NHIMA Provider Reconciliation Officer Jobs 2021 – Zambia Jobs

NHIMA Provider Reconciliation Officer Jobs 2021 – Zambia Jobs. NHIMA Zambia programme looking for “Provider Reconciliation Officer“. Applicants with a Grade twelve (12) School certificate may apply on or before June 15, 2021.

Since 1991, successive Zambian Governments have pondered the prospect of introducing a National health Insurance Scheme. By 2011 the need to introduce the NHIS in line with the Universal Health Coverage agenda had gained momentum. This political will culminated in the signing of the National Health Insurance Act No. 2 of 2018, which led to the establishment of the National Health Insurance scheme (NHIS) under the Management of the National Health Insurance Management Authority (NHIMA).

NHIMA Provider Reconciliation Officer Jobs 2021

The NHIMA has published a job vacancy announcement on 12 June 2021 for qualified Zambia’s to fill in the vacant post of Provider Reconciliation Officer to be based in Lusaka, Zambia.

Recruiter National Health Insurance Management Authority (NHIMA)
Position Provider Reconciliation Officer
Location Lusaka, Zambia
Country Zambia
Total Vacant Post 01
Qualification Grade twelve (12) School certificate
Experience Required 4 Years
Application Deadline June 15, 2021

NHIMA Job Vacancy 2021

Job Purpose: The main role of the job holder will be day to day management of claims from health care providers, ensuring that claims are paid timeously and in accurate amounts. It will also be responsible for ensuring the submitted claims are paid out within the agreed service level agreements by ensuring timely submission to subsequent workflows and tracking the turnaround times within those workflows.

Key Responsibilities:

  • Conduct first line quality assurance check on the submitted claims to ensure the claims meet NHIMA protocols
  • Conduct first line pre- assessment of submitted claims batches by verifying totals on the actual against accompanying invoices/statements
  • Timeously register new claim submissions from accredited health care providers.
  • Track claims through the various subsequent workflows.
  • Measure performance of the various workflow turnaround times against agreed service level agreements


  • Grade twelve (12) School certificate with 5 ‘O’ levels with credit or better including Mathematics and English Language.
  • First Degree in any field.
  • Certificate or Diploma in Health Insurance, Clinical Health related field, Compensation fund or social security will be an added advantage.

Competencies required for this Role:

  • 3-5 years in a similar role,
  • Must have a valid class ‘B’ driving license,
  • Excellent knowledge of marketing and customer service,
  • Good oral and written communication skills,
  • Must be computer literate with MS Office applications skills,
  • Attention to detail, and Excellent analytical skills

Other Details

  • Contract Type: Full Time
  • Selection Process: Interview
  • Salary: negotiable
  • Application Process: Online

How to Apply NHIMA Provider Reconciliation Officer Jobs 2021

Note: Before you apply, please download (link is given below) the full advertisement and read it carefully.

Then to apply, go to this link Click Here

The Closing Date: June 15, 2021

Only shortlisted candidates will be contacted for interviews.

Particulars Details Link
Job Advertisement Download
Official Website www.nhima.co.zm