Job Opportunity at Punjab Health Initiative Management Company: Hiring “Director Health Insurance” at Lahore

March 23, 2025 Admin

Latest Job Opportunity at Punjab Health Initiative Management Company (PHIMC)
Punjab Health Initiative Management Company offers a unique opportunity to professionals to work in an excellent environment with the potential of professional growth. PHIMC is looking for the services of a dynamic and self-motivated professional for the position of “Director Health Insurance” at Lahore.
Details are as follows:

Position Title: Director Health Insurance

No. of Positions: 01

Location: Lahore

Employment Status: Contract

Gender: Both

Age: 32 – 62

Qualification and Experience:

Master’s Degree in Public Health / Master’s Degree in Health Economics / Master’s Degree in Health Financing / Master’s Degree in Actuarial Sciences Master’s Degree in Health Planning / Master’s Degree in Business Administration / Master’s Degree in Public Administration from HEC/PMDC recognized institute.
Minimum 8 years of working experience of health insurance policy, planning and design, health insurance operations management with any insurance company/health insurance policy and planning institutions from public / private sector organization, out of which minimum 2 years of experience as head of department / functional head.

Job Responsibilities:

Design the Health Insurance model(s) for PHIMC, develop its process flows, and design implementation plans to execute health insurance to the identified
Ensure the timely implementation of Third-Party Validation, Evaluations, and other surveys required for the improvement of the
Ensure proposed/approved recommendations and outcomes of Third-Party Validation, Evaluations, and other surveys are adhered/implemented.
Recommend cost-effective measures/initiatives to the management/board of the company for the improvement of health insurance, e.g., avoiding duplication of benefits to the beneficiaries, revenue generation for health insurance, co-payment arrangements
Leads in the compilation of information, and drafting of clear/specific reports/documentation required for internal and external monitoring and auditing purposes
Providing guidance, processes, templates, and support with equivalent governance, risk, and compliance systems to facilitate risk management
Validate and monitor adherence to implemented policies, procedures, workflows, and processes: identify, recommend, and implement improvement initiatives
Generate methods to develop and improve the overall delivery and performance of the Insurance Company
Apply data analytics, predictive models, and industry trends to develop utilization management strategies
Undertaking root cause analysis on incidents and complaints and driving the implementation of effective corrective and preventative actions
Establish and maintain working relationships with both internal and external stakeholders required to plan and execute
Supervise consultants and program team in developing detailed guidelines for responsibilities at different Government Levels in dispensing health
Liaise and coordinate with relevant stakeholders (Ministry of Health, other Provincial Health Departments, insurance companies, actuarial experts, etc.) to facilitate dialogue and garner specialist input for the health insurance model, implementation design, and
Ensure the setup of Complaints Management committees at all tiers of implementation
Supervise and monitor the process of disputes and complaints resolution forwarded to
Monitor the process of complaints management by the district offices in the province
Extend timely advisory services to the PHIMC management and facilitate their understanding of health insurance technicalities as and when required including presentations, documented submissions, concept briefs, reports, etc.
Supervise and manage the health insurance team in attaining the program targets by inculcating a practice of regular planning and performance assessment at program and individual
Stipulate specific targets for the program in lieu of the health insurance product design and implementation plans, and take ownership of the performance and outputs including work plans complete with periodic targets and variable indicators for program progress and
Design and develop detailed guidelines for institutional roles and responsibilities at different Government levels, including those of the private sector (insurance companies, hospitals, NGOs, etc.) under the umbrella of health insurance
Develop and present quarterly reports to PHIMC management on the progress of the health insurance model and program.