Chief Financial Officer
CHIEF FINANCIAL OFFICERPOSITION SUMMARY: The Chief Financial Officer is responsible for directing the fiscal functions of the NHIB in accordance with International Financial Reporting Standards and any other financial management techniques and practices appropriate within the health and insurance industries. MAIN DUTIES AND RESPONSIBILITIES: • Plan, develop, organize, implement, direct and evaluate the NHIB’s fiscal function and performance. • Participate in the development of the company’s plans and programs as a strategic partner. • Evaluate and advise on the impact of long-range planning and the introduction of new programs/strategies • Provide timely and accurate analysis of budgets, financial reports and financial trends in order to assist the CEO and the Board in performing their responsibilities. • Develop, implement and enforce financial policies and procedures that will improve the overall operation, efficiency and effectiveness of the company. • Provide technical financial knowledge and advice to others within the financial discipline. • May perform other duties as assigned by the CEO or any other person authorized to give instructions or assignments. • Lead the timely completion of the financial statement audit process. • Assist in the completion of key accounting functions such as reconciliations, manage and supervise the finance, compliance and billing teams. MINIMUM QUALIFICATION & EXPERIENCE REQUIRED: • Candidates should have a Master’s degree in Accounting or equivalent combination of education and experience • Preferably with professional qualification as a CPA or any equivalent accounting designation. • At least 7 years of experience in a senior finance management role is a must. REQUIRED KNOWLEDGE AND SKILLS: • Experienced financial leader with appropriate industry experience, strong supervisory and mentoring skills, high ethical standards, exceptional analytical and problem solving, well organized and self-directed, excellent written/verbal communication, speak, read and write in excellent English language, proficient in Microsoft Word, Excel Spreadsheets and Pivot Tables, and Accounting software packages, effective time management skills. • Solid understanding of international financial reporting standards • Solid understanding of the NHIB Ordinance and Regulations • Experience in healthcare financing • Training in International Accounting Standards for Social Security • Experience in Microsoft Dynamics • Team worker who is willing to take a hands-on approach to the role. SALARY Salary will be commensurate with qualifications and experience on a scale of $82,200 to $89,310.00 per annum. All Applications should be addressed to: Sheena Smith-Yip National Health Insurance Board Salt Mills Plaza Providenciales Turks and Caicos Islands British West Indies Email: firstname.lastname@example.org Please ensure the application clearly demonstrates how you meet the noted qualifications as applicants will be screened based on the information provided. We would like to thank all applicants for their interest; however, only those who are selected for an interview will be contacted. Deadline for submission is June 26, 2020
POSITION SUMMARY: This is a managerial position, which has departmental-wide responsibility for activities and direction of the Operations Department, which includes the NHIP Emergency Overseas Treatment Programme. It provides technical leadership to the Case Management and Claims Management teams. The Medical Officer formulates policies and procedures to enhance the impact of the department; monitors patients overseas to assess their progress and report to the Chief Executive Officer; verify the eligibility of all claims, ensure staff are properly supervised and trained, customer concerns addressed; and appropriate, cost-efficient health care services with best medical practices in place are provided to NHIP Beneficiaries. MAIN DUTIES AND RESPONSIBILITIES • Manages the medical aspects of the NHIP Emergency Overseas Treatment Programme; • Manages all aspects of the Operations Department, inclusive of all staff assigned to the department. • Manages and develops the Operations Department’s Budget with the view of ensuring that the Department’s expenditure remains within or below the budgeted ranges. • Develops policies, procedures, standards, and controls for effective management of the Operations Department. • Ensures statistics are collected from InterHealth Canada Limited (TCI Hospital) and the private providers as required by management and for actuarial and other health-related assessments. • Liaises with the NIB to identify number of employment injury and occupational disease cases. • Enforces appropriate cost-reduction strategies and recommends initiatives in the management of patient’s care; • Prepares Quarterly Performance Reports and Trend Analysis. • Recommends and monitors systems and procedures to facilitate achievement of objectives within the area of responsibility. • Verifies and signs-off on overseas provider claims in order to ensure veracity of claims as well as conducts value for money audits. • Advises on the adjudication of claims by beneficiaries in special circumstances, outside the scope of usual and customary benefits, including overseas claims. • Makes recommendations to the Board on policy decisions, such as but not limited to reimbursement and accreditation standards in line with the Health Practitioners Board or other authorized Agency. • Conducts sample surveys of health care providers and facilities to derive baseline data on the availability, quality of services offered, the capacity and readiness to meet the demands of the NHIB. • Coordinates activities and provides advice to the NHIB team charged with the specification and costing of the service benefit package and in the development of provider payment systems. • Convenes and takes the lead in meetings and other mechanisms aimed at defining criteria for inclusion in the NHIB Provider Network, as well as developing norms and protocols for quality assurance utilization reviews, access to overseas care, and modifications (inclusion and exclusion) of items in the benefit package. • Collaborates with other members on the NHIB team in the design and implementation of activities related to accreditation of health providers. • Collaborates with other members of the NHIB team in defining and developing contractual agreements with local and overseas providers for services within the benefit package. • Assists in the development of detailed terms of reference and procedures for the activities of the NHIB Medical Review Committee. • May perform other duties as assigned by the immediate supervisor or any other person authorized to give instructions or assignments. • Any other duties deemed appropriate and consistent with the position, professional qualification and skill set as directed by the Chief Executive Officer. MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED: • Principles, practices and techniques of medical case management • Principles and practices of strategic, long-term business planning • Principles and practices of effective management and supervision • Good Problem-Solving Skills • Excellent Human Relations/communication and inter-personal skills • Strong written, oral and presentation skills • Computer literacy and knowledgeable/proficient in the main processing, spreadsheet and presentation graphics programmes. QUALIFICATIONS AND EXPERIENCE: • Medical Doctor with at least 7 years’ experience; full time practitioner in primary care and hospital settings with the necessary competencies to effectively respond to the challenges of the job. • Graduate Degree in Business or related field. • Business Management Experience • Knowledge of the NHIB Ordinance and Regulations • Current (Good Standing) Registration with TCI Health Practitioners Board and other professional/regulatory body as appropriate. • Experience with health insurance operations such as member of a medical review panel will be an asset. Salary Salary will be commensurate with qualifications and experience scale $82,200 to $89,310.00 per annum. All Applications should be addressed to: Sheena Smith-Yip National Health Insurance Board Salt Mills Plaza Providenciales Turks and Caicos Islands British West Indies Email: email@example.com Please ensure the application clearly demonstrates how you meet the noted qualifications as applicants will be screened based on the information provided. We would like to thank all applicants for their interest; however, only those who are selected for an interview will be contacted. Deadline for submission is June 15, 2020
Position Summary: This is a professional position, which has responsibility for all pharmaceutical matters arising in connection with the administration of the National Health Insurance Plan. The pharmacist is required to manage and implement initiatives to improve a range of aspects related to the management of the pharmaceutical benefit of the National Health Insurance Plan. He/she is deemed to be performing satisfactorily when the outputs for this position are achieved. This includes but is not limited to curtailing the growth of expenditure on pharmaceuticals. The Pharmacist reports to the Medical Director. Essential Duties and Responsibilities:
- Propose and implement initiatives to rationalize and streamline the current drug benefit policy.
- Review requests for special approval of non-formulary drugs and make recommendations to the Medical Director in line with the National Health Insurance Ordinance and best practices.
- Assist with relevant questions that arise during the overseas treatment claims verification process.
- Identify and resolve areas of abuse by both providers and clients
- Complete the NHIP drug formulary.
- Continuously review and update the NHIP drug formulary based on principles of cost effectiveness and quality of care.
- Recommend improvements to the current pharmaceutical claims submission system.
- Make recommendations for policy changes, strategic orientation and operational adjustments with a view towards the long-term sustainability and effectiveness of the plan.
- Propose a method for determining the reimbursement for pharmaceuticals.
- Audit pharmacies to ensure adherence to NHIP stipulations.
- Propose initiatives to curtail fraud, waste and abuse in the NHIP pharmaceutical benefit.
- Work with the relevant NHIP personnel to develop public education efforts focused on the appropriate use of pharmaceuticals.
- Hold meetings with local providers to discuss issues arising with the use of pharmaceuticals.
- Recommend ways to improve the use of pharmaceutical data to assist with management of the plan.
- Work closely with the National Pharmacist and other stakeholders to assist with the development and implementation of policies and protocols in a manner that furthers the objectives of the National Health Insurance Plan.
- Collect and analyze data on the trends of prescribing, dispensing and use of pharmaceuticals.
- Performing other related duties’ as may be required from time to time.
- A Bachelor’s Degree in Pharmacy or equivalent.
- At least four (4) years post qualification experience.
- Administrative/Management experience is an asset Must be able to use Microsoft Office Suite (Word, Excel, and Power Point, etc.).
- Excellent team player with team-building skills.
- Excellent written and oral communication skills.
- Ability to deliver to strict deadlines and to work under pressure.
Position Summary: The Senior Accountant reports to the Deputy Chief Financial Officer, and is responsible for providing financial, administrative and clerical services. This includes the supervising of the Accounting officers and ensuring that all functions of the Department are carried out in a timely and accurate manner. Providing these services in an effective and efficient manner will ensure that the Financial Statements are accurately reported. Essential Duties and Responsibilities:
- Supervise the AP and AR Accounting Officers to ensure that their functions are carried out accordingly.
- Ensures that payments are applied to specific bills before executing the Mass Apply process and conducts Paid Transaction Removal process.
- Submits to the Deputy CFO a list of delinquent/non-moving accounts for verification and resolution.
- Primary contact for Customers to meet and reconcile their Accounts.
- Spot audits on Cash Receipts and the timely Deposits of Receipts.
- Reviews and ensures the accuracy of the Accounts Payable reconciliation.
- Provide assistance where necessary to the Accounting Officers in carrying out their duties
- Leads the conduct of Monthly Accounts Receivable and Accounts Payable Review
- Ensure that all supporting documents are accessible and filed appropriately.
- Dealing with the banks and auditors of NHIB on various matters.
- Assistance with the preparation of the financial statements.
- Preparation of journal entries.
- Ensure the confidentiality and security of all financial files.
- Any other duties that may be assigned from time to time.
- A Bachelor’s Degree in Accountancy or equivalent qualification.
- At least five (5) years work experience in Accounting/Finance.
- Must be able to use Microsoft Office Suite (Word, Excel, Power Point etc.).
- Excellent team player with team building skills.
- Excellent writer and oral communication skills.
- Ability to deliver to strict deadlines and to work under pressure.
- Experience with Microsoft Dynamics GP will be an asset.
Principle Claims Officer
PRINCIPLE CLAIMS OFFICER
Position Summary: The National Health Insurance Board with responsibility for the coordination of local and international financing of health care services in the Turks and Caicos Islands, is seeking a Principal Claims Officer to facilitate and ensure the smooth processing of Claims to ensure the timely, efficient and accurate payment to contracted providers. Essential Duties and Responsibilities:
- Answer provider queries of payment processes and claims submission procedures.
- Ensure Claims are entered accurately and the processing of all valid claims in accordance with established standards.
- Claims turn-around times are efficient.
- Ensure monthly reports on department activities are prepared on regular basis
- Claims are reviewed thoroughly for identification of irregularities.
- Claims are closed in a timely manner for payments.
- Maximize the use of the department’s database to track and write the relevant Management reports, accessing the main & sub-systems to accurately achieve this end.
- Actual /projected monthly / quarterly/annual claims expenditure costs utilizing the relevant information generated by the Operations department are performed.
- Accurate client claims history reports which includes EOPs for provider payments are completed in a timely manner.
- All provider and beneficiary queries are dealt with efficiently.
- Perform other related duties assigned.
- Bachelor’s degree in Business, Finance Health Administration, Accounts or equivalent professional qualifications from a recognized tertiary institution.
- Ability to use medical coding information (ICD9/10)
- Five (5) years of experience in Health Claims processing or related environment.
- 1+ years of accounting/financing experience.
- Excellent oral and written communication skills.
- Working knowledge in the use of personal computing software including spreadsheet applications, word processing, and operating systems applications.
- Ability to interpret figures and statistical data.
Office Manager - Grand Turk
OFFICE MANAGER - GRAND TURK
Position Summary: The National Health Insurance Board with responsibility for the coordination of local and international financing of health care services in the Turks and Caicos Islands, is seeking a dynamic and transformational leader to fill the position of Office Manager in Grand Turk. Reporting to the Chief Executive Officer, the incumbent will be responsible for the delivery of administrative health care, financing and administrative services to the population of Grand Turk in line with the Corporate Plan of the NHIP. Essential Duties and Responsibilities:
- Manage the client registration and compliance activities of the NHIP in Grand Turk Carry out compliance audits within Grand Turk to ensure that all potential registrants are registered, and that timely remittance of statutory deductions are transferred to the NHIP
- Manage the customer service and complaint mechanisms
- Collaborate with internal departments on IT, Accounting, Patient Care matters.
- Collaborates with IT department on all office equipment.
- Manages relationships with vendors, service providers and landlord; ensures that all items are invoiced and paid on time.
- Develop KPIs for line staff in line with the organizational strategic plan.
- Adheres to all NHIB codes, rules and regulations.
- Performs other related duties as assigned.
- Bachelor's Degree in Business Administration, Health Administration, Finance or related fields.
- Minimum of six (6) years of experience in a senior management position within the insurance/healthcare field.
- Excellent time management skills and ability to multi-task and prioritise work
- Attention to detail and problem-solving skills
- Excellent written and verbal communication skills
- Strong organizational and planning skills
- Proficient in MS Office.