Medical Benefits Officer at the African Development Bank (AfDB)

African Development Bank (AfDB) - Established in 1964, the African Development Bank is the premier pan-African development institution, promoting economic growth and social progress across the continent. There are 80 member states, including 54 in Africa (Regional Member Countries). The Bank's development agenda is delivering the financial and technical support for transformative projects that will significantly reduce poverty through inclusive and sustainable economic growth.

We are recruiting to fill the position below:

Job Title: Medical Benefits Officer

Reference: ADB/17/249
Location: Côte d’Ivoire
Grade: PL6
Position N°: 50090790

The Complex

• The Vice-Presidency, Human Resources and Corporate Services (CHVP) Complex ensures the delivery of efficient, people-centered, client-oriented, corporate services to ensure overall institutional effectiveness in all aspects of the Bank’s corporate services.
• The complex leads efforts to ensure the competitiveness of the Bank as the employer of choice and is responsible for providing leadership in the formulation and implementation of Bank’s strategies on people, IT, general services and institutional procurements, language services, business continuity, and health and safety strategies.

The Hiring Department/ Division

• The overall objective of the CHMH Unit is to make the Bank an employer of choice by providing staff members with the most conducive and healthy working environment.
• Its mission is to drive the transformation of the Medical and Occupational Health Services offered by the Bank and enhancing health promotion, prevention strategies and comprehensive interventions in an effort to protect, preserve and promote the health and well-being of all Staff members - healthy lifestyles for all.
• Specifically, the Unit seeks to ensure proper application of the Bank’s policies, instructions and procedures on matters of staff health and well-being; formulate health and welfare policies that are consistent with best practices in healthcare in the workplace; and ensure the administration and provision of quality medical care to Bank’s staff and their dependents; facilitate a healthy working environment for staff through the observance of best practices in health and well-being.

The Unit is composed of four focal Areas
The Staff Medical Benefits Plan:

• Introduced in 2003, is one of the Bank Group’s most valuable benefits, providing worldwide comprehensive medical coverage to eligible staff, elected officers, retirees, and their eligible dependents. The Plan also helps staff and retirees to meet the financial impact of obtaining quality health care coverage for themselves and their eligible dependents. Specifically, the Plan seeks to:
  • Provide access to quality and timely health services for the Bank staff and their dependents;
  • Carry out integrated healthcare management programs such as health promotion and disease prevention;
  • Establish and consolidate the information flow between the Plan and beneficiaries, to ensure there is full awareness of entitlements, procedures, caps, ceilings, complaints procedures, authorizations for special payment arrangements;
  • Develop major communication campaign strategy to promote ownership of the Plan and encourage members to exercise discipline in incurring medical expenses.

The Medical Center:

• Offers consultation and advice, referrals, pre-employment medicals, annual checkups, community care, and health education programs. Specifically, the Center manages primary health care and first interventions in Medical emergencies and evacuations, and retort in front of epidemics.
• The Center manages the decentralization of health services at the regional level and fosters strategic partnerships with sister Institutions.
• The Center also provides integrated clinical services, including Therapeutic Education, Computerization of the patient medical record audits of the clinical services (performances) Evaluation and extension of the health networks Periodic medical Balance sheets (Assessments).

• This concerns the overall improvement of working conditions, and the well-being of employees in order to contribute positively to Bank’s productivity.
• The primary purpose of the Bank’s OHS framework is to ensure that the Bank provides staff with highest standards for a conducive, safe and healthy working environment.
• This includes the inspection and regular monitoring of the buildings and equipment (ergonomic chairs, and key board, computer screens, noise and light hazards, etc. The safety and well-being of all staff in the workplace must be guaranteed/convenient while inculcating in staff that it is their responsibility to maintain a safe working environment.

Welfare Services:

• In line with the Bank’s new vision of changing the way we do business, the Unit is revamping the Welfare services and activities to listen; inform; advise and work with staff members in order to
• (i) Work closely with the Bank Recourse Mechanism Units, the Staff Council, and other staff groups and the Board Members and Senior Management;
• Provide solution and assist Staff through coaching and counseling services;
• Manage the resolution of conflicts, working through and with others to affect mutually acceptable solutions, by using highly developed interpersonal skills;
• Promote Work-life Balance to maintain a healthy body and mind such as sports, social program and activities within and outside the Bank;
• Promote the family friendly policies that include remote working and flexible working hours; maternity and paternity leaves; sick leave management, etc

The Position

• The Medical Benefits Officer will work at both strategic and operational level to manage accounting and membership data, communication and information flow among providers and beneficiaries, ensure compliance of procedures, caps, ceilings, promote ownership of the Plan and implement health management programs.

Duties and Responsibilities
Under the supervision and guidance of the Senior Medical Benefits Officer, the Medical Benefits Officer will:

• Process invoices from Third Party Administrator (TPA) for payments, monitor contributions received from staff and retirees.
• Reconcile Staff Accounts receivable and payable to ensure that balances are conform and accurate for clearing.
• Enhance staff and family awareness of Medical Plan’s benefits and procedures to access treatment.
• Provide advice to retiring staff and others who will be opting to buy in for coverage.
• Maintain regular and accurate flow of information from medical providers to Plan members.
• Establish metrics to measure the consistency of data.
• Provide administrative support to the Medical Plan team, such as meeting preparation, mission scheduling etc.
• Prepare the Plan annual status report and other monthly and quarterly reports.
• Carry out periodically, an actuarial valuation of the Medical Benefits Plan and its financial commitments, and recommend appropriate measures with a view to the long term actuarial balance of the Plan.
• Establish and consolidate the information flow between the Plan and beneficiaries, to ensure everyone is fully aware of entitlements, procedures, caps, ceilings, complaints procedures, authorizations for special payment arrangements.
• Design and implement integrated healthcare management programs such as health promotion and disease prevention and wellness; Disease management to help participant’s better control chronic conditions; and large case management to take into account patient’s needs and treatment Plan.
• Coordinate the promotion of these programs to ensure full participation of beneficiaries in order to achieve the benefits intended to bring about prudence and cost control.
• Develop major communication campaign strategy to promote ownership of the Plan and encourage members to exercise discipline in incurring medical expenses.
• Develop good relations with the established healthcare providers to secure discounted rates and to ensure that Bank staff are given the appropriate medical care and treatment.

Selection Criteria
Including desirable skills, knowledge and experience

• Hold a Master's degree in Human Resources Management, Social Sciences, Business Administration, Accounting, Finance or related discipline.
• A minimum of four (4) years of relevant experience handling Medical Plan Administrative related duties, including the following areas: Membership data maintenance, General Ledger, Account Payable/Receivable management, Insurance and Client Services.
• Possess strong quantitative and analytical skills.
• Demonstrated skills and oversight in budget coordination and decision making are desirable.
• Knowledge of statistics and accounting, ability to communicate the meaning of numbers in plain language.
• Have very good knowledge of Medical benefits principles.
• Ability to initiate and manage innovations and changes.
• Active participation in a comprehensive review processes of any Medical Plan.
• Have an understanding of internal controls and interpretation of Financial Regulations and rules.
• Show honesty and sensitivity to client’s needs.
• Being able to work under pressure, prioritize work, meet strict deadlines and work in team.
• Ability to interact effectively with people, and cooperate with other colleagues.
• Capable of motivating, leading and inspiring enthusiasm and trust.
• Ability to communicate effectively (written and oral) in English or French, preferably with a working knowledge of the other language.
• Competence with standard MS Office software.

Application Closing Date
16th June, 2017.

How to Apply
Interested and qualified candidates should:
Click here to apply online