Senior Officer, Counter Verification – Medical Insurance
2025-06-10T17:30:02+00:00
Rwanda Social Security Board (RSSB)
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https://www.greatrwandajobs.com/jobs
FULL_TIME
Rwanda
Kigali
00000
Rwanda
Law, Public Safety, Corrections and Security
Healthcare
2025-06-20T17:00:00+00:00
Rwanda
8
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.
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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
- Carry out regularly review counter verification tools and propose related processes and procedures
- Review the costs of medical and pharmaceutical services and propose cost containment strategies
- 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
- 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
- Perform any other duties related to Invoice Verification function as may be assigned from time to time
Knowledge, experience, and qualifications required
- 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 at least 3 years’ relevant experience.
Key competencies
Technical Competencies:
- The role holder must have knowledge in public health policies and pharmaceutical industry
- The role holder should have knowledge of health sector and pharmacy regulations and standards
- The job holder must understand social security laws and procedures
- The incumbent should have benefits analysis and planning
- The job holder must be proficient in cost benefits analysis
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;
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 Carry out regularly review counter verification tools and propose related processes and procedures Review the costs of medical and pharmaceutical services and propose cost containment strategies 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 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 Perform any other duties related to Invoice Verification function as may be assigned from time to time
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 at least 3 years’ relevant experience. Key competencies
JOB-68486b9ab3cf6
Vacancy title:
Senior Officer, Counter Verification – Medical Insurance
[Type: FULL_TIME, Industry: Law, Public Safety, Corrections and Security, Category: Healthcare]
Jobs at:
Rwanda Social Security Board (RSSB)
Deadline of this Job:
Friday, June 20 2025
Duty Station:
Rwanda | Kigali | Rwanda
Summary
Date Posted: Tuesday, June 10 2025, Base Salary: Not Disclosed
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Learn more about Rwanda Social Security Board (RSSB)
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JOB DETAILS:
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
- Carry out regularly review counter verification tools and propose related processes and procedures
- Review the costs of medical and pharmaceutical services and propose cost containment strategies
- 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
- 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
- Perform any other duties related to Invoice Verification function as may be assigned from time to time
Knowledge, experience, and qualifications required
- 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 at least 3 years’ relevant experience.
Key competencies
Technical Competencies:
- The role holder must have knowledge in public health policies and pharmaceutical industry
- The role holder should have knowledge of health sector and pharmacy regulations and standards
- The job holder must understand social security laws and procedures
- The incumbent should have benefits analysis and planning
- The job holder must be proficient in cost benefits analysis
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;
Work Hours: 8
Experience in Months: 36
Level of Education: bachelor degree
Job application procedure
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