Vacancy title:
Lead, Medical Invoices Verification (CBHI)

[Type: FULL_TIME, Industry: Law, Public Safety, Corrections and Security, Category: Healthcare]

Jobs at:
Rwanda Social Security Board (RSSB)

Deadline of this Job:
Tuesday, June 24 2025

Duty Station:
Rwanda | Kigali | Rwanda

Summary
Date Posted: Tuesday, June 10 2025, Base Salary: Not Disclosed

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Learn more about Rwanda Social Security Board (RSSB)
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JOB DETAILS:

As a leading player in the financial sector, RSSB serves as the largest institutional investor in Rwanda. With assets under management amounting to 2.06 trillion Rwf , which is equivalent to over 15% of the country’s GDP, RSSB invests in key sectors of the economy and plays a crucial role in growing the country’s financial sector. With approximately 12 million members in the above six schemes, encompassing over 90% of Rwanda’s population, RSSB is at the forefront of securing the health and financial well-being of Rwandans.

To achieve its important mandate, RSSB is embarking on a transformative journey, aiming to become a modern, data-driven, and high-performing institution. As part of this ambitious initiative, we are seeking highly motivated individuals who are results-oriented and uphold the highest standards of professionalism and integrity. By joining RSSB, you will have the opportunity to actively contribute to the advancement of social security and overall transformation of Rwanda.

If you are passionate about making a meaningful impact, ready to embrace innovation and change, and eager to work in a dynamic and collaborative environment, then RSSB is the place for you.

Key Duties and Responsibilities

1. Coordinate activities related to verification of CBHI medical invoices from contracted health service providers
2. Analyse medical benefits provided in accordance to medical procedures or medicines standards in place
3. Diagnose medical abnormal cases or any vouchers in that require reconciliation before payment
4. Identify gaps and risks in the medical verification process and suggest ways of improvement
5. Monitor and supervise RSSB medical invoicing activities in health facilities
6. Contribute to medical fraud management including fraud prevention, detection and investigation and recommend on action to be taken by competent authorities
7. Coordinate follow-up of hospitalized patients and emergence cases at Hospital level
8. Regularly submit all invoices verified to the Manager, Medical Benefits for approval
9. Consolidate the CBHI medical verification reports from CBHI verification staff
10. Initiate the payment of verified invoices according to RSSB service charter and propose the invoices to be counter verified
11. Ensure the compliance to the standards by medical providers and CBHI Beneficiaries
12. Analyse the costs of medical services and make recommendations for improvements and cost containment
13. Participate in the elaboration of policies and procedures, such as Standard Operating Procedures (SOPs) related to CBHI scheme
14. Participate in the development of CBHI Invoice Verification function’s strategic and operational plans and their related budgets and ensure their successful implementation
15. Prepare and timely submit periodic and annual reports of the CBHI Invoice Verification function

Key Qualifications and Experience

The successful candidate must have at least:

• Master’s Degree in Medicine, Public Health, Pharmacy, Health Sciences, Health Administration, Hospital Administration or any other relevant field preferably with 2 years relevant experience

OR

• Bachelor’s Degree in Medicine, Public Health, Pharmacy, Health Sciences, Nursing, Health Administration, Hospital Administration or any other relevant field preferably with 4 years relevant experience

Key competencies

Technical Competencies:

1. The incumbent must have a strong financial acumen and financial reporting skills
2. The role holder must have sound understanding in medical billing knowledge and invoice reviews
3. The role holder must have sound understanding in public health policies and social security legislation
4. The incumbent must have strong knowledge in data analysis and report writing
5. The incumbent must possess strong skills in identifying errors and inconsistencies

Behavioral Competencies: 

1. Must demonstrate impeccable customer service focus, strategic thinking, and strong ethical background with an ability to resist and zero tolerance for corrupt, political and other undesirable influences;
2. Must be able to establish and maintain constructive and effective relationships with key stakeholders and staff alike;
3. Must be open to change and adapt established methods for new uses within the institution;

Work Hours: 8

Experience in Months: 48

Level of Education: bachelor degree

Job application procedure

Interested and qualified? Click here to apply

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