Lead, Counter Verification – CBHI

Exciting Career Opportunity at the Rwanda Social Security Board (RSSB) – Lead, Counter Verification

Are you ready to embark on a transformational journey? We are seeking a dynamic and forward-thinking leader to join us as the Lead, Counter Verification. If you thrive in dynamic environments and are committed to innovation and transformation, this is the opportunity for you!

If you have what it takes to work closely with a team of change-makers and you are passionate about being part of a mission-driven organization that prioritizes the well-being of millions of individuals, then we are looking for you. Your contribution will steer organisational transformation towards providing soci0-economic well-being, long-term stability and prosperity for Rwandans.

Reporting to the Manager, Medical Benefits, the Lead, Counter Verification will be responsible for coordinating activities of medical benefits counter verification function and providing support to verification at branches.

About RSSB

The Rwanda Social Security Board (RSSB) has the mandate to manage and promote social security in Rwanda. RSSB’s vision is to provide a comprehensive social security system that caters to the diverse social security needs of the population, RSSB plays an important role in realising Vision 2050 and the National Strategy for Transformation (NST1). RSSB manages six social security schemes, namely: Pension, Occupational Hazards, Medical scheme, CBHI, Maternity Leave Benefits and EjoHeza (Long-term Term Saving Scheme).

As a leading player in the financial sector, RSSB serves as the largest institutional investor in Rwanda. With assets under management amounting to 2.06 trillion Rwf , which is equivalent to over 15% of the country’s GDP, RSSB invests in key sectors of the economy and plays a crucial role in growing the country’s financial sector. With approximately 12 million members in the above six schemes, encompassing over 90% of Rwanda’s population, RSSB is at the forefront of securing the health and financial well-being of Rwandans.

To achieve its important mandate, RSSB is embarking on a transformative journey, aiming to become a modern, data-driven, and high-performing institution. As part of this ambitious initiative, we are seeking highly motivated individuals who are results-oriented and uphold the highest standards of professionalism and integrity. By joining RSSB, you will have the opportunity to actively contribute to the advancement of social security and overall transformation of Rwanda.

If you are passionate about making a meaningful impact, ready to embrace innovation and change, and eager to work in a dynamic and collaborative environment, then RSSB is the place for you.

Key duties and responsibilities

1. Coordinate counter verification of invoices
2. Develop CBHI counter verification policies and procedures and ensure their successful implementation
3. Elaborate and regularly review requirements and criteria for counter verification of CBHI invoices
4. Assess CBHI medical verification reports and identify CBHI invoices suspected of fraud
5. Select CBHI invoices qualified for counter verification
6. Receive and review counter verification of the voucher report comparatively with tariffs or others related document
7. In collaboration with relevant internal and external stakeholders, coordinate activities related prevention, detection and investigation of fraud and prepare reports accordingly
8. Analyse incidents reports and prepare related reports
9. Support medical counter verification activity in RSSB branches if need be
10. Ensure timely preparation and submission of reports of the Counter Verification function
11. Manage and evaluate staff under his/her supervision
12. Perform any other duties related to Counter Verification function as may be assigned from time to time

Knowledge, experience, and qualifications required

• Master’s’ Degree in Public Health, Pharmacy, Hospital Management, Nursing, Health Sciences, Health Administration, Hospital Administration or any other relevant field preferably with 4 years’ relevant experience, 2 of which should have been in supervisory role

OR

• Bachelors’ Degree in Public Health, Pharmacy, Hospital Management, Nursing, Health Sciences, Health Administration, Hospital Administration or any other relevant field preferably with 6 years’ relevant experience, 2 of which should have been in supervisory role

Key competencies

Technical Competencies:

1. The role holder must have knowledge in public health policies and medical procedures
2. The job holder must understand social security laws and procedures
3. The incumbent should have benefits analysis and planning
4. The job holder must be proficient in cost benefits analysis

Behavioral Competencies:

1. Must demonstrate impeccable customer service focus, strategic thinking, and strong ethical background with an ability to resist and zero tolerance for corrupt, political and other undesirable influences;
2. Must be able to establish and maintain constructive and effective relationships with key stakeholders and staff alike;
3. Must be open to change and adapt established methods for new uses within the institution;

Additional Information:

RSSB reserves the right to appoint or to issue an employment contract to the successful candidate.

Interested candidates are advised to submit applications online by Tuesday, 24th  June 2025.

In addition, please attach a curriculum vitae that contains details of your qualifications, experience and positions held relevant to this role. Include your day and evening telephone numbers, email address, names and address of three professional referees. Also, attach copies of your academic and professional qualifications.