Job purpose

This role is responsible for supporting the medical management function in the Authority

Key Responsibilities/ Duties / Tasks

Managerial / Supervisory Responsibilities

• Supervise day to day operations in the unit
• Supervise, Coach and Mentor Staff

Operational Responsibilities / Tasks

• Ensure proper and accurate verification of invoices related to outpatient and inpatient medical claims and submit for data capturing in the iSupport system – Medical Module
• Ensure effective medical card management
• Pre-authorization and benefits adjustments in relation to medical benefits management
• Verify payments and deductions
• Ensures regulatory compliance with WIBA, labor laws
• Ensure relevant and related HR policies are understood and implemented consistently across the organization
• Facilitate identification and recommendation of medical service providers in the medical scheme
• Facilitate medical approvals in line with the medical policy
• Liaise with Finance division on payment matters
• Manage and implement medical management programs
• Communicate with Internal and External stakeholders
• Provide information, data, statistics and internal reports on medical issues for senior management considerations
• Implement medical management programs
• Day-to-day operations and supervision of staff in the unit
• Facilitate implementation of the work plans for the following corporate initiatives in the unit: Audit, Integrity, QMS and Risk Management.
• Drive initiatives to improve ethics, culture and facilitate change management in the unit

Job Dimensions:

Financial Responsibility

• N/A

Responsibility for Physical Assets

• Responsible for physical assets assigned by the institution.

Decision Making / Job Influence

• Make strategic, operational and financial decisions
• Plans the work of subordinates
• Assigns work to subordinates
• Monitors subordinates work performance
• Appraises/evaluates subordinates performance

Working Conditions

• Works predominantly in a comfortable environment/Office Setting

Job Competencies (Knowledge, Experience and Attributes / Skills).

      Academic qualifications

• A degree in Human Resource Management or related field from a recognized institution.

Professional Qualifications / Membership to professional bodies

• Diploma in HR/Post graduate Diploma in HR/ Certified Human Resource Professional (CHRP)
• Membership to a Professional Body – IHRM

Previous relevant work experience required.

• Minimum of 3 years work experience in a similar 

Functional Skills, Behavioral Competencies/Attributes:

• People management skills.
• Risk management and analysis.
• Results driven and analytical.
• Strong decision-making skills.
• Excellent communication skills.
• Good interpersonal skills.
• Technological ability.
• Tax business understanding.

How to apply

Registration:

• Go to https://erecruitment.kra.go.ke/login and then click on the ‘Register’ button to start the application process.
• After registration, you will receive an email enabling you to confirm your email address and complete your registration.

Log on:

• After registration go to https://erecruitment.kra.go.ke/login
• Key in your username and password then click on ‘Log in’ to access your account.
• After successful log in, the system will open the ‘Applicant Cockpit’.

Candidate Profile (To create or update applicant detail):

• On the ‘Applicant Cockpit’ page, go to the tab ‘Candidate Profile’.
• Click on ‘My Profile’ to create and update your profile.
• Follow the instructions to complete your profile.
• The process will end by clicking the tab “Overview and Release”.
• Ensure you click the check box on the page to complete the profile.

Application process:

• To view the open job postings, click on the tab ‘Employment Opportunities’ on the ‘Applicant Cockpit’ page.
• Under the heading ‘Job Search’ click the ‘Start’ button to view all available vacancies.
• Click on the Job posting to display the details of the position.
• To apply for the position, click ‘Apply’ button at the top of the page.
• Follow the instructions to complete and submit your application.
• Kindly note that all mandatory fields must be completed.
• To complete the process of application, click the ‘Send Application Now’ button after reviewing and accepting the ‘Data Privacy Statement’.

In case of any challenges, please send your email query to [email protected]