Exciting Career Opportunity at the Rwanda Social Security Board (RSSB) – Head, Medical Insurance
Are you looking for a rewarding and fulfilling career opportunity? We are seeking a dynamic and forward-thinking leader to join us as the Head, Medical Insurance. If you thrive in dynamic environments and are committed to innovation and transformation, this is the opportunity for you!
RSSB is tasked with the important mandate of providing financial security and equitable access to quality healthcare to millions of hardworking Rwandans across the country. As we continue our journey of transformation, we are committed to revolutionizing medical insurance services for a more efficient and effective service delivery to all members of the insurance scheme.
If you have what it takes to work in a fast-paced environment and you are passionate about public service, then we are looking for you. In this pivotal role, you will have the chance to shape the future of the organization and drive innovation and effectiveness in the delivery of quality medical insurance services. You will collaborate closely with a competent team of professionals who share a passion for empowering individuals by securing their health and financial well-being.
Reporting to the Chief Benefits Officer, the Head, Medical Insurance will be responsible for managing all activities of the Medical Insurance scheme including contracting and inspection of Health Service Providers, providing medical benefits to rightful members, client retention and brand promotion.
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 1.9 trillion Rwf, which is equivalent to 17% of the country’s GDP, RSSB invests in key sectors of the economy and plays a crucial role in providing up to 20% of liquidity for the financial sector. With approximately 12 million members in the above six schemes, encompassing close to 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
- Oversee the processes of contracting and inspection of Health Service Providers and follow up contracts’ execution
- Coordinate activities related to facilitation of access to medical benefits by eligible members
- Ensure quality and timely service to customers by managing requests/claims related to medical benefits according to the standards in place
- Plan, organise and manage all activities of department, to ensure excellent, effective customer service delivery to members, health service providers and other stakeholders
- Oversee verification of medical and pharmaceutical invoices and approve benefits payments to health service providers
- Ensure accuracy and timely payment of services provided to members and put in place strong control mechanisms according to RSSB standards, contracts terms and regulations
- Develop and propose policies and strategies aimed at enhancing contracting of health service providers, accessibility of quality service to members and payment of medical and pharmaceutical benefits
- Oversee all activities related to prevention, detection and investigation of fraud and malpractice cases and devise mitigation strategies
- Develop and implement strategic and operational plans and related budgets for the medical function
- Ensure timely preparation, review and submission of periodic and annual progress reports on the implementation of approved strategic and operational plans
- Participate in the preparation and coordination of actuarial valuation of the scheme and monitor the implementation of actuarial recommendations
- Ensure the scheme’s cost containment through regular analysis of trends and patterns, monitoring of members’ behaviour towards service utilisation
- Lead implementation of specific key performance indicators and measures against outcomes detailed in the medical function’s strategic and operational plans as set out by the Executive
- Develop and implement business strategy that results in increased coverage and enhanced contributions
- Follow up the accident cases traceability, initiate subrogation process and ensure that related repayments are made
- In collaboration with the Human Capital function, participate in the recruitment, management and evaluation of staff under his/her supervision
- Perform any other duties related to the Medical Insurance 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 Clinical Medicine Field, Public Health, Pharmacy, Health Sciences, Health Administration, Health Economics, Hospital Administration, Insurance, Actuarial Science or any other relevant field preferably with 6 years’ experience, 2 of which should have been in a managerial role
OR
- Bachelor’s Degree in General Medicine, Public Health, Pharmacy, Health Sciences, Health Administration, Hospital Administration, Insurance, Actuarial Science or any other relevant field preferably with 8 years’ experience, 2 of which should have been in a managerial role
Key Competencies
Technical Competencies:
- The role holder must have solid knowledge of public health policies
- The incumbent must have a strong background in clinical medicine
- The role holder should have good working knowledge and understanding in basic actuarial methods and ability to analyse data and draw inferences
- The role holder must have sound knowledge and understanding on labour legislation
Behavioral Competencies:
- Must demonstrate impeccable customer service focus, strategic thinking, and strong ethical background with an ability to resist and zero tolerance for corrupt, political and other undesirable influences
- Must be able to establish and maintain constructive and effective relationships with key stakeholders and staff alike
- Must be open to change and adapt established methods for new uses within the institution
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 Thursday 13, July 2023.
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 for details & Apply
