Senior Policy Services Officer
2025-06-17T04:09:13+00:00
National Health Insurance Management Authority (NHIMA)
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FULL_TIME
Lusaka
Lusaka
10101
Zambia
Healthcare
Management
2025-06-27T17:00:00+00:00
Zambia
8
Key Responsibilities
The key functions of the role will include but not limited to;
- Supervise enrolment processes to ensure automatic and manual registrations meet set criteria.
- Monitor and verify member eligibility, especially in response to life changes (employment, income, family status).
- Review and authorize income-based contribution adjustments based on verified salary, or household income changes.
- Provide guidance to principal members and beneficiaries regarding policy entitlements, claims, and access to services.
- Manage coverage amendments arising from marriage, childbirth, retirement, or other significant life events.
- Ensure timely updates of Principal and beneficiary records in the system.
- Collaborate with claims and provider relations units to resolve discrepancies and improve turnaround time.
- Prepare data audit/cleaning reports.
- Oversee transitions of members across jobs, regions, or into retirement to ensure uninterrupted coverage.
- Maintain accurate exit and transfer records in the system, including death notices etc.
Education Requirements
- Grade twelve (12) School certificate with 5 ‘O’ levels with credit or better including Mathematics and English Language
- Health Insurance, or any Social Security related qualification will be an added advantage.
- Bachelor’s degree in Social Sciences, Business Administration, Insurance, or related field.
- Minimum 5 years’ experience in Health Insurance Administration or Policy Holder services.
Required Skills
- Strong understanding of Social Health Insurance systems and lifecycle-based policy administration.
- Proficiency in Microsoft Office Suite and any Member Information System.
- Ability to manage sensitive member data and maintain confidentiality.
- Excellent analytical, organizational, and communication skills.
- Proven ability to train, lead, and supervise Junior staff
- Must have good interpersonal skills.
- Attention to detail and excellent analytical skills
- A valid driving Licence.
The key functions of the role will include but not limited to; Supervise enrolment processes to ensure automatic and manual registrations meet set criteria. Monitor and verify member eligibility, especially in response to life changes (employment, income, family status). Review and authorize income-based contribution adjustments based on verified salary, or household income changes. Provide guidance to principal members and beneficiaries regarding policy entitlements, claims, and access to services. Manage coverage amendments arising from marriage, childbirth, retirement, or other significant life events. Ensure timely updates of Principal and beneficiary records in the system. Collaborate with claims and provider relations units to resolve discrepancies and improve turnaround time. Prepare data audit/cleaning reports. Oversee transitions of members across jobs, regions, or into retirement to ensure uninterrupted coverage. Maintain accurate exit and transfer records in the system, including death notices etc.
Strong understanding of Social Health Insurance systems and lifecycle-based policy administration. Proficiency in Microsoft Office Suite and any Member Information System. Ability to manage sensitive member data and maintain confidentiality. Excellent analytical, organizational, and communication skills. Proven ability to train, lead, and supervise Junior staff Must have good interpersonal skills. Attention to detail and excellent analytical skills A valid driving Licence.
Grade twelve (12) School certificate with 5 ‘O’ levels with credit or better including Mathematics and English Language Health Insurance, or any Social Security related qualification will be an added advantage. Bachelor’s degree in Social Sciences, Business Administration, Insurance, or related field. Minimum 5 years’ experience in Health Insurance Administration or Policy Holder services.
JOB-6850ea69bcef8
Vacancy title:
Senior Policy Services Officer
[Type: FULL_TIME, Industry: Healthcare, Category: Management]
Jobs at:
National Health Insurance Management Authority (NHIMA)
Deadline of this Job:
Friday, June 27 2025
Duty Station:
Lusaka | Lusaka | Zambia
Summary
Date Posted: Tuesday, June 17 2025, Base Salary: Not Disclosed
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Learn more about National Health Insurance Management Authority (NHIMA)
National Health Insurance Management Authority (NHIMA) jobs in Zambia
JOB DETAILS:
Key Responsibilities
The key functions of the role will include but not limited to;
- Supervise enrolment processes to ensure automatic and manual registrations meet set criteria.
- Monitor and verify member eligibility, especially in response to life changes (employment, income, family status).
- Review and authorize income-based contribution adjustments based on verified salary, or household income changes.
- Provide guidance to principal members and beneficiaries regarding policy entitlements, claims, and access to services.
- Manage coverage amendments arising from marriage, childbirth, retirement, or other significant life events.
- Ensure timely updates of Principal and beneficiary records in the system.
- Collaborate with claims and provider relations units to resolve discrepancies and improve turnaround time.
- Prepare data audit/cleaning reports.
- Oversee transitions of members across jobs, regions, or into retirement to ensure uninterrupted coverage.
- Maintain accurate exit and transfer records in the system, including death notices etc.
Education Requirements
- Grade twelve (12) School certificate with 5 ‘O’ levels with credit or better including Mathematics and English Language
- Health Insurance, or any Social Security related qualification will be an added advantage.
- Bachelor’s degree in Social Sciences, Business Administration, Insurance, or related field.
- Minimum 5 years’ experience in Health Insurance Administration or Policy Holder services.
Required Skills
- Strong understanding of Social Health Insurance systems and lifecycle-based policy administration.
- Proficiency in Microsoft Office Suite and any Member Information System.
- Ability to manage sensitive member data and maintain confidentiality.
- Excellent analytical, organizational, and communication skills.
- Proven ability to train, lead, and supervise Junior staff
- Must have good interpersonal skills.
- Attention to detail and excellent analytical skills
- A valid driving Licence.
Work Hours: 8
Experience in Months: 60
Level of Education: bachelor degree
Job application procedure
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