Provide overall leadership and strategic direction of the Commission
Regulate, implement and ensure effective administration of EDHIC
Plan, coordinate and implement objectives and policies of the Commission and Board
Manage day-to-day operational activities of the Commission
Direct and supervise the staff working in the Commission and ensure staff have the required skills and competencies required to achieve the objectives of the Commission.
Monitoring & Enforcement Department
Roles & Responsibilities
Oversee the commission's compliance with professional membership for employees
Conduct audit of policy and compliance to the standard, including liaison with internal and external auditors
Manage the commission's insurance obligations and annual insurance renewals
Monitor and oversee remedial risk and compliance action plans supported by appropriate reporting requirements.
Conduct risk assessment, identify, analyse and estimate the risk affecting the commission
Conduct monitoring and fact-finding visits to facilities with the aim of resolving issues reported by enrollees
ICT-Customer Service (ICT-CS) Department
Roles & Responsibilities
Development and maintenance of the commission’s database
Onboarding of enrollees, Corporates, aggregators and facilities
Production and encoding of identity cards for enrollees
Provision and maintenance of all information and communication technology, software and hardware of the commission
Overseeing the enrolment of beneficiaries of the scheme in collaboration with stakeholders
Generation of data for payment of capitation, planning and studies
Customers requests and complaints management
Admin-Human Resources Department
Roles & Responsibilities
Human resource management
Keeping personnel records
Coordinating staff welfare
Keeping an inventory of all government properties
Development of the Commission's Manpower Plan
Conduct staff Performance Appraisal
Evaluate staff training needs and develop Training Plan
Finance & Accounts Department
Roles & Responsibilities
Ensures adequate financial and accounting systems are in place and are receiving functional funds accruable to the commission
Making payments and preparing a report on expenditures and revenue to the Commission
Routine inspection of the books of account of the zonal offices of the commission to ensure revenue collected is appropriately accounted for and lodged in the right account
Management of finances and guiding the commission on financial expenditure, treasury circulars and adequate control of collection and disbursement of funds.
Development of the financial report of the commission at the end of each year
Health Services, Standards
& Claims Department (HSSCD)
Roles & Responsibilities
Ensuring that all services provided under the scheme comply with the guidelines for the provision of such services as provided in the EDHIC guidelines
Development of standards and quality assurance protocols
Define standards according to guidelines and protocol
Claims management
Management of Pre-Authorization requests for secondary services
Department of Planning, Research & Statistics (DPRS)
Roles & Responsibilities
Provision of evidence-based data and information
Design and coordinate the execution of research projects, opinion poll and survey on the Commission’s policies and programmes.
Monitoring and Evaluation of internal and external activities of the Commission.
Oversee the development and review of plans, budgets, policies and other related documents.
Oversee the development of Key Performance Indicators (KPIs) and incentive systems for EDHIC Consultants, MDA aggregators and staff in collaboration with HR and the Accounts Department.
Oversee the development of Key Performance Indicators (KPIs) and incentive systems for EDHIC Consultants, MDA aggregators and staff in collaboration with HR and the Accounts Department.
Conduct routine monitoring and supervisory visits to Health Service Providers (with Monitoring & Enforcement, HSSCM and ICT Departments)
Accreditation of Primary Health Care Facilities in collaboration with the NHIA and other stakeholders
Public Relations, Advocacy & Communication Department
Roles & Responsibilities
Design and implement program communication strategies.
Work with the program teams and local organizations to develop visibility and communications plans towards the goals of the Commission.
Work with the marketing team to develop communication materials such as brochures, newsletters, press releases and other publications in contribution to the organization's website and other updates.
Take an active role in leading and organizing media outreaches and public events including international celebrations and other programs organized by field teams.
Identify high-priority needs of the population requiring advocacy focus and intervention as it relates to health insurance.
Legal & Dispute Management Department
Roles & Responsibilities
Ensure that the business of the commission is conducted under the law establishing the commission
Review and analyse the legal risk involved in various deals
Management of disciplinary cases
Litigation management
Monitor and verify the corporate status of legal entities involved in any transaction with the commission
Business Development & Marketing Department
Roles & Responsibilities
Developing and executing marketing plans for the commission
Design of programs aimed at promoting the EDOHIS to improve uptake
Generate and invest revenue for the Commission
Develop sensitization/advocacy materials and public relations material (jingles, advertisement) in conjunction with the PR and Advocacy department
Develop proposals for the adoption of vulnerable by philanthropists
