Palladium is a global leader in the design, development and delivery of Positive Impact - the intentional creation of enduring social and economic value. We work with foundations, investors, governments, corporations, communities and civil society to formulate strategies and implement solutions that generate lasting social, environmental and financial benefits.

 

For the past 50 years, we have been making Positive Impact possible. With a team of more than 2,500 employees operating in 90 plus countries and a global network of more than 35,000 technical experts, Palladium has improved - and is committed to continuing to improve - economies, societies and most importantly, people's lives.

We are recruiting to fill the position below:

 

Job Title: Consultant - Operational Support for Health Insurance Implementation of FCT SHIS

 

Location: FCT, Abuja

Slot: 3 Openings

 

Background

Health Policy Plus (HP+) is a global USAID-funded five-year project with a mandate across global, country and sub-national levels to strengthen and advance health policy priorities in the areas of family planning and reproductive health (FP/RH), HIV, and maternal health. 

HP+ aims to improve the enabling environment for equitable and sustainable health services, supplies, and delivery systems through policy development and implementation, with an emphasis on voluntary, rights-based health programs.

HP+ will help public health and policy leaders attach higher priority to their national and sub-national health needs, secure sustainable financing, advance health equity, and monitor policy implementation to ensure gains stay on track. 

HP+ aims to secure long-term enduring change by working with coalitions both inside and outside of health and showing common cause with neglected populations and other development actors. Central elements of HP+ revolve around building in country capacity, institutionalizing achievements of past investments, and promoting country ownership of programs and initiatives.

The Osun and Abia state Governments has signed into law, a bill that establishes the State Health Insurance Scheme with the overall goal of ensuring all residents of the state have access to quality and affordable health care services with financial and social risk protection.

Subsequently the states have developed operational guidelines and benefit packages in readiness for implementation of the SHIS. The FCT is also in its process of implementing the FCT HIS, with its SHIS bill at advanced stages.

 

Rationale:

The implementation of the SHIS in states is an essential mechanism for ensuring improvement in attaining Universal Health Coverage (UHC) in the country. These schemes will ensure a stable, predictable and sustainable source of funding for the schemes. Additionally, the successful implementation of the schemes will ensure universal access to quality, equitable care especially to RMNCH services.

There is considerably low technical capacity to implement and manage these schemes at the state level and therefore, it is essential to strengthen operational and technical capacity of the Abia, Osun states and FCT SHIS to implement efficient and effective health insurance operations that will ensure coverage and protection to the entire populace.

 

Objective:

This consultancy aims to provide technical assistance to roll out and operationalize the Abia, Osun and FCT States’ Health Contributory Management Scheme by embedding an experienced health insurance expert within the SHIS agencies of the three states to guide health insurance technical operations.

To support the agency to implement an effective health insurance scheme, the Technical Assistance consultancy will provide technical support towards development and effective execution of technical processes, especially processes contained in the SHIS laws, operational manuals, and other documents as may be required and provide capacity building and hands-on support to the staff of the agency throughout the consultancy period.

The HP+ work plan contains specific deliverables related to developing and enrolment plan and providing capacity development on claims management and reimbursement functions.

 

Responsibilities    

Roles and Responsibilities:

The consultant is expected to contribute to the successful roll out and operations of the Abia, Osun and FCT State Contributory Health Management Schemes by working with agency and SMOH leadership to put in place necessary structures that will guarantee delivery of services to enrollees, ensure continuous quality improvement and capacity building for staffs of the agency to implement the scheme.

 

Deliverables: 

The major products and outcomes of this assignment are;

Enrolment plan for prioritized state sub-population groups

Completed skills development training to SHIS on claims management and reimbursement processes

 

Job Requirements    

The consultant should possess the following;

 

Qualifications and Required Experience:

A good first degree or its equivalent from a reputable University in Medicine, Sciences, or numerate disciplines such as Actuarial Science, Statistics, Insurance, etc.

Post graduate qualification in Management, Public Health, Health Management, Health Economics, Insurance or other related fields

Certification in and/or professional membership of Health, Management and Health Insurance related bodies shall be an added advantage

Minimum of 7 years’ experience implementing health insurance in Nigeria or related settings.

Experience working with an HMO that implements a health insurance scheme.

Expertise in claims management and reimbursement best practices

Experience in developing and delivering capacity building workshops; including on Health insurance implementation

Experience in developing and executing insurance enrolment plans

Good understanding of current health financing reform initiatives in Nigeria especially the subnational level;

Expertise in health insurance operations

Experience carrying out similar assignments in Nigeria particularly at the sub-national level.

 

Applications Closing Date

2nd April, 2019.

 

How to Apply

Interested and qualified candidates should:

Click here to apply online