Benefits Management Officer II Job SHA

Insurance Jobs, The Social Health Authority Jobs.

Qualifications, Skills and Experience Required:

For appointment to this grade, a candidate must have: 

• Bachelor’s degree in any of the following disciplines: Pharmacy, Health Financing, Health Economics, Actuarial Sciences, Statistics, Nursing, Mathematics, Dentistry, or its equivalent from a recognized institution. 
• Membership with a relevant professional body, where applicable and in good standing; 
• Proficiency in Computer applications. 
• Shown merit and ability as reflected in work performance and results. 

Responsibilities:

• You will assist in implementing the operational plan for Health Benefits management, including risk assessments, strategic purchasing of benefit packages, and analysis of cost-effectiveness.
• This is the entry and training grade for this cadre. An officer at this level will work under the guidance of a senior officer. 

Key responsibilities

• Supporting operational planning for Health Benefits management, risk assessments and monitoring performance against strategic objectives in collaboration with other departments. 
• Assisting Formulation and implementation of policies and strategies for effective and efficient Health Benefits management in collaboration with other departments. 
• Supporting the strategic purchasing of prescribed benefit packages in close collaboration with the Directorate of Fund Management and other departments ensuring efficiency, equity, and cost-effectiveness in service delivery. 
• Assisting in collaborations with the health Benefits Package & Tariffs Advisory Panel in evidence-based designing, reviewing, and updating of Benefit packages and Tariffs. 
• Implementing of the prescribed Benefits packages and Tariffs under the Primary Healthcare Fund for level 2, 3 and select 4 providers and facilities; under the Social Health Insurance Fund in level 4, 5 and 6 providers and facilities and the Emergency, Chronic and Critical Illness Fund in level 2-6 facilities and providers. 
• Participating in Analysing the cost-effectiveness, affordability, budget impact of health benefit offerings and recommend optimizations to maintain sustainability. 
• Supporting collaborations with the Benefit Package & Tariffs Advisory Panel, to ensure the benefits packages and tariffs design, review and implementation processes are transparent and inclusive through stakeholder engagement. 
• Participating in the effective implementation and continuous improvement of Benefits and Tariffs management information systems, ensuring they support efficient operations and member satisfaction. 
• Collecting and analysing data for purposes of claim management in collaboration with other departments. 
• Analysing the cost-effectiveness of benefit offerings and recommend optimizations to maintain sustainability. 
• Supporting the provision of expert guidance in Benefits management on reviewing and amending the Social Health Insurance Act, ensuring responsiveness to the evolving healthcare landscape and adherence to quality standards.

To access the full advertisement, including detailed job descriptions, core functions, and person specifications, kindly visit the SHA website at https://recruitment.sha.go.ke/

Application Requirements

Applicants must satisfy the requirements of Chapter Six of the Constitution of Kenya by submitting valid and current copies of the following:

• Certificate of Good Conduct from the Directorate of Criminal Investigations.
• Tax Compliance Certificate from the Kenya Revenue Authority (KRA).
• Clearance Certificate from the Higher Education Loans Board (HELB).
• Clearance Certificate from the Ethics and Anti-Corruption Commission (EACC).
• Report from a Credit Reference Bureau (CRB).

How to Apply

Interested candidates should submit their applications, including:

• A detailed curriculum vitae (CV).
• Copies of academic and professional certificates.
• A cover letter demonstrating suitability for the position.
• Contacts of at least three professional referees.

Applications should be addressed to: The Chairperson Social Health Authority P. O Box 30443-00100 Ragati Road NAIROBI

Applications can be submitted online on https://recruitment.sha.go.ke/ or physically delivered to the SHA building 10th floor by clearly marking the position applied for on the envelope.

Deadline

All applications must be received by 5.00 pm 18th November, 2025.

Terms of Service

A competitive remuneration package as advised by the Salaries & Remuneration Commission will be offered to the successful candidate.