Rwanda Social Security Board Head, Medical Insurance Jobs in Rwanda

Rwanda Social Security Board Head, Medical Insurance Jobs in Rwanda

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

How to Apply

For more information and job application details, see; Rwanda Social Security Board Head, Medical Insurance Jobs in Rwanda

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