National Health Insurance Management Authority (NHIMA)
Job Purpose
The role will be responsible for performing accreditation and quality assurance activities in accredited health facilities under the National Health Insurance Scheme (NHIS).
Key Responsibilities
⦁Initiate, assess and recommend health facilities for accreditation as per the NHI Act No2 of 2019 and supporting regulations (SI No. 63 of 2019)
⦁Dissemination of accreditation criteria as part of on-going education of the stake holders.
⦁Establishes and maintains a database of all accredited health facilities including contact details, Bank account numbers, services provided.
⦁Conduct quality assurance activities in accredited health facilities,
⦁Check and verify adherence to clinical and quality standards in accredited health facilities,
⦁Conduct inspection and supportive supervision of accredited health facilities,
⦁Recommend appropriate investigations, sanctions, or de-accreditation for non-compliant facilities,
⦁Assist in addressing issues related to management of clinical cases, process flow in the facilities or other quality aspects in accredited facilities,
⦁Ensure reporting from all accredited health facilities in line with statutory requirements,
⦁Foster a strong relationship with accredited health facilities and manage risks to quality service delivery under the NHIS,
⦁Support health facilities in developing plans to improve overall quality of services,
⦁Ensure provision of on-site technical assistance to accredited health facilities on the implementation of the NHIS,
⦁Receive, Investigate, and resolve complaints from Stakeholders.
⦁Ensuring that accredited health care providers pay the prescribed accreditation fees timeously,
⦁Ensure annual accreditation fees for renewal are invoiced, communicated, and collected for each calendar year,
⦁Arrange travel, agenda, programs, budget, transport, and itineraries for client visits to showcase accredited facility operations and ad hoc events.
Knowledge, Skills, Qualifications and Experience
⦁Grade twelve (12) School Certificate with 5 passes which should include English Language and Mathematics,
⦁Degree in clinical Medicine/Pharmacy/Nursing or equivalent qualifications with atleast one (1) year industry experience, or
⦁Diploma in clinical Medicine/Pharmacy/Nursing or equivalent qualifications with atleast three (3) years industry experience,
⦁A certificate of internship and/or registration with relevant professional body is required.
Competencies required for this Role
⦁Must be willing to travel extensively,
⦁Able to write comprehensive and analytical reports,
⦁Must be an effective communicator with a good command of the English Language,
⦁Computer literate and have effective investigative skills,
⦁Must be proficient in computer skills, including Microsoft Office Suite (Word, PowerPoint, and Excel); scheduling appointments/updating calendars,
⦁Must have knowledge and ability to operate basic office equipment such as printers, scanners,
⦁Must have good interpersonal skills and organisational skills, and
⦁Must have excellent time management skills and ability to prioritise.
To apply for this job please visit careers.nhima.co.zm.