Program Manager, Health Plans

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Job Summary

The Program Manager, will work closely with the Director of Health Plans and Digital Innovation, to coordinate the implementation of technical assistance activities to support State Governments to design and operationalize their State Health Insurance Scheme, and the establishment of the Supervisory Agencies and the State Health Funds. In addition, supporting the business development efforts, program planning, implementation, and monitoring and evaluation of demand-side support activities.

  • Minimum Qualification: Degree
  • Experience Level: Senior level
  • Experience Length: 10 years

Job Description

More specifically, the role entails: 
Technical Assistance to State Health Insurance Agencies
Support the development of enabling regulations, policies and laws to strengthen the UHC agenda at the national and state levels;
Support activities towards establishing the State Health Insurance Agencies, including the development
of the organizational structure, underlying policies & procedures, staffing requirements and job descriptions and the Agency take-off budget
Support activities to design and operationalize the State Health Insurance Schemes, including benefit package design and pricing, scheme administrative system, premium financing framework and marketing; and roll-out plan for the health insurance agents and healthcare providers participating in the scheme;
Support the Health Insurance Agency in multi-sectoral engagement on topics, such as domestic resource mobilization, development of the fund flow schematics and guidelines for fund management
Support the Health Insurance Agency to develop the terms of reference for contracting third party administrators and healthcare providers;
Coordinate the implementation of capacity building programs for the Staff of the Health Insurance
Agency and other stakeholders charged with the responsibility of scheme administration;
Coordinate the implementation of scheme administration, monitoring and evaluation framework to help improve turnaround time for provider payment, quality of care and patients’ satisfaction.
Business Development
Actively participate in the development of technical proposals, presentations and product concepts. In addition, present technical requirements to clients when required
Identify opportunities for further support with existing portfolio clients
Identify grant opportunities to further support the work of the Health Plans business unit
Manage local stakeholder relationship in close collaboration with other business units
Reporting
  • Coordinate the development project technical reports
  • Coordinate Health Plans weekly and monthly meeting and status reporting
  • Actively participate in the development of the Board and Donor reports, including the Health Insurance
  • Fund Annual Progress Report.
  • Digital Innovations & Learning
  • Assist the digital innovation unit to scale up tested and scalable digital health market innovations, such
  • as the health data exchange and payment platform being deployed for stakeholders in Nigeria
  • Health Market.
  • Assist the learning and analysis team, when necessary, by to providing input on the research objectives,
  • methodology and instruments
Qualification & Requirements
  • A bachelor's degree from a reputable tertiary institution;
  • Other relevant postgraduate degrees or professional certifications would be an advantage;
  • At least 10 years’ work experience in relevant institutions;
  • Experience with public sector and/or multilateral advocacy will be an added advantage;
  • Strong verbal and written communication skills;
  • Proven track record of engagement with stakeholders;
  • Must be able to documents ideas and development frameworks to depict all stakeholders in healthcare
  • schemes supported by PAF;
  • Ability to provide leadership and take ownership;
  • Strong project management and managerial skills;
  • Result-driven and able to motivate a diverse group of ambitious colleagues;
  • Strong relationship networks within the local and international media;
  • Significant knowledge of health systems is a prerequisite for this role

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