Technical Advisor, Health Insurance Analytics, Addis Ababa, Ethiopia 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 2020. 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.   Job Requirements 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 or PhD) in a related field such as health economics, public health, financial management, public policy is strongly preferred; 7-10+ 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.   How to Apply CHAI-EthiopiaHR@clintonhealthaccess.org and/or  www.etcareers.com

Health Insurance Information System Program Officer CHAI 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 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.  Description : The Government of Ethiopia has supported significant improvements in health over the past decade and now aims to accelerate progress to deliver quality essential health services to its growing population of close to 100 Million people. To achieve this goal, Ethiopia is rolling out health insurance schemes with the goal of reaching most of the population by 2020. If successful, Ethiopia will set an example for all other countries working towards the goal of universal health coverage on the continent. To successfully roll out this ambitious reform, the Ethiopian Health Insurance Agency will need to overcome technical, operational and management challenges of insurance scale-up across a large and diverse country. Already the Government has begun to scale-up community-based health insurance. To take the next steps, there is a recognized need to test changes to the current CBHI scheme design and management. CHAI is supporting the Agency in implementing a pilot in three regions of the country to improve the scalability and sustainability of community-based health insurance, and ensuring that this scheme can be integrated into a national health insurance scheme. This includes working to test and then scale up robust information systems. Robust information systems are a critical component of a well-functioning insurance system. CHAI is partnering with Watsi, a nonprofit that develops IT to improve the efficiency and functionality of insurance schemes, to support the EHIA in this pilot. Watsi’s IT streamlines the administration of community-based health insurance. By facilitating tasks like enrollment, claims submission and processing, financial management, and reporting, Watsi’s technology aims to help the insurance systems reduce administration costs and surface data to enable management at all levels to fine tune the design and operation of the scheme. Responsibilities : CHAI is seeking a highly motivated individual with outstanding project management capabilities and experience with technical projects as the Information Technology Program Officer to Support the CHAI-Watsi project to design, develop, and implement information systems and technology for the pilot of a new community-based health insurance design. He or she will work closely with CHAI staff on the ground, EHIA Mekele branch and health facilities, as well as with Watsi on a day to day basis. He or she will serve as Watsi’s primary source of day-to-day support in Tigray.   Key responsibilities include, but are not limited to, the following: Act as a link between the Watsi development team and the daily pilot users of the platform in Tigray — visiting participating health facilities and claims processing branch office and observing users, gathering information and feedback on how software and processes are working, and surfacing areas that need attention to the Watsi and CHAI team Use proximity to day-to-day pilot activities and knowledge of local context to help plan for implementation, scale up, and ongoing support for the roll-out of the insurance information system Provide input and technical support to CHAI staff working on the enhanced CBHI pilot implementation in improving the use of technologies to increase efficiency and effectiveness of systems for premium collection, financial management, claims processing, enrollment and other core areas Maintain a registry of hardware and set up systems for maintenance. Set up systems to facilitate monitoring and early identification of problem areas during the roll-out and implementation of the insurance scheme and work with relevant bodies to address these problems as they arise Act as a resource for the Watsi team when they travel to participating health facilities to explore and examine user experience, prototype and test pieces of the platform -- coordinating logistics, helping to arrange meetings with the appropriate people, translating conversations, and providing other local context and support Other responsibilities as requested by CHIA Health Financing program and CBHI Pilots program managers.    Job Requirements Qualifications: We work in a fast-paced, results-driven environment and this health insurance reform is a top priority for the Government. We are seeking a highly motivated individual with relevant experience in the Ethiopian health sector. This individual would be a fast learner who is both detail oriented and has the ability to ask the key questions or see the “big picture.” We place great value on resourcefulness, responsibility, tenacity, flexibility, independence, energy, work ethic and humility.   Qualifications include the following: Strong command of the English language, Amharic, and Tigrinya required; Advanced degree in a relevant field including project management, public health, information technology and/or business; 5-7+ years of professional experience including in implementing health programs and working on IT projects; Experience working in the not for profit sector and/or with government is a plus; Understanding of the Ethiopian health system an advantage; Demonstrated understanding of mobile and new technologies; Experience designing, managing and implementing projects; Excellent problem solving, analytical and quantitative skills, including attention to detail; Strong communication skills, including delivery of compelling presentations and documents; Strong interpersonal skills and ability to achieve consensus amongst stakeholders; 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; Willingness to travel within Ethiopia as needed (estimated 30%) with significant travel to woreda schemes   How to Apply CHAI-EthiopiaHR@clintonhealthaccess.org and/or www.etcareers.com