualifications and Experience

• Direct Entry Qualifications

University degree in social sciences preferably in Insurance, Business Administration, Social Security Administration, Management, Statistics or equivalent qualifications. Knowledge in

computer application is essential. Relevant work experience is an added advantage.

11. DRIVER III -4 POSTS

i. Duties and Responsibilities
• Drives Fund’s motor vehicles

• Maintains vehicle’s Log book

• Reports motor vehicles defects.

• Provides technical advice regarding motor vehicle maintenance.

• Observes driving procedures, traffic rules and regulations.

• Ensures the motor vehicle is in clean at all times.

• Performs other related duties as may be assigned by the supervisor

ii. Qualifications and Experience

• At least a Certificate of Ordinary Secondary School Education (Form IV) with passes in

   English and Kiswahili.

• Valid Driving License (Class” C”).

• At least 3 years of clean driving experience.

GENERAL INSTRUCTIONS

• All applicants must be able to speak, read and write in both English and Kiswahili.

• All applicants must be computer literate.

• Applicants should be ready to work in any of NHIF offices in the country.

REMMUNERATIONS:

Attractive and competitive remuneration package shall be offered to the right candidates.

MODE OF APPLICATION:

Handwritten applications attached with current coloured passport size photograph of the applicant, copies of relevant certificates, CV and names and addresses of two referees should reach the undersigned not later than 25th June 2012. Applications should be submitted by post or physically at NHIF Head office located at Kurasini Bendera tatu, near Tanzania Habours Authority Headquarters, Dar es Salaam.

NHIF is an equal opportunity employer.

Director General

National Health Insurance Fund

P.O. Box 11360

DAR ES SALAAM

WEBSITE: www.nhif.or.tz