The Ugandan Jobline

• Technical analysis of all claims in the system for approval,
  quarantining or rejection of claims
• Evaluate each claim from a logical,
  medical and technical perspective
• Match the cost of claims against
  services provided
• Identify claims with abnormalities
  for quarantine and record supporting evidence
• Reject incomplete claims with
  supporting documentation
• Liaise with service providers to further investigate abnormal
  claims from a medical perspective using an evidence based approach
• Conduct calls or visits to service
  providers with quarantined claims to collect further evidence supporting
  their claims, such as client records
• Guide providers on submitting future
  claims correctly
• Manage and handle all data with
  confidentiality and ensure all data protection mechanism are strictly
  adhered to
• Monitor for patterns of abnormal claims and identify capacity
  gaps in service provider’s knowledge and claims reporting.
• Compare new claims against
  historical claims from providers to uncover repeated incidences of claim
  issues
• The incumbent will report recurrent
  issues to a superior with supporting evidence
• Generate vetting reports for the finance team to guide claims
  payments: Generate monthly reports for the finance team
  with clear guidance on which claims to process for payments and which
  claims to reject

• The applicants for the Vetting Officer jobs
  should hold Diplomas in midwifery
• Knowledge of clinical procedures and
  reproductive health issues essential
• Previous medical experience in midwifery
  essential
• Proven ability to maintain high levels of
  confidentiality
• Excellent communication skills
• Good ability to work well in a team
• More than one Ugandan language desirable

• Initiative: Thinking ahead and taking action to
  make the most of opportunities by finding the optimum solution.
• Innovative: Thinking creatively so that ideas
  generated create a positive outcome.
• Effective Communication: Communicating through active
  listening and good questioning techniques, using appropriate body
  language, ensuring information is clear and concise.
• Team Player: Working as part of a team by being
  supportive, flexible and showing respect for each other.
• Responsive: 
  Being responsive to changing priorities and demands.
• Working Efficiently: Planning, prioritising and
  organising work to ensure work is accurate and deadlines are met.
• Sharing Information: Sharing information and knowledge
  whilst maintaining confidentiality.
• Focus on Learning: Taking responsibility for keeping
  knowledge and skills updated and for seeking opportunities to develop
  further
• Commitment: Awareness and understanding of
  goals, vision and values and how your role impacts on this and going the
  extra mile to meet role requirements
• Driven: Drive and determination to deliver results.
• Accountable: Taking responsibility for
  appropriate decisions that you make, and the actions and behaviour you
  demonstrate
• Embracing Change: Openness to embracing change within
  the organisation and being able to adjust plans/activities accordingly
• Motivated: Motivation towards achieving quality
  results to maximise potential 

• Accountability of all staff to each other and
  our clients and stakeholders
• Equality of opportunity and access
• Value for money in the management of our
  resources

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