Claims Assurance Associate – Maternity Cover Jobs – Maisha Meds

Job Title: Claims Assurance Associate – Maternity Cover

Organisation: Maisha Meds

Duty Station: Kampala, Uganda

About Organisation:

Maisha Meds is an African healthcare technology organization that builds digital tools to improve access to affordable, high-quality medication. Headquartered in Kisumu, Kenya, the company operates a massive digital network across Kenya, Uganda, Tanzania, Nigeria, and Zambia. They specialize in point-of-sale (POS) software for private pharmacies, drug shops, and clinics to optimize operations and deliver subsidized healthcare programs.

Job Summary: Maisha Meds is hiring! We’re looking for an Assurance Associate – Maternity Cover to help safeguard program integrity through accurate claims review, verification, and fraud detection.

• We are seeking a highly motivated and detail-oriented Claims Assurance Associate to join our Programs Assurance Team on a fixed-term maternity cover.
• This role is critical to safeguarding program integrity by ensuring that program claims are verified accurately, consistently, and in accordance with organizational policies and established quality standards.
• The ideal candidate is analytical, exercises sound professional judgment, and thrives in a fast-paced, collegial, and technology-enabled environment while maintaining a strong commitment to accuracy, accountability, and service excellence.
• This role is based in Uganda with limited travel to field operations.
• You will report to the Assurance  Manager and will have no supervisory responsibilities.
• The expected start date is September 2026, and compensation is commensurate with experience.

Key Duties and Responsibilities:

• Verify and adjudicate program claims to determine their approval, rejection, or escalation in accordance with organizational policies, program guidelines, and service level agreements.
• Identify and document non-compliant, high-risk, or potentially fraudulent claims, escalating cases for further investigation as appropriate.
• Maintain accurate records of claim verifications and decisions, ensuring compliance with quality assurance standards and audit requirements.
• Contribute to periodic reports by documenting claim trends, operational risks, fraud indicators, and recommendations for process and system improvement.
• Collaborate effectively with cross-functional teams to resolve claim – related issues and support efficient claims verification processes.
• Uphold organizational standards on confidentiality, data protection, professionalism, and continuous improvement in claims verification and assurance.
• Any other roles as may be assigned based on need.

Qualifications, Skills and Experience:

• Academic qualifications: Diploma or Bachelor’s degree in a health-related field (Public Health, Pharmacy, or Nursing); candidates with Project Management,  Customer Service, or related qualifications shall also be considered.
• Experience:  At least one year of experience in healthcare, health programs, or related environments.
• Demonstrated experience working effectively in a remote or hybrid work environment with the ability to manage tasks independently.
• Proficiency or familiarity with productivity and digital collaboration tools such as  Google Workspace, Microsoft Office Suite, and Slack.
• Experience using CRM or case management platforms (e.g., HubSpot) and the ability to quickly learn new digital systems.
• Strong analytical, problem-solving, and organizational skills with excellent attention to detail and the ability to meet deadlines.
• High standards of integrity, professionalism, confidentiality, and communication, with the ability to make objective, evidence-based decisions in a fast-paced environment.

Mindsets:

• A team player who loves working collaboratively
• A sense of optimism, flexibility, and adaptability to any situation
• An ability to thrive in ambiguous situations due to your resilience and tenacity
• A growth mindset and a deep enthusiasm for learning, feedback, and continuous improvement
• A blend of passion, humility, patience, and a good sense of humor
• A tendency to roll up your sleeves to move projects forward

How to Apply:

All suitably qualified and Interested applicants should apply online at the link below.

This vacancy has closed — applications are no longer acceptedApplications closedSee open jobs at Maisha Meds →

NB: Only shortlisted candidates will be contacted.

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Level of Education: associate degree

Work Hours: 8

Experience in Months: 36