Manager, Counter Verification – Medical Insurance at Rwanda Social Security Board (RSSB): (Deadline 11 January 2024)

Manager, Counter Verification – Medical Insurance at Rwanda Social Security Board (RSSB): (Deadline 11 January 2024)

Are you ready to embark on a transformational journey? We are seeking a dynamic and forward-thinking leader to join us as the Manager, Counter Verification. If you thrive in dynamic environments and are committed to innovation and transformation, this is the opportunity for you!

As the Manager of Counter Verification, you will play a crucial role in developing and implementing Medical Insurance counter verification policies and procedures, ensuring their successful execution. Your commitment to upholding ethical standards, preventing and uncovering fraudulent activities will be instrumental in execution of your role.

If you possess the skills and expertise required to collaborate closely with a competent team of professionals  and are deeply committed to being part of a mission-driven organisation that places the well-being of millions of individuals at the forefront, then we invite you to apply. In this critical position, you will actively contribute to the transformation of the organisation, working towards enhancing socio-economic well-being, fostering long-term stability, and promoting prosperity for the people of Rwanda.

Reporting to the Head, Medical Insurance, the Manager, Counter Verification will be responsible for managing the counter verification process by ensuring all invoices have correct amounts, payments are done and fraud incidents are kept to minimum.

About RSSB 

The Rwanda Social Security Board (RSSB) has the mandate to manage and promote social security in Rwanda. RSSB’s vision is to provide a comprehensive social security system that caters to the diverse social security needs of the population, RSSB plays an important role in realising Vision 2050 and the National Strategy for Transformation (NST1). RSSB manages six social security schemes, namely: Pension, Occupational Hazards, Medical scheme, CBHI, Maternity Leave Benefits and EjoHeza (Long-term Term Saving Scheme).

As a leading player in the financial sector, RSSB serves as the largest institutional investor in Rwanda. With assets under management amounting to 2.06 trillion Rwf , which is equivalent to over 15% of the country’s GDP, RSSB invests in key sectors of the economy and plays a crucial role in growing the country’s financial sector. With approximately 12 million members in the above six schemes, encompassing over 90% of Rwanda’s population, RSSB is at the forefront of securing the health and financial well-being of Rwandans.

To achieve its important mandate, RSSB is embarking on a transformative journey, aiming to become a modern, data-driven, and high-performing institution. As part of this ambitious initiative, we are seeking highly motivated individuals who are results-oriented and uphold the highest standards of professionalism and integrity. By joining RSSB, you will have the opportunity to actively contribute to the advancement of social security and overall transformation of Rwanda.

If you are passionate about making a meaningful impact, ready to embrace innovation and change, and eager to work in a dynamic and collaborative environment, then RSSB is the place for you.

Key Duties and Responsibilities

• Coordinate the counter verification of medical and pharmaceutical invoices and ensure all procedures and policies were followed
• Review verification reports, analyse patterns, identify risks and make suggestion for further action
• Develop and regularly review counter verification tools and propose related processes and procedures
• Analyse the costs of medical and pharmaceutical services and propose cost containment strategies
• Participate in the elaboration of policies and procedures including Standard Operating Procedures (SOPs) related to medical scheme
• Participate in the development of the Benefits function’s strategic and operational plans and their related budgets and ensure their successful implementation
• Participate in fraud management including fraud prevention, detection, investigation and recommendation of action to be taken by competent authorities
• Prepare and timely submit periodic and annual reports of the Invoice Counter Verification function
• In collaboration with the Human Capital function, participate in the recruitment of staff under his/her supervision
• Manage and evaluate staff under his/her supervision
• Respond to request letters from partners and claims according to client charter
• Participate in meetings and consultations with medical partners
• Analyse reports/data and recommend practical ways of data quality improvements
• Engage with relevant internal and external stakeholders in the course of work while upholding and promoting RSSB’s image
• Participate in various meetings (internal and external forums) and provide comments/ opinions on matters affecting or concerning the function
• Perform any other duties related to Invoice Verification function as may be assigned from time to time

Key Qualifications and Experience

The successful candidate must have at least:

• Master’s Degree in a Pharmacy Field, Health Economics, Public Health, Health Administration, Hospital Management, Health Sciences, Insurance, Actuarial Science, Economics, Accounting, Business Administration or any other relevant field preferably with 3 years’ relevant experience, 1 of which should have been in a senior officer role

OR

• Bachelor’s Degree in Pharmacy, Public Health, Health Administration, Hospital Management, Health Sciences, Insurance, Actuarial Science, Economics, Accounting, Business Administration or any other relevant field preferably with 5 years’ relevant experience, 1 of which should have been in a senior officer role

Key Competencies

Technical Competencies:

• Knowledge of the Health and Pharmaceutical Industry
• Knowledge of Health Sector and Pharmacy Regulations and Standards
• Knowledge of public health policies
• Strong Benefits analysis and planning
• Benefit calculation
• Cost benefits analysis
• Basic actuarial methods
• Metrics and Procedures to define Benefits
• Ability to analyse data and draw inferences
• Ability to connect the dots
• Understanding sector trends
• Managing Resources
• Project Planning Management
• Information sharing
• Knowledge of relevant laws, policies and regulations

Behavioral Competencies: 

• Client Service Focus
• Communication & Interpersonal Skills
• Integrity and Confidentiality
• Proactive and Engaging
• Strong Personality
• Detail oriented
• Result and Data Driven
• Breakthrough Innovation
• Technology Savvy
• Strategic Thinking
• Problem Solving & Quality Decision Making
• Leading & empowering others
• Driving and managing change

Additional Information:

The position is based in Kigali, Rwanda and applicants must be willing to relocate outside their countries of domicile.

RSSB reserves the right to appoint or to issue an employment contract to the successful candidate.

Interested candidates are advised to visit the RSSB website for a more detailed job description for the role, and submit your application online by 11 January, 2024.

In addition, please attach a curriculum vitae that contains details of your qualifications, experience and positions held relevant to this role. Include your day and evening telephone numbers, email address, names and address of three professional referees. Also, attach copies of your academic and professional qualifications.

 Any form of canvassing will lead to automatic disqualification.

Only short-listed applicants will be contacted.

Shortlisted candidates will be required to submit a valid Criminal Clearance Certificate.

RSSB is an Equal Opportunity Employer

CLICK HERE TO MORE AND APPLY