QUALIFICATIONS

1. Three (3) years’ experience at the grade of Officer II or in comparable position in the public service or private sector:

2. Bachelor’s degree in any of the following disciplines: - Commerce (Finance option), Economics, Business Administration (Finance option), Business Management (Finance option) or its equivalent qualification from a recognized institution;

3. Certified Public Accountant II (CPA II) or its equivalent Proficiency in computer applications

4. Demonstrated merit and ability as reflected in work performance and results.

5. Meet the provision of Chapter Six of Constitution

OR

1. Six (6) years’ cumulative experience, three (3) of which should have at the grade of Assistant Officer II or in comparable position in the public service or private sector:

2. Diploma Certificate in Commerce (Finance option), Economics, Business Administration (Finance option), Business Management (Finance option) or a relevant field from a recognized institution

3. Proficiency in computer applications

4. Demonstrated merit and ability as reflected in work performance and results.

5. Meet the provision of Chapter Six of Constitution

Key Competencies and Skills

1. Report writing skills

2. Computing skills

3. Team Player

4. Analytical skills

5. Good communication Skills

Key Responsibilities

1. Taking initial action on budget monitoring;

2. Compiling and formatting financial estimates of the fund;

3. Compiling information required in the budgetary process;

4. Processing medium term expenditure and revised estimates budget;

5. Monitoring commitments on expenditures for recurrent, development and donor funds; and

6. Preparing reports and briefs on budgetary policy issues.

QUALIFICATIONS

1. Three (3) years’ experience at the grade of Officer II or in comparable position in the public service or private sector:

2. Bachelor’s degree in any of the following disciplines: - Commerce (Finance option), Economics, Business Administration (Finance option), Business Management (Finance option) or its equivalent qualification from a recognized institution;

3. Certified Public Accountant II (CPA II) or its equivalent qualification from a recognized institution;

4. Proficiency in computer applications

5. Demonstrated merit and ability as reflected in work performance and results.

6. Meet the provision of Chapter Six of Constitution

OR

1. Six (6) years’ cumulative experience, three (3) of which should have at the grade of Assistant Officer II or in comparable position in the public service or private sector:

2. Diploma Certificate in Commerce (Finance option), Economics, Business Administration (Finance option), Business Management (Finance option) or a relevant field from a recognized institution

3. Proficiency in computer applications

4. Demonstrated merit and ability as reflected in work performance and results.

5. Meet the provision of Chapter Six of Constitution

Key Competencies and Skills

1. Report writing skills

2. Analytical skills

3. Good communication Skills

Key Responsibilities

1. Taking initial action on budget monitoring;

2. Compiling and formatting financial estimates;

3. Compiling information required in the budgetary process;

4. Processing medium term expenditure and revised estimates budget;

5. Monitoring commitments on expenditures for recurrent, development and donor funds; and

6. Preparing reports and briefs on budgetary policy issues.

QUALIFICATIONS

1. Three (3) years’ experience at the grade of Officer II or in comparable position in the public service or private sector:

2. Bachelor’s degree in any of the following disciplines: - Commerce (Finance option), Economics, Business Administration (Finance option), Business Management (Finance option) or its equivalent qualification from a recognized institution;

3. Certified Public Accountant II (CPA II) or its equivalent qualification from a recognized institution;

4. Proficiency in computer applications

5. Demonstrated merit and ability as reflected in work performance and results.

6. Meet the provision of Chapter Six of the Constitution

OR

1. Six (6) years’ cumulative experience, three (3) of which should have at the grade of Assistant Officer II or in comparable position in the public service or private sector:

2. Diploma Certificate in Commerce (Finance option), Economics, Business Administration (Finance option), Business Management (Finance option) or a relevant field from a recognized institution

3. Proficiency in computer applications

4. Demonstrated merit and ability as reflected in work performance and results.

5. Meet the provision of Chapter Six of Constitution

Key Competencies and Skills

1. Report writing skills

2. Analytical skills

3. Good communication Skills

Key Responsibilities

1. Taking initial action on budget monitoring;

2. Compiling and formatting financial estimates;

3. Compiling information required in the budgetary process;

4. Processing medium term expenditure and revised estimates budget;

5. Monitoring commitments on expenditures for recurrent, development and donor funds; and

6. Preparing reports and briefs on budgetary policy issues.

QUALIFICATIONS

1. Three (3) years’ experience at the grade of Officer II or in comparable position in the public service or private sector:

2. Bachelor’s degree in any of the following Pharmacy, Health Financing, Health Economics, Actuarial Sciences, Statistics, Nursing, Mathematics, Dentistry, or equivalent qualification from a recognized institution.

3. Proficiency in computer applications

4. Demonstrated merit and ability as reflected in work performance and results.

5. Meet the provision of Chapter Six of the Constitution

OR

1. Six (6) years’ cumulative experience, three (3) of which should have at the grade of Assistant Officer II or in comparable position in the public service or private sector:

2. Diploma Certificate in Pharmacy, Health Financing, Health Economics, Actuarial Sciences, Statistics, Nursing, Mathematics, Dentistry or a relevant field from a recognized institution

3. Proficiency in computer applications

4. Demonstrated merit and ability as reflected in work performance and results.

5. Meet the provision of Chapter Six of Constitution

Key Competencies and Skills

1. Reporting skills;

2. Analytical skills;

3. Good Communication skills;

4. Good Interpersonal skills; and

Key Responsibilities

1. Assist in strategic and operational planning for Health Benefits management, risk assessments and monitoring performance against strategic objectives in collaboration with other departments.

2. Support Formulation and implementation of policies and strategies for effective and efficient Health Benefits management in collaboration with other departments.

3. Participate 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.

4. Participate in collaborations with the health Benefits Package & Tariffs Advisory Panel in evidence-based designing, reviewing, and updating of Benefit packages and Tariffs. 

5. Support the implementation of 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. 

6. Analyze the cost-effectiveness, affordability, budget impact of health benefit offerings and recommend optimizations to maintain sustainability. 

7. In collaboration 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. 

8. Ensure the effective implementation and continuous improvement of Benefits and Tariffs management information systems, ensuring they support efficient operations and member satisfaction.

9. Collecting and analysing data for purposes of claim management in collaboration with other departments. 

10. Prepare reports on Benefits Management Analyze the cost-effectiveness of benefit offerings and recommend optimizations to maintain sustainability. 

11. Support effective collaboration with external stakeholders to ensure transparency and trust.

12. Establish and refine robust internal controls to safeguard the sustainability, affordability, and integrity of benefits packages for all stakeholders. 

13. Ensure 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.

14. Participate in the development and execution of policies and strategies for business process re-engineering, driving innovation and efficiency in Benefits Management.

15. Provide 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.

QUALIFICATIONS

1. Three (3) years’ experience at the grade of Officer II or in comparable position in the public service or private sector:

2. Bachelor’s degree in any of the following, Nursing, Clinical Medicine, or any other medical-related field from a recognized institution. 

3. Proficiency in computer applications

4. Demonstrated merit and ability as reflected in work performance and results.

5. Meet the provision of Chapter Six of the Constitution

OR

1. Six (6) years’ cumulative experience, three (3) of which should have at the grade of Assistant Officer II or in comparable position in the public service or private sector:

2. Diploma Certificate Nursing, Clinical Medicine, or any other medical-related field from a recognized institution

3. Proficiency in computer applications

4. Demonstrated merit and ability as reflected in work performance and results.

5. Meet the provision of Chapter Six of Constitution

Key Competencies and Skills

1. Reporting skills;

2. Analytical skills;

3. Good Communication skills;

4. Good Interpersonal skills; and

Key Responsibilities

1. Assist in Strategic and operational planning for claims management, Health Care Benefits, risk assessments and monitoring progress against strategic objectives;

2. Assist in formulation and implementation of policies and strategies for effective and efficient claims management;

3. Reviewing, processing and validating medical claims from healthcare providers and healthcare facilities;

4. Issuing pre-authorizations for access to healthcare services based on the benefit package;

5. Appraising medical claims based on the benefit package;

6. Participate in quality assurance surveillance and claims adjudication in respect of claims;

7. Assist in establishing systems and controls for detecting and identifying fraud appropriate to the Fund’s exposure and vulnerability in collaboration with other departments

8. Participate in sensitization of claimants on the consequences of submitting false and fraudulent claims;

9. Collecting and compilation of data for purposes of claim management in collaboration with other departments. 

10. Assist in collaborations with relevant entities in the Health Needs Assessment for clinical interventions and other technologies;

11. Preparation of reports on claims 

12. Assist in effective implementation and continuous improvement of Claims management information systems, ensuring they support efficient operations and member satisfaction in collaboration with the relevant entities in collaboration with other departments. 

13. Support in establishment and refinement of robust internal claims management controls to safeguard the sustainability, affordability, and integrity of benefits packages for all stakeholders. 

14. Support in ensuring compliance with local and international standards in Claims Management (as prescribed in the Act), fostering alignment with globally recognized best practices and enhancing the Authority’s reputation.

15. Assist in ensuring the development and execution of policies and strategies for business process re-engineering, driving innovation and efficiency in Claims Management.

16. Assist in ensuring provision of expert guidance in Claims management on reviewing and amending the Social Health Insurance Act, ensuring responsiveness to the evolving healthcare landscape and adherence to quality standards.

QUALIFICATIONS

1. Three (3) years’ experience at the grade of Officer II or in comparable position in the public service or private sector:

2. Bachelor’s degree in any of the following disciplines: - Human Resource Management, Officers Management, Public Administration or its equivalent qualifications from a recognized institution;

3. Proficiency in computer applications

4. Demonstrated merit and ability as reflected in work performance and results.

5. Meet the provision of Chapter Six of the Constitution

OR

1. Six (6) years’ cumulative experience, three (3) of which should have at the grade of Assistant Officer II or in comparable position in the public service or private sector:

2. Diploma Certificate in Human Resource Management, Officers Management, Public Administration a relevant field from a recognized institution

3. Proficiency in computer applications

4. Demonstrated merit and ability as reflected in work performance and results.

5. Meet the provision of Chapter Six of Constitution

Key Competencies and Skills

1. Communication skills

2. Strong interpersonal skills

Key Responsibilities

1. Ensuring correct inputting of payroll data;

2. Processing employee recruitment, promotion and exit documents;

3. Processing leave applications;

4. Verifying and updating employees’ bio-data;

5. Verifying sick sheets and sick offs;

6. Drafting routine correspondences;

7. Updating Social Health Insurance Fund (SHIF) 

8. Verifying staff claims;

9. Maintaining a human resource database;

10. Receiving and processing training applications;

11. Responding to job enquiries;

QUALIFICATIONS

1. Three (3) years’ experience at the grade of Officer II or in comparable position in the public service or private sector:

2. Bachelor’s degree in social sciences or administration/management from a recognized institution;

3. Proficiency in computer applications

4. Demonstrated merit and ability as reflected in work performance and results.

5. Meet the provision of Chapter Six of the Constitution.

OR

1. Six (6) years’ cumulative experience, three (3) of which should have at the grade of Assistant Officer II or in comparable position in the public service or private sector:

2. Diploma Certificate in social sciences or administration/management or a relevant field from a recognized institution

3. Proficiency in computer applications

4. Demonstrated merit and ability as reflected in work performance and results.

5. Meet the provision of Chapter Six of Constitution

Key Competencies and Skills

1. Communication skills

2. Strong interpersonal skills

1. Overseeing general cleanliness in offices daily. 

2. Identifying office accommodation and space for staff;

3. Ensuring that office equipment and furniture are maintained;

4. Maintaining and updating furniture and office equipment inventory;

5. Processing and follow up of payment of bills for common services;

6. Generating administrative reports on repairs and maintenance;

7. Providing administrative services to the organization.

8. Facilitating meetings, conferences and other special events;

9. Managing Transport and logistics.

QUALIFICATIONS

1. Three (3) years’ experience at the grade of Officer II or in comparable position in the public service or private sector:

2. Bachelor’s degree in any of the following disciplines: - Information Science Management, Records Management or any of the Social Sciences and a Certificate in Records Management/Information Management or other relevant and equivalent qualifications from a recognized Institution;

3. Proficiency in computer application; 

4. Demonstrated merit and ability as reflected in work performance and results.

5. Fulfill the requirements of Chapter Six of the Constitution.

OR

1. Six (6) years’ cumulative experience, three (3) of which should have at the grade of Assistant Officer II or in comparable position in the public service or private sector:

2. Diploma Certificate in Information Science Management, Records Management or any of the Social Sciences or a relevant field from a recognized institution

3. Proficiency in computer applications

4. Demonstrated merit and ability as reflected in work performance and results.

5. Meet the provision of Chapter Six of Constitution

Key Competencies and Skills

1. Analytical skills

2. Good communication skills

3. Good Interpersonal skills

1. Develop, review & maintain the Authority’s classification scheme

2. Ensure proper management of incoming and outgoing mail/parcels

3. Ensure effective retrieval of records

4. Ensure co-ordination of files in and out of the RM unit

5. Plan for appropriate accommodation of records/files at the section

6. Initiate appraisal and disposition in accordance with the regulations

7. Ensure safety of items received for dispatch

8. Ensure proper packaging of parcels for dispatch

9. Reconcile courier service provider invoices.

QUALIFICATIONS

1. Three (3) years’ experience at the grade of Officer II or in comparable position in the public service or private sector:

2. Bachelor’s degree in any of the following disciplines: - Public Communication, Public Relations, Mass Communication or its equivalent qualification   from a recognized institution;

3. Proficiency in computer applications

4. Demonstrated merit and ability as reflected in work performance and results.

5. Meet the provision of Chapter Six of the Constitution

OR

1. Six (6) years’ cumulative experience, three (3) of which should have at the grade of Assistant Officer II or in comparable position in the public service or private sector:

2. Diploma Certificate in Public Communication, Public Relations, Mass Communication or a relevant field from a recognized institution

3. Proficiency in computer applications

4. Demonstrated merit and ability as reflected in work performance and results.

5. Meet the provision of Chapter Six of Constitution

Key Competencies and Skills

1. Communication Skills

2. Negotiation skills

3. Analytical and interpretative skills

1. Preparing media briefs and speeches;

2. Collecting information for the preparation of the authority’s newsletter and supplements;

3. Developing proposals for sourcing appropriate media to disseminate information on activities of the authority;

4. Preparing radio and television infomercials;

5. Preparing reports on communications; and

6. Preparation of materials for exhibitions and trade fairs;

7. Plan, design, and deliver on events within the set timelines 

8. Participate in creative and innovative strategies for quality services and events

9. Facilities event details such as decor, catering, entertainment, transportation, location, invite list, special guests, equipment, promotional material, etc.

QUALIFICATIONS

1. Three (3) years’ experience at the grade of Officer II or in comparable position in the public service or private sector:

2. Bachelor’s degree in any of the following disciplines: - Computer Science, Information Technology, Business Information Technology or its equivalent qualification from recognized institution;

3. Proficiency in computer applications

4. Demonstrated merit and ability as reflected in work performance and results.

5. Meet the provision of Chapter Six of the Constitution

OR

1. Six (6) years’ cumulative experience, three (3) of which should have at the grade of Assistant Officer II or in comparable position in the public service or private sector:

2. Diploma Certificate in Computer Science, Information Technology, Business Information Technology or a relevant field from a recognized institution

3. Proficiency in computer applications

4. Demonstrated merit and ability as reflected in work performance and results.

5. Meet the provision of Chapter Six of Constitution

Key Competencies and Skills

1. Report writing skills;

2. Communication skills;

3. Problem solving skills

4. Critical thinking skills; 

5. Planning skills; 

6. Interpersonal skills

1. Implementation of an effective QMS in the department;

2. Draft and implement ICT maintenance schedules;

3. Support in the process of receiving, installing, configuration, certification of new or upgrading of the ICT Systems and equipment;

4. Monitor the detection and reporting on ICT equipment performance; 

5. Draft and implement risk register in the section;

6. Draft data backup schedules;

7. Update the corporate database and website;

8. Implement ICT work plans, procurement plans and budgets for the section;  

9. Draft and submit hardware/software specifications to inform the procurement of ICT goods and services; 

10. Install, configure and maintain hardware and software systems;

11. Configure local area network, wide area network and telecommunication facilities;

12. Manage the Active Directory and e-mail system;

13. Install, configure and maintain telephone lines/extensions;

14. Update inventory of ICT equipment;

15. Implement and monitor the firewall policies and rules;

16. Maintain interfaces between various ICT systems; 

17. Draft quarterly progress reports on ICT activities;

18. Control access to network and server rooms;

19. Monitor network traffic and ensure adequate speeds and capacity are met;

20. Install and configure assorted software, documentation of configuration systems; troubleshooting any reported system problems.

QUALIFICATIONS

1. Three (3) years’ experience at the grade of Officer II or in comparable position in the public service or private sector:

2. Bachelor’s Degree in any of the following fields: Economics, Statistics, Mathematics, Strategic Management, Business Development, Development Studies, and Business Administration or

equivalent qualifications from a recognized institution;  

3. Proficiency in computer applications

4. Demonstrated merit and ability as reflected in work performance and results.

5. Meet the provision of Chapter Six of the Constitution 

OR

1. Six (6) years’ cumulative experience, three (3) of which should have at the grade of Assistant Officer II or in comparable position in the public service or private sector:

2. Diploma Certificate in Economics, Statistics, Mathematics, Strategic Management, Business Development, Development Studies, and Business Administration or a relevant field from a recognized institution

3. Proficiency in computer applications

4. Demonstrated merit and ability as reflected in work performance and results.

5. Meet the provision of Chapter Six of Constitution

Key Competencies and Skills

1. Report writing skills;

2. Communication skills;

3. Problem solving skills

4. Negotiation skills; 

5. Critical thinking skills; 

6. Planning skills; 

7. Interpersonal skills

8. Strong analytical, problem-solving, and communication skills.

Corporate Performance Management

1. Developing and implementing and Monitoring & Evaluation Framework 

2. Coordinating periodic management Strategy review meetings 

3.  Preparing periodic reports to relevant departments and authorities. 

4. Preparing of divisional plans, budget and effectively manage corporate performance 

5. Compiling and Dissemination of various Monitoring & Evaluation reports 

Quality and Risk Management 

1. Coordinating the risk management of the Organization;

2. Facilitating identification and evaluation of risks in liaison with other Departments and Divisions; 

3. Coordinating mainstreaming Enterprise Risk Management 

4. Developing and implementing Risk Management Plan 

5. Reviewing the Implementation of the Risk Management framework 

6. Evaluate the effectiveness of the risk management in the Organization

QUALIFICATIONS

1. Three (3) years’ experience at the grade of Officer II or in comparable position in the public service or private sector:

2. Bachelor’s degree in any of the following disciplines: Supply Chain Management, Commerce (Supplies Management option), Procurement or its equivalent qualification from a recognized institution;

3. Proficiency in computer applications

4. Demonstrated merit and ability as reflected in work performance and results.

5. Meet the provision of Chapter Six of the Constitution

OR

1. Six (6) years’ cumulative experience, three (3) of which should have at the grade of Assistant Officer II or in comparable position in the public service or private sector:

2. Diploma Certificate in Supply Chain Management, Commerce (Supplies Management option), Procurement or a relevant field from a recognized institution

3. Proficiency in computer applications

4. Demonstrated merit and ability as reflected in work performance and results.

5. Meet the provision of Chapter Six of Constitution

Key Competencies and Skills

1. Analytical skills

2. Communication skills

3. Strong interpersonal skills

4. Negotiation skills

1. Checking the stationery issues against requisitions made;

2. Ensuring goods delivered by suppliers are of the right quantity and quality;

3. Participating in Periodic and Annual stock taking of Stores;

4. Participating in opening of tenders, request for quotations and request for proposals; inventory control and provisioning for the authority;

5. Reviewing, up-dating, interpreting and implementing existing stores procedures and systems; 

6. Participating in the disposal of idle and slow-moving stores items;

7. Participating in the analysis and evaluation of the request for quotations; 

8. Processing of LPOs and LSOs; and

9. Expediting delivery of goods and services from suppliers.

JOB PROFILE

The Deputy Director, Legal Services will provide strategic legal leadership and guidance to ensure the Social Health Authority (SHA) operates within the legal and regulatory framework of the Social Health Insurance Act, 2023, and other relevant laws. This role oversees legal compliance, contract management, dispute resolution, policy formulation, and governance matter to safeguard the Authority’s interests. Additionally, the position ensures adherence to statutory obligations, mitigates legal risks, and supports decision-making through sound legal advice.

QUALIFICATIONS

1. Fifteen (15) years cumulative experience and at least three (3) of which should have been at the level of Assistant Director or in a comparable position in the public or private sector.

2. Bachelor of Laws degree from a recognized institution;

3. Master’s Degree in Law or a relevant field from a recognized institution

4. Postgraduate Diploma in Law from the Kenya School of Law;

5. Admitted as an Advocate of the High Court of Kenya;

6. Hold a valid practicing certificate;

7. Leadership course lasting not less than four (4) weeks at a recognized institution.

8. Demonstrated merit and ability as reflected in work performance and results; and

9. Fulfilled the requirements of Chapter Six of the Constitution.

Key Competencies and Skills

1. Strong analytical skills

2. Communication skills

3. Strategic and innovative thinking

4. Strong interpersonal skills

5. Ability to mobilize resources

6. Negotiation skills

1. Conduct Legal Due Diligence on all prospective Lessees, Licensees, Partners or other third parties with whom the Authority is to enter a legal relationship with.

2. Developing and vetting policy papers and instruments with legal implications for approval by the Authority;

3. Advising the Authority and coordination with the functional areas in relation to various legal requirements which must be complied with and the legal obstacles which must be overcome in order to obtain the Authority’s targeted results;

4. Responsibility for the timely release of legal advice to assist the Authority in making an informed decision;

5. Ensuring timely compliance with rules and regulations affecting the Authority, including the Code of Conduct and Ethics;

6. Attending to all legal matters of the Authority including advising, vetting and drafting of legal agreements in relation to the Authority’s operations; and

7. Provide legal guidance on contractual and statutory obligations binding to the Organization

8. Coordinate litigations for the Authority.

9. Provide guidance on governance and adherence to statutory obligations.

10. Prepare all Authority contracts, handle all litigation and conveyance matters for the Authority.

11. Facilitate the development of the all Bills and Policies that have bearing on the Authority’s mandate.

12. Establish and manage the Legal Registry.

13. Provide and interpret legal information, conducting training and disseminate appropriate legal requirements to staff.

14. Safeguard the Authority’s interests and ensuring that they are adequately defended   before the courts.

15. Manage, review, and monitor progress of all outstanding litigation.

16. Issue instructions, liaise with the Authority’s appointed Advocates with a view to ensuring they act in the Authority’s interest while handling cases on its behalf.

17. Ensure the Authority complies with constitutional, regulatory and all relevant laws in force through the provision of legal advisory services and contractual risks are efficiently managed.

18. Undertake extensive review of different requests for approval, licenses both internal and external for purposes of ascertaining legal soundness, make appropriate recommendations and ensure proper implementation.

19. Document and maintain a record of all enforcement and compliance assignments undertaken by the Authority’s officers and develop legal accountability structures in relation to enforcement assignments.

20. Continuously manage, review and updating of all the Authority’s codes, regulations, rules, guidelines, by-laws for consistency with each other, and also compliance with the National and County Legal Frameworks.

21. Establish and manage the Authority’s Alternative Dispute Resolution Mechanism.

22. Develop the Authority’s proactive and preventive legal policies and strategies aimed at forestalling disputes, controversies and litigation.

23. Attend Board Meetings in the absence of the Corporation Secretary

24. Arrange and participate in stakeholder engagements (ICPSK, IOD, SCAC, AG).

JOB PROFILE

The Deputy Director, Supply Chain Management will provide strategic leadership in the procurement, logistics, and asset management functions of the Social Health Authority (SHA). This role is responsible for developing and implementing supply chain policies, ensuring compliance with the Public Procurement and Asset Disposal Act, 2015, and optimizing procurement processes for efficiency, transparency, and value for money. The position oversees contract management, supplier relationship management, inventory control, and disposal of assets while ensuring adherence to regulatory frameworks and ethical procurement standards.

QUALIFICATIONS

1. Fifteen (15) years cumulative experience, at least three (3) of which should have been at the level of Assistant Director or in a comparable position in the public or private sector;

2. Bachelor’s degree in any of the following disciplines: Supply Chain Management, Commerce (Supplies Management option), Procurement or its equivalent qualification from a recognized institution;

3. Master’s degree in any of the following disciplines: Supplies Chain Management, Commerce (Supplies Management option), Procurement or its equivalent qualification from a recognized institution;

4. Management Course lasting not less than four (4) weeks from a recognized institution

5. Be a registered member in good standing of the Kenya Institute of Supplies Management (KISM); 

6. Kenya Institute of Supplies Management (KISM) Practicing License.

7. Proficiency in Computer Applications

8. Professional Qualification in CPSP(K) or CIPS(UK)

9. Demonstrated merit and ability as reflected in work performance and results.

Key Competencies and Skills

1. Strong analytical skills

2. Communication skills

3. Strategic and innovative thinking

4. Strong interpersonal skills

5. Negotiation skills.

1. Lead in formulating and developing policies, plans and strategies in the areas of supply chain including risk management and contractor performance measurement plans;

2. Ensuring the procurement and asset disposal processes are carried out in compliance with the procurement and asset disposal Law;

3. Ensuring development and review of the annual procurement and asset disposal plans in line with the Law and monitoring their implementation;

4. Providing procurement professional opinion to the Chief Executive Officer on all procurement contracts for goods, works, services and consultancies as well as asset disposal processes;

5. Ensuring development and implementation of the Supply Chain Strategy and reporting in line with policies, processes & procedures;

6. Overseeing the management of inventory, stores and assets in compliance with the guidelines issued by SHA, Public Procurement regulatory Authority and the National Treasury;

7. Ensuring development and maintaining of an information communication technology inventory management system which shall comply with the Law;

8. Ensuring preparation of statutory and administrative procurement and asset disposal reports as required by the SHA and other Government bodies;

9. Ensuring Monitoring Contract management to ensure conformity with the contract terms and conditions of contract, and reporting to the Chief Executive Officer on any significant departures from the terms and conditions of the contract.

10. Leading in capacity building programs in SHA Supply Chain to ensure compliance with the procurement Law and SHA’s procurement policies and procedures.

11. Ensuring development and management of the supply chain, capability and culture that reflect the values which facilitate performance, professionalism and initiative by staff throughout the Authority;

12. Ensuring that procurement and asset disposal records and data are maintained in accordance with the Law; 

13. Ensuring that the market survey is done in accordance with law to inform adjudication and award by the Chief Executive Officer and subsequent placing of orders;

14. Co-ordinating internal monitoring and evaluation of the procurement and supply chain function;

15. Advising the Authority on aggregation of procurement opportunities to promote economies of scale.

JOB PROFILE

The Deputy Director, Claims and Case Management will provide strategic leadership in the administration, processing, and resolution of health insurance claims within the Social Health Authority (SHA). This role is responsible for developing and implementing claims management policies, ensuring efficiency, accuracy, and compliance with the Social Health Insurance Act, 2023, and other regulatory frameworks. The position oversees claims adjudication, fraud detection and mitigation, dispute resolution, and case management to enhance service delivery and financial sustainability. Additionally, the role ensures seamless coordination with healthcare providers, members, and regulatory bodies to uphold transparency and accountability in claims processing.

QUALIFICATIONS

1. Fifteen (15) years cumulative experience, at least three (3) of which should have been at the level of Assistant Director or in a comparable position in the public or private sector.

2. Bachelor’s degree in Medicine and surgery, from a recognized institution. 

3. Master’s degree in Medicine and Surgery, or health-related fields from a recognized institution.

4. Management course lasting not less than four (4) weeks from a recognized institution.

5. Membership to the relevant professional body in good standing.

6. Valid Practicing license.

7. Demonstrate a clear understanding of the SHI Act, 2023, and other laws relevant to SHA operations.

8. Meet the requirements of Chapter Six of the Constitution of Kenya.

Key Competencies and Skills

1. Strong analytical skills

2. Communication skills

3. Strong interpersonal skills

4. Negotiation skills

1. Ensure strategic and operational planning for claims management, defining, risk assessments and monitoring progress against strategic objectives in collaboration with other departments;

2.  Ensure Formulation and implementation of policies and strategies for effective and efficient claims management;

3. Coordinate reviewing, processing and validating medical claims from healthcare providers and healthcare facilities;

4. Ensure issuing of pre-authorizations for access to healthcare services based on the benefit package;

5. Ensure appraising medical claims based on the benefit package;

6. Coordinate quality assurance surveillance and claims adjudication in respect of claims;

7. Establishing systems and controls for detecting and identifying fraud appropriate to the Fund’s exposure and vulnerability in collaboration with other departments

8. Oversee Sensitization of claimants on the consequences of submitting false and fraudulent claims;

9. Ensure effective collection and analyzing of data for purposes of claim management in collaboration with other departments. 

10. Coordinate collaborations with relevant entities in the Health Needs Assessment for clinical interventions and other technologies;

11. Ensure preparation of reports on claims 

12. Ensure effective implementation and continuous improvement of Claims management information systems, ensuring they support efficient operations and member satisfaction in collaboration with the relevant entities in collaboration with other departments. 

13. Establish and refine robust internal claims management controls to safeguard the sustainability, affordability, and integrity of benefits packages for all stakeholders. 

14. Ensure compliance with local and international standards in Claims Management (as prescribed in the Act), fostering alignment with globally recognized best practices and enhancing the Authority’s reputation.

15. Ensure the development and execution of policies and strategies for business process re-engineering, driving innovation and efficiency in Claims Management.

Provide expert guidance in Claims management on reviewing and amending the Social Health Insurance Act, ensuring responsiveness to the evolving healthcare landscape and adherence to quality standards.

QUALIFICATIONS

1. Three (3) years’ experience at the grade of Officer II or in comparable position in the public service or private sector:

2. Bachelor’s degree in Secretarial Studies or any other equivalent from a recognized institution;

3. Proficiency in computer application;

4. Demonstrated merit and ability as reflected in work performance and results.

5. Meet the provision of Chapter Six of Constitution

OR

1. Six (6) years’ experience at the grade of Officer II or in comparable position in the public service or private sector:

2. Diploma in Secretarial Studies from the Kenya National Examinations Council or its equivalent from a recognized institution;

3. Proficiency in computer application.

4. Demonstrated merit and ability as reflected in work performance and results.

5. Meet the provision of Chapter Six of Constitution

Key Competencies and Skills

1. Communication skills

2. Strong interpersonal skills

1. Ensuring security of office equipment, documents and records; 

2. Planning and organizing meetings, workshop/conferences and seminars; 

3. Responding to correspondences; attending to visitors/clients; handling telephone calls, enquiries and appointments; 

4. Handling protocols and confirming travel itineraries; 

5. Handling customer inquiries and complaints;

6. Ensuring confidentiality of office information;

7. Record keeping for correspondences and file movement;

8. Managing office protocol and etiquette;

9. Coordinating the general administration of the respective department/office;

10. Coordinating office appointments and travel itineraries

QUALIFICATIONS

1. Three (3) years’ experience at the grade of Officer II or in comparable position in the public service or private sector:

2. Bachelor’s Degree in Law 

3. Postgraduate Diploma in Law from the Kenya School of Law;

4. Admitted as an advocate of the High Court Kenya;

5. Hold a valid practicing Certificate;

6. Proficiency in computer applications

7. Demonstrated merit and ability as reflected in work performance and results.

8. Meet the provision of Chapter Six of Constitution

OR

1. Six (6) years’ cumulative experience, three (3) of which should have at the grade of Assistant Officer II or in comparable position in the public service or private sector:

2. Diploma Certificate in a relevant field from a recognized institution

3. Proficiency in computer applications

4. Demonstrated merit and ability as reflected in work performance and results.

5. Meet the provision of Chapter Six of Constitution

Key Competencies and Skills

1. Strong analytical skills

2. Communication skills

3. Strategic and innovative thinking

4. Strong interpersonal skills

5. Ability to mobilize resources

6. Negotiation skills

Key Responsibilities

1. Rendering professional legal advice to the Head of Department for any legal action to be initiated and/or defending the interests of the Authority;

2. Preparing legal briefs for the initiation of legal action;

3. Attending Court on behalf of the Authority,

4. Preparing and interpreting legal opinions and offering guidance on legal requirements;

5. Supervising training of Legal Clerks, interns and other staff when necessary;

6. Maintaining and ensuring proper management of the records of the legal department are up to date and producing quarterly reports on the same;

7. Working collaboratively with other organizations and networks where appropriate, locally,

8. Prosecuting for and representing the Authority in law courts and quasi-judicial tribunals;

9. Drafting and reviewing of legal instruments and policy documents on behalf of the Authority;

10. Advising on negotiations and taking part in commercial transactions;

11. Drafting of contracts, leases, licenses and MOUs;

12. Engaging and liaising with stakeholders on behalf of the Authority;

13. Legal research and assignments; and

Undertaking additional tasks and responsibilities which may arise from time to time, relevant to the post.

QUALIFICATIONS

1. Three (3) years’ experience at the grade of Officer II or in comparable position in the public service or private sector:

2. Bachelor’s degree in commerce, Accounting, Business Administration, Finance or Economics, Business, Medicine, Social Science, Pharmacy equivalent qualification from a recognized institution.

3. Proficiency in computer applications

4. Demonstrated merit and ability as reflected in work performance and results.

5. Meet the provision of Chapter Six of Constitution

OR

1. Six (6) years’ cumulative experience, three (3) of which should have at the grade of Assistant Officer II or in comparable position in the public service or private sector:

2. Diploma Certificate in commerce, Accounting, Business Administration, Finance or Economics, Business, Medicine, Social Science, Pharmacy or a relevant field from a recognized institution

3. Proficiency in computer applications

4. Demonstrated merit and ability as reflected in work performance and results.

5. Meet the provision of Chapter Six of Constitution

Key Competencies and Skills

1. Reporting skills;

2. Analytical skills;

3. Good Communication skills;

4. Good Interpersonal skills

Key Responsibilities

1. Preparing status report on revenue collections, individual accounts, and registration.

2. Carrying out sample payroll audit periodically.

3. Identifying the information, educational and service needs of the sector.

4. Monitor and report on the status of active and inactive SHA members.

5. Enforcing compliance to the SHI ACT.

6. Accurate analysis and evaluation of relevant data and information for decision support.

7. Ensuring creation of employers or contributors’ database.

8. Undertaking cases in registration, collection of contributions.

9. Acting as liaison officers between the Authority and employers/contributors within the Sectors.

QUALIFICATIONS

1. Three (3) years’ experience at the grade of Officer II or in comparable position in the public service or private sector:

2. Bachelor’s degree in commerce, Accounting, Business Administration, Finance or Economics, Business, Medicine, Social Science, Pharmacy equivalent qualification from a recognized institution.

3. Proficiency in computer applications

4. Demonstrated merit and ability as reflected in work performance and results.

5. Meet the provision of Chapter Six of Constitution

OR

1. Six (6) years’ cumulative experience, three (3) of which should have at the grade of Assistant Officer II or in comparable position in the public service or private sector:

2. Diploma Certificate in commerce, Accounting, Business Administration, Finance or Economics, Business, Medicine, Social Science, Pharmacy or a relevant field from a recognized institution

3. Proficiency in computer applications

4. Demonstrated merit and ability as reflected in work performance and results.

5. Meet the provision of Chapter Six of Constitution

Key Competencies and Skills

1. Reporting skills;

2. Analytical skills;

3. Good Communication skills;

4. Good Interpersonal skills

Key Responsibilities

1. Preparing status report on provider contracts.

2. Compile quarterly reports on quality assurance.

3. Identifying the information, educational and service needs of the provider.

4. Enforcing compliance to the SHI ACT.

5. Accurate analysis and evaluation of provider data and information for decision support.

QUALIFICATIONS

1. Three (3) years’ experience at the grade of Officer II or in comparable position in the public service or private sector:

2. Bachelor’s degree in any of the following disciplines: - Commerce (Finance option), Economics, Business Administration (Finance option), Business Management (Finance option) or its equivalent qualification from a recognized institution;

3. Certified Public Accountant II (CPA II) or its equivalent 

4. Proficiency in computer applications

5. Demonstrated merit and ability as reflected in work performance and results.

6. Meet the provision of Chapter Six of Constitution

OR

1. Six (6) years’ cumulative experience, three (3) of which should have at the grade of Assistant Officer II or in comparable position in the public service or private sector:

2. Diploma Certificate in Commerce (Finance option), Economics, Business Administration (Finance option), Business Management (Finance option) or a relevant field from a recognized institution

3. Proficiency in computer applications

4. Demonstrated merit and ability as reflected in work performance and results.

5. Meet the provision of Chapter Six of Constitution

Key Competencies and Skills

1. Report writing skills

2. Computing skills

3. Team Player

4. Analytical skills

5. Good communication Skills

Key Responsibilities

1. Taking initial action on budget monitoring;

2. Compiling and formatting financial estimates of the fund;

3. Compiling information required in the budgetary process;

4. Processing medium term expenditure and revised estimates budget;

5. Monitoring commitments on expenditures for recurrent, development and donor funds; and

6. Preparing reports and briefs on budgetary policy issues.

QUALIFICATIONS

1. Three (3) years’ experience at the grade of Officer II or in comparable position in the public service or private sector:

2. Bachelor’s degree in any of the following disciplines: - Commerce (Finance option), Economics, Business Administration (Finance option), Business Management (Finance option) or its equivalent qualification from a recognized institution;

3. Certified Public Accountant II (CPA II) or its equivalent Proficiency in computer applications

4. Demonstrated merit and ability as reflected in work performance and results.

5. Meet the provision of Chapter Six of Constitution

OR

1. Six (6) years’ cumulative experience, three (3) of which should have at the grade of Assistant Officer II or in comparable position in the public service or private sector:

2. Diploma Certificate in Commerce (Finance option), Economics, Business Administration (Finance option), Business Management (Finance option) or a relevant field from a recognized institution

3. Proficiency in computer applications

4. Demonstrated merit and ability as reflected in work performance and results.

5. Meet the provision of Chapter Six of Constitution

Key Competencies and Skills

1. Report writing skills

2. Computing skills

3. Team Player

4. Analytical skills

5. Good communication Skills

Key Responsibilities

1. Taking initial action on budget monitoring;

2. Compiling and formatting financial estimates of the fund;

3. Compiling information required in the budgetary process;

4. Processing medium term expenditure and revised estimates budget;

5. Monitoring commitments on expenditures for recurrent, development and donor funds; and

6. Preparing reports and briefs on budgetary policy issues.