Manager Quality Assurance

Key Responsibilities EXECUTIVE SUMMARY This is a Senior Management role in the National Health Insurance Management Authority (NHIMA) responsible for ensuring all accredited Health Care Providers (HCPs ) have capacity to provide quality assured health services to members of the National Health Insurance Scheme (NHIS). The role requires close collaboration with the Ministry of Health (MOH) Quality Improvement (QI) structures at all levels and accredited HCPs Quality Improvement Committees. This is to ensure that, HCPs as mandated by the NHI Act. 2, 2018 in Sections 38 and 39 comply with all the relevant quality standards as prescribed by the Ministry of Health and other regulatory bodies including the Authority. The role is responsible for management, coordination, monitoring and evaluation of all quality assurance activities of the Scheme to enhance member satisfaction. Reporting to the office of the Director Quality Assurance and Accreditation, the role will ensure that annual accreditation renewal is granted only to those health care providers who meet the minimum quality standards as prescribed by the Authority and subsequently to monitor and evaluate quality improvement efforts. The role will require extensive travel within Zambia as part of quality assurance monitoring and evaluation and abroad for learning of best practices. KEY FUNCTIONS/RESPONSIBILITIES The key functions of the role will include but not limited to; Policy Develop, interpret, adhere and enforce compliance to and ensure implementation of policies of quality assurance to enhance adherence and compliance to the contractual and regulatory requirements.. Stakeholder & Facilities Outcomes Coordinate quality assurance activities within the Authority; Further, the role will be responsible for the on-going monitoring and evaluation of quality in health services delivered in accredited HCPs to ensure compliance to Regulatory Body’s and Authority prescribed quality standards throughout the tenure of agr