Organizational Background :Founded in 2002 by President William J. Clinton and Ira Magaziner, the Clinton Health Access Initiative (CHAI) is a global health organization committed to strengthening integrated health systems around the world and expanding access to care and treatment for HIV/AIDS, malaria and other illnesses. CHAI’s solution-oriented approach focuses on improving market dynamics for medicines and diagnostics; lowering prices for treatment; accelerating access to lifesaving technologies; and helping governments build the capacity required for delivering high-quality health services. CHAI does not operate stand-alone programs, nor does it build parallel health systems. Rather, CHAI works at the invitation and in support of governments.
CHAI is currently operating in Ethiopia carrying out a wide range of programs to support the Ministry of Health and Ethiopia Health Insurance Agency in improving access to and improving the quality of health services. As one of CHAI’s largest field offices with more than 160 staff, the Ethiopia Office operates programs across: maternal, newborn and child health; HIV/AIDS; Cancer; vaccines; Labs and health financing; Child Survival and HRH. The health financing program aims to transform how the health system is financed to substantially and sustainably increase access to services, beginning with essential services for those most in need.
Project Description
As part of its commitment to reducing the financial burden of accessing health services for the population, Ethiopia began piloting Community Based Health Insurance (CBHI) in 2010/11 in 13 woredas. To-date, this health insurance model has been rapidly scaled up by the government to 600 schemes (of which 360 are active), towards a 2020 target of reaching 80% of the eligible population in 80% of the woredas in the county. Despite the rapid proliferation of CBHI schemes across the country, the current model of CBHI faces specific challenges that need to be addressed before a full national scale-up is realized.
In partnership with the Ethiopian Health Insurance Agency (EHIA), CHAI is currently conducting a series of activities to diagnose these challenges. This diagnostic work will include the development of proposed solutions for addressing any identified challenges, gaps or policies or structures that need to be improved or reformed. These solutions will address challenges related to enrollment and revenue collection, pooling, purchasing benefits package and governance. The implementation of these solutions will be carried out jointly by EHIA and CHAI over the next two years.
To support the implementation of these solutions, CHAI is seeking a highly motivated individual with outstanding technical capabilities to provide technical assistance in health insurance scale-up at the federal and regional levels. This individual will be based in EHIA Hosseana Branch, reports to the Branch Manager, and supports the EHIA branch on implementation of CBHI scale up and preparation for the rollout of SHI. He/she will coordinate with regional scale-up activities within the EHIA and across other government ministries or departments, where necessary.
Key Roles and Responsibilities:
- Under the guidance and leadership of the EHIA Hossaena Branch Manager, assist in coordinating and technically leading health insurance activities in the catchment area or the region.
- Provide technical assistance to the EHIA branch offices in expanding and consolidating community-based health insurance (CBHI) and in launching and implementing social health insurance (SHI) in the catchment area or the region.
- Support the regional branch providers affairs department in managing providers including private providers contracting
- Develop standardized support materials and resources for contracting of private pharmacies, laboratories and imaging centers
- Contribute to pooling and financial sustainability through support to implementation of regional pooling strategy
- Work with EHIA HQ on communications development tailored to regional contexts
- Support planning and implementation of health insurance reforms, strengthening financial management systems and monitoring and evaluation
- Conduct and contribute to activities that institutionalize and transition health insurance capacity to EHIA branch offices.
- Provide technical assistance and support in refining implementation and training manuals on the operations and management of CBHI.
- Contribute to designing and implementing a supportive supervision system for CBHI and SHI programs in the catchment area.
- Assist EHIA branch offices in creating/raising public awareness of the CBHI and SHI programs.
- Participate in brainstorming on how to digitize the CBHI data management system, during design, piloting and scale-up of digitization.
- Work closely with the government counterparts to help ensure continued political and financial support for expanded coverage of health insurance in the catchment area
- Provide technical support on the use of evidence for policy process/decision-making by government and its stakeholders.
- Initiate/contribute and/or help identify health insurance research agendas pertinent to the region.
- Produce high-quality and timely inputs for monitoring, evaluation, and learning (MEL) and implementation plans, quarterly/annual/final performance reports, and other reports and deliverables.
- Collaborate with the branch team in the design and implementation of PPMs that support the provision of quality and affordable health care services for health insurance members by both public and private providers.
- Compile reports and updates on implementation progress and routinely provide updates to the Steering Committee
- Build process management and technical capacity within the Health Insurance Agency at head quarter and branch offices
- Serve as a liaison from EHIA HQ to the regional CBHI stakeholders, other implementation leaders and the CHAI Team
- Support in the development of TOR and subsequent processes in hiring of staff and procurement of infrastructure based on gap analysis and road maps
- Conduct day to day capacity building and training for Health Insurance Agency staff
- Support documentation of best practices and designing of scale up strategies
- Carry out additional responsibilities as requested by supervisor.
Job Requirements
Qualifications:
CHAI seeks results-driven, highly motivated individuals who are fast learners, detail oriented and have the ability to adapt to dynamic and demanding work environment. CHAI places great value on resourcefulness, responsibility, tenacity, flexibility, independence, energy, work ethic and humility.
Qualifications include the following:
- Master’s Degree in Health Economics, Public Health, Sociology, Economics, Management and Health Policy.
- At least 6 years of relevant professional experience in health insurance, health finance, health financing policy, general insurance, health management, or other relevant experience.
- Proven experience of capacity building and team work with other stakeholders, notably government counterparts at different levels.
- Experience in design and implementation of health insurance program.
- Solid management and planning skills of project tasks and budgets.
- Demonstrated ability to work with a minimum of direction and supervision.
- Demonstrates leadership and team work and produces high quality work in a timely, cost effective manner.
- Strong interpersonal skills and ability to achieve consensus amongst stakeholders
- Excellent in problem solving and analytical skills, including attention to details
- Strong organizational skills with ability to handle multiple tasks simultaneously in a fast-oriented environment
- Ability to learn the job quickly through research and absorb synthesis a broad range of interventions
- Ability to navigate ambiguous and complex processes and adhere to government or EHIA integrity and institutional standards and procedures
- Strong interpersonal skills and ability to build relationships including with other staff in other directorates and EHIA branches
- Strong communication skills, including delivery of compelling presentations and documents in Microsoft PowerPoint and Word
- Strong command of the English language and Amharic required
- Experience in the public and / or health insurance sector is an advantage
- Female applicants are encouraged to apply
How to Apply
More Information
- Job City Hossana, SNNPR
