Clinton Health Access Initiative Jobs Vacancies 2018 for Senior Analyst – Health Insurance Analytics

Overview: Founded in 2002 by President William J. Clinton, the Clinton Health Access Initiative (CHAI) is a global health organization committed to strengthening integrated health systems around the world and expanding access to care and treatment for HIV/AIDS, malaria and other illnesses. Based on the premise that a business-oriented strategy can facilitate solutions to global health challenges, CHAI acts as a catalyst to mobilize new resources and optimize the impact of these resources to save lives, via improved organization of commodity markets and more effective local management. CHAI does not operate stand-alone programs, nor does it build parallel health systems. Rather, CHAI works at the invitation and in support of governments. CHAI’s teams are working side-by-side with more than 30 governments to tackle many of the largest barriers to effective health care.

CHAI Ethiopia is currently carrying out a wide range of programs to support the Ministry of Health in improving access to and increasing the quality of health services. As one of CHAI’s largest field offices with more than 170 staff, the Ethiopia office operates programs across maternal, newborn and child health; HIV/AIDS; nutrition; vaccines; essential medicines; health workforce; and health financing. The health financing program aims to transform how the health system is financed to substantially and sustainably increase access to services, beginning with essential services for those most in need.

Program Description: The Government of Ethiopia is rolling out health insurance with the goal of reaching most of its population of 100 million people by 2022. The government is scaling up community-based health insurance for the informal sector, rolling out social health insurance for the formal sector, and harmonizing these two schemes under a national insurance scheme. This is one of the most ambitious health financing reforms on the continent, and if implemented well, has the potential to transform the health system and move the country closer to its goal of universal health coverage (UHC) by 2030.

To successfully roll out this ambitious reform, the leadership of the newly formed Ethiopian Health Insurance Agency will need to overcome technical, operational and management challenges. CHAI has been asked by senior leadership of the Ethiopian Health Insurance Agency to provide comprehensive support in testing innovations across pilot community based health insurance schemes, to ensure health insurance can be sustainably brought to scale. This includes putting in place more efficient and effective management structures and information systems, new mechanisms pool or re-distribute resources, new processes to better incentivize and hold providers accountable for efficient and high quality service delivery, and new policies and processes to enroll hard to reach populations. Ethiopia will be a flagship program for CHAI’s work in health insurance, shaping our engagement in other countries.

Responsibilities: CHAI is seeking a highly motivated individual with strong technical capabilities and relevant experience to play a key role in our engagement in insurance and health financing in Ethiopia. The Technical Advisor will provide technical and analytical input to a large CHAI team. The technical advisor, through robust analytical work, will help inform policy changes in how financial resource is pooled, re-distribute and used to purchase services. This will include generating and analyzing evidence, and then working with the government and international experts to align on essential service package (a benefits package), to define premium rates, to revise the pooling strategy, and to improve provider payment mechanisms and rates.

This role offers the opportunity to be involved in the development of one of the largest national financing reforms on the continent, furthering expertise in health financing, and building experience in managing complex technical projects, working closely with the Government of Ethiopia. This role will report to the Senior Program Manager on the CHAI Ethiopia Health Financing Team.

Key responsibilities include, but are not limited to, the following:

• Work with the Ethiopian Health Insurance Agency and CHAI staff in areas ranging from benefits design, to membership management, to provider management, to management information systems, to pooling and finance;

• Support analyses such as financial sustainability modeling to inform and iterate on premiums, subsidies, benefits and contribution rates;

• Work with the Federal Ministry of Health (FMOH) Partnership and Cooperation Directorate in health financing areas ranging from economic evaluation, to resource tracking, to identifying and addressing inefficiencies, to mobilizing resources from all sources increasingly from domestic sources;

• Support the FMOH with identifying and implementing improvements to enhance efficiencies in the budgeting and annual planning process;

• Present studies and analyses to stakeholders, working with the Health Insurance Agency to use this information to develop evidence-based strategies, policies and procedures;

• Engage with stakeholders working in health financing and insurance in Ethiopia, coordinating and participating in health financing working groups;

• Pilot, roll-out and continuously improve core business processes in CBHI pilot regions and districts; for example, through the development of tools or reporting templates and advising on improved data management and analysis techniques;

• Support capacity building initiatives for a team of CHAI staff working across different directorates of the Health Insurance Agency, providing technical input and formal training and day to day support;

• Support implementation of monitoring, evaluation and learning plan including taking ownership of technical work streams within priority areas, including health facility readiness, and service availability and costing studies;

• Work with international and local external experts; and

• Other responsibilities as assigned by manager.

Qualifications:

CHAI works in a fast-paced, results-driven environment and this health financing and insurance reform is a top priority for the Government of Ethiopia. This individual would need to have strong grasp of the theoretical foundations of health financing, combined with excellent applied quantitative skills, and relevant experience. Professional experience in health insurance, in either a developed or developing country context, is a significant advantage. The ability to generate technical output and translate findings into pragmatic policy recommendations will be central to the success of the technical advisor role. CHAI places great value on resourcefulness, responsibility, tenacity, flexibility, independence, energy, work ethic and humility.

Qualifications and advantages include the following:

• Advanced degree (Masters ) in a related field such as health economics, public health, financial management, public policy is strongly preferred;

• 5-7+ years of professional or experiential experience in demanding, results-oriented environments in either the public or private sector preferred; 5 years minimum professional experience;

• Experience working in health insurance and health financing in developed or developing countries would be a strong advantage. This could include, but is not limited to, specific experience in actuarial costing, benefits design, and provider contracting and payment mechanisms;

• Experience working with government agencies is an advantage;

• Knowledge of the Ethiopian health system is an advantage;

• Excellent problem solving, analytical and quantitative skills, including attention to detail;

• Advanced data analytics skills including a high level of proficiency with Excel and experience in financial and cost modeling;

• Demonstrated experience in navigating strategic discussions objectively and diplomatically;

• Demonstrated experience in managing external stakeholder relationships (e.g., donor and implementing partner relationships, or similar background);

• Ability to work independently, set priorities and handle multiple tasks simultaneously;

• Ability to learn on the job quickly and absorb and synthesize a broad range of information;

• Ability to navigate ambiguous and complex processes and be flexible;

• Strong communication skills, including delivery of compelling presentations and documents;

• Strong command of the English language; and

• Willingness to travel within Ethiopia as needed.