Chat

iimjobs

jobseeker Logo
Now Apply on the Go!
Download iimjobs Jobseeker App and get a seamless experience for your job-hunting
24/07 Strategic Alliance Management Services
HR Consulting at Strategic Alliance Management Services

Views:737 Applications:248 Rec. Actions:Recruiter Actions:54

Consultant - Health Benefit Packages - National Health Authority (3-10 yrs)

Delhi Job Code: 836112

1. POSITIONS VACANT: Consultants - Health Benefit Packages, CON-HBP, National Health Authority (NHA), MoHFW, GoI (Three Vacancies)

2. ORGANIZATION BACKGROUND:

- National Health Authority (NHA) is the apex body, responsible for implementing Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY), India's flagship health assurance scheme, providing health cover of Rs. 5 lakhs per family, per year, for secondary and tertiary care hospitalization, to over 10.74 crore poor and vulnerable families, or approximately 50 crore beneficiaries.

- NHA is tasked with implementing PM-JAY at the national level.

- State Health Agencies (SHAs) have been instituted by concerned states to implement PM-JAY at the state level. SHAs have full operational autonomy to implement PM-JAY in their state.

Key Functions of NHA :

Key functions of the NHA include the following:

(1) Formulation of operational guidelines, model documents and contracts, to ensure standardization and interoperability of PM-JAY;

(2) Effective implementation and regular monitoring of PM-JAY, across the country, including initiation of suitable action for course correction, as necessary;

(3) Coordination with various State Governments on a regular basis for implementing PM-JAY;

(4) Acting as an apex body for SHAs that have been set up to implement PM-JAY.

For more information about NHA, please visit https://pmjay.gov.in/about/nha

3. JOB DESCRIPTION/ RESPONSIBILITIES:

- Reporting to the Senior Consultants - Health Benefit Packages, the Consultants- Health Benefit Package shall be responsible for providing support in carrying out activities involving but not limited to the domain of Health Benefit Packages (HBPs) and related subjects.

- The post-holder shall also be responsible for assisting in improvement and evolution of HBPs by engaging stakeholders from multiple Government and non-Government entities.

Key Responsibilities:

(1) Provide support in carrying out activities involving but not limited to the domain of HBPs and related subjects;

(2) Assist in coordination with other teams for successful implementation and operations of the scheme;

(3) Serve as the primary contact for State Coordinators, IT support, Insights and other teams for all medical related queries;

(4) Assist in the planning, coordination and facilitation of activities related to HBPs;

(5) Assist in improvement and evolution of HBPs by engaging stakeholders from multiple Government and non-Government entities;

(6) Arrange training, workshops, webinars, etc. and identify/ train master trainers for key topics that support HBPs;

(7) Engage in mapping of packages/ procedures received from SHAs or other government schemes to identify overlap or facilitate in amalgamation of HBPs of said scheme(s)/ program(s);

(8) Work intensively with the Medical Teams of SHAs to resolve any issues that arise in the implementation of the scheme due to HBPs;

(9) Participate in the medical audits of empanelled hospitals;

(10) Responsible for compiling and analyzing the reported data to highlight trends in utilization of packages under the scheme;

(11) Work on grievance redressal system from medical perspective if any complaints that are registered or noticed;

(12) Facilitate inclusion/ exclusion of packages under the HBPs as per the policy guidelines of the scheme;

(13) Coordinate collection, analysis and write up of evaluation of the project deliverables;

(14) Assist in day to day hospital network and quality department activities;

(15) Maintain a working knowledge of significant developments and trends in the field of health/ health insurance.

4. QUALIFICATION, SKILLS AND EXPERIENCE:

Qualifications:

Essential:

(1) Bachelors- Degree from a recognized University/ Institute;

(2) MBA/ PGDHM/ Masters- Degree in Hospital Administration/ Public Health from a reputed and recognized university or institution;

Desirable:

Graduate or post degree in medicine shall be an advantage.

Experience:

Essential:

Three years of post-qualification experience in Hospital Accreditation, or Hospital Administration, or Hospital Operations, or Healthcare Quality Management and Assurance.

Desirable:

- Prior experience in the health insurance domain shall be an added advantage.

Skills and Competencies

(1) Knowledge of accreditation, regulatory, licensing, standards, requirements, and guidelines applicable to hospitals;

(2) Knowledge of significant developments and trends in the field of health/ health insurance;

(3) Strong verbal and written communication and presentation skills;

(4) Computer literate with knowledge and experience of MS Office, Excel and PowerPoint;

(5) Proficient in drafting notes and letters in English and Hindi, with emphasis on spelling, punctuation, grammar and other language skills;

(6) Language skills in English and Hindi.

5. VACANCY DETAILS: Three vacancies

6. AGE LIMIT:

Not less than 25 years and not exceeding 35 years, as on the last date for receiving applications.

7. COMPENSATION OFFERED:

Gross remuneration budgeted for the position is Rs. 85,000/- per month.

8. LOCATION: New Delhi, NHA Office.

9.CONTRACT TYPE AND PERIOD:

The post-holder shall be engaged on a consultancy contract, initially for a period of 12 months, extendable thereafter, on the basis of performance and approval by NHA.

10. REFERENCE: CON-HBP

11. CONTACT INFORMATION:

Team SAMS
Strategic Alliance Management Services P Ltd.
1/1B, Choudhary Hetram House, Bharat Nagar
New Friends Colony, New Delhi 110 025
Phone Nos.: 011-41011564/65; 4081 990

12. LAST DATE FOR APPLICATIONS:

Eligible candidates interested in this position are requested to apply online at www.sams.co.in by or before August 16, 2020, 11:59:59 PM.


CORRIGENDUM :


The last date for receipt of completed application forms for the vacancy is extended up to August 16, 2020 (11:59:59 PM). Other terms and conditions related to the application process remain unchanged.


Please Note : Only information input by candidates into their online application form, shall be considered for the purposes of confirming eligibility and assessing their candidature. The CV document uploaded by candidates shall be considered to comprise supplementary information, only. Requests by candidates to consider supplementary information provided in the CV document for the purposes of determining eligibility or awarding assessment scores shall not be entertained. Applications submitted through non-online modes, shall be deemed invalid.

This job opening was posted long time back. It may not be active. Nor was it removed by the recruiter. Please use your discretion.

Women-friendly workplace:

Maternity and Paternity Benefits

Add a note
Something suspicious? Report this job posting.