Registration and Compliance Officer I – 4 Posts at The Social Health Authority (SHA)

Job Description

Qualifications, Skills and Experience Required:

For appointment to this grade, an Officer must have:

Cumulative service period of three (3) years’ at the grade of Registration and Compliance Officer I or in a comparable position;
Bachelor’s Degree in Commerce, Accounting, Business Administration, Finance or Economics, Business, Medicine, Social Science, or Pharmacy equivalent qualification from a recognized institution;
Proficiency in computer applications;
Shown merit and ability as reflected in work performance and results.
Responsibilities:

You will be responsible for undertaking the empanelment of health providers, processing beneficiary registrations, conducting compliance audits, and implementing performance-based contracting methodologies under supervision.

Key Responsibilities

Undertaking the empanelment process for licensed health providers and facilities under the guidance of senior staff;
Processing beneficiary registrations and ensuring data accuracy;
Monitoring operational activities for compliance with the SHA Act and reporting any discrepancies;
Conducting compliance audit on providers and beneficiaries;
Assisting in the implementation of operational strategies for member registration and public education;
Collaborating with County Governments and partners to promote SHA membership;
Participating in stakeholder engagement activities to support registration and revenue targets;
Implementing performance-based contracting methodologies under supervision;
Implementing clinical audit policies and strategies;
Conducting health needs assessments and risk assessments under guidance;
Participating in Health Needs Assessments for clinical interventions and technologies;
Assisting in the inclusion of drugs and consumables in the SHA positive list;