Programs Officer, NHIA/Public Sector Operations

Job Objective To manage the administrative, operational, and programme delivery functions of the NHIA/Public Sector Operations Unit, ensuring all payment processes, provider management activities, regulatory submissions, and programme reporting are executed accurately and on time. Responsibilities Payment & Claims Administration Coordinate monthly NHIA capitation payments for FSSHIP to over 1,300 healthcare facilities Coordinate monthly NHIA FFS (Fee for Service) payments to healthcare facilities Manage end-to-end CEMONC claims processing, portal uploads, payment evidence documentation, and reimbursement letters to the Director General, NHIA Oversee claims reconciliation exercises for CEMONC and FSSHIP programmes Provider Management Manage the onboarding and training of new NHIA FSSHIP facilities in coordination with the Provider Liaison Officer Oversee adoption, execution, and retrieval of contracts with partner healthcare providers Supervise the Provider Liaison Officer and CEMONC Claims Verifiers on day-to-day operations Monitor facility performance and escalate issues to the Clinical Officer as required Reporting & Regulatory Submissions Prepare and submit weekly CEMONC programme reports to NHIA and all relevant stakeholders Ensure FSSHIP and CEMONC records and data meet NHIA regulatory accuracy standards Coordinate the organisation's representation at NHIA and stakeholder events, logistics and documentation Maintain a regulatory submissions calendar and ensure all deadlines are met Contract Staff Coordination Coordinate and supervise all contract staff within the unit, task allocation, quality review, and performance monitoring Manage the scheduling, training, and retraining of CEMONC claims verifiers and FSSHIP claims officers Escalate capacity issues and recommend contract staff adjustments to the Group Head Other Public Sector Programs Serve as clinical lead on public health programme design, quality metrics, and clinical governance frameworks within the McKinsey partnership workstream Contribute clinical expertise to programme evaluation and outcome measurement People & Team Management Own programme reporting templates, stakeholder communications, and documentation for the McKinsey partnership workstream Coordinate data submissions and milestone tracking for the programme Education/ Professional Qualification Bachelor's degree in Health Sciences, Public Health, Business Administration, or related field Experience Experience in public health programme management Experience in health insurance operations, HMO administration is an advantage