The Social Health Authority (SHA) is a State Corporation established under the Social Health Insurance Act, 2023 and mandated to provide financial risk protection for Kenyan residents by facilitating equitable access to quality healthcare. SHA is responsible for administering the Social Health Insurance Fund, Primary Healthcare Fund, and Emergency, Chronic, ...
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- Contents
- Open Jobs
- Deputy Director Legal Services
- Deputy Director Supply Chain Management
- Deputy Director Claims & Case Management
- Method of Application
- Job TypeFull Time
- QualificationBA/BSc/HND , MBA/MSc/MA
- Experience15 years
- LocationNairobi
- Job FieldLaw / Legal 
JOB PROFILE
The Deputy Director, Legal Services will provide strategic legal leadership and guidance to ensure the Social Health Authority (SHA) operates within the legal and regulatory framework of the Social Health Insurance Act, 2023, and other relevant laws. This role oversees legal compliance, contract management, dispute resolution, policy formulation, and governance matter to safeguard the Authority’s interests. Additionally, the position ensures adherence to statutory obligations, mitigates legal risks, and supports decision-making through sound legal advice.
QUALIFICATIONS
- Fifteen (15) years cumulative experience and at least three (3) of which should have been at the level of Assistant Director or in a comparable position in the public or private sector.
- Bachelor of Laws degree from a recognized institution;
- Master’s Degree in Law or a relevant field from a recognized institution
- Postgraduate Diploma in Law from the Kenya School of Law;
- Admitted as an Advocate of the High Court of Kenya;
- Hold a valid practicing certificate;
- Leadership course lasting not less than four (4) weeks at a recognized institution.
- Demonstrated merit and ability as reflected in work performance and results; and
- Fulfilled the requirements of Chapter Six of the Constitution.
Key Competencies and Skills
- Strong analytical skills
- Communication skills
- Strategic and innovative thinking
- Strong interpersonal skills
- Ability to mobilize resources
- Negotiation skills
Responsibilities:
- Conduct Legal Due Diligence on all prospective Lessees, Licensees, Partners or other third parties with whom the Authority is to enter a legal relationship with.
- Developing and vetting policy papers and instruments with legal implications for approval by the Authority;
- Advising the Authority and coordination with the functional areas in relation to various legal requirements which must be complied with and the legal obstacles which must be overcome in order to obtain the Authority’s targeted results;
- Responsibility for the timely release of legal advice to assist the Authority in making an informed decision;
- Ensuring timely compliance with rules and regulations affecting the Authority, including the Code of Conduct and Ethics;
- Attending to all legal matters of the Authority including advising, vetting and drafting of legal agreements in relation to the Authority’s operations; and
- Provide legal guidance on contractual and statutory obligations binding to the Organization
- Coordinate litigations for the Authority.
- Provide guidance on governance and adherence to statutory obligations.
- Prepare all Authority contracts, handle all litigation and conveyance matters for the Authority.
- Facilitate the development of the all Bills and Policies that have bearing on the Authority’s mandate.
- Establish and manage the Legal Registry.
- Provide and interpret legal information, conducting training and disseminate appropriate legal requirements to staff.
- Safeguard the Authority’s interests and ensuring that they are adequately defended before the courts.
- Manage, review, and monitor progress of all outstanding litigation.
- Issue instructions, liaise with the Authority’s appointed Advocates with a view to ensuring they act in the Authority’s interest while handling cases on its behalf.
- Ensure the Authority complies with constitutional, regulatory and all relevant laws in force through the provision of legal advisory services and contractual risks are efficiently managed.
- Undertake extensive review of different requests for approval, licenses both internal and external for purposes of ascertaining legal soundness, make appropriate recommendations and ensure proper implementation.
- Document and maintain a record of all enforcement and compliance assignments undertaken by the Authority’s officers and develop legal accountability structures in relation to enforcement assignments.
- Continuously manage, review and updating of all the Authority’s codes, regulations, rules, guidelines, by-laws for consistency with each other, and also compliance with the National and County Legal Frameworks.
- Establish and manage the Authority’s Alternative Dispute Resolution Mechanism.
- Develop the Authority’s proactive and preventive legal policies and strategies aimed at forestalling disputes, controversies and litigation.
- Attend Board Meetings in the absence of the Corporation Secretary
- Arrange and participate in stakeholder engagements (ICPSK, IOD, SCAC, AG).
- Job TypeFull Time
- QualificationBA/BSc/HND , MBA/MSc/MA
- Experience15 years
- LocationNairobi
- Job FieldProcurement / Store-keeping / Supply Chain 
JOB PROFILE
The Deputy Director, Supply Chain Management will provide strategic leadership in the procurement, logistics, and asset management functions of the Social Health Authority (SHA). This role is responsible for developing and implementing supply chain policies, ensuring compliance with the Public Procurement and Asset Disposal Act, 2015, and optimizing procurement processes for efficiency, transparency, and value for money. The position oversees contract management, supplier relationship management, inventory control, and disposal of assets while ensuring adherence to regulatory frameworks and ethical procurement standards.
QUALIFICATIONS
- Fifteen (15) years cumulative experience, at least three (3) of which should have been at the level of Assistant Director or in a comparable position in the public or private sector;
- Bachelor’s degree in any of the following disciplines: Supply Chain Management, Commerce (Supplies Management option), Procurement or its equivalent qualification from a recognized institution;
- Master’s degree in any of the following disciplines: Supplies Chain Management, Commerce (Supplies Management option), Procurement or its equivalent qualification from a recognized institution;
- Management Course lasting not less than four (4) weeks from a recognized institution
- Be a registered member in good standing of the Kenya Institute of Supplies Management (KISM);
- Kenya Institute of Supplies Management (KISM) Practicing License.
- Proficiency in Computer Applications
- Professional Qualification in CPSP(K) or CIPS(UK)
- Demonstrated merit and ability as reflected in work performance and results.
Key Competencies and Skills
- Strong analytical skills
- Communication skills
- Strategic and innovative thinking
- Strong interpersonal skills
- Negotiation skills.
Responsibilities:
- Lead in formulating and developing policies, plans and strategies in the areas of supply chain including risk management and contractor performance measurement plans;
- Ensuring the procurement and asset disposal processes are carried out in compliance with the procurement and asset disposal Law;
- Ensuring development and review of the annual procurement and asset disposal plans in line with the Law and monitoring their implementation;
- Providing procurement professional opinion to the Chief Executive Officer on all procurement contracts for goods, works, services and consultancies as well as asset disposal processes;
- Ensuring development and implementation of the Supply Chain Strategy and reporting in line with policies, processes & procedures;
- Overseeing the management of inventory, stores and assets in compliance with the guidelines issued by SHA, Public Procurement regulatory Authority and the National Treasury;
- Ensuring development and maintaining of an information communication technology inventory management system which shall comply with the Law;
- Ensuring preparation of statutory and administrative procurement and asset disposal reports as required by the SHA and other Government bodies;
- Ensuring Monitoring Contract management to ensure conformity with the contract terms and conditions of contract, and reporting to the Chief Executive Officer on any significant departures from the terms and conditions of the contract.
- Leading in capacity building programs in SHA Supply Chain to ensure compliance with the procurement Law and SHA’s procurement policies and procedures.
- Ensuring development and management of the supply chain, capability and culture that reflect the values which facilitate performance, professionalism and initiative by staff throughout the Authority;
- Ensuring that procurement and asset disposal records and data are maintained in accordance with the Law;
- Ensuring that the market survey is done in accordance with law to inform adjudication and award by the Chief Executive Officer and subsequent placing of orders;
- Co-ordinating internal monitoring and evaluation of the procurement and supply chain function;
- Advising the Authority on aggregation of procurement opportunities to promote economies of scale.
- Job TypeFull Time
- QualificationBA/BSc/HND , MBA/MSc/MA
- Experience15 years
- LocationNairobi
- Job FieldInsurance 
JOB PROFILE
The Deputy Director, Claims and Case Management will provide strategic leadership in the administration, processing, and resolution of health insurance claims within the Social Health Authority (SHA). This role is responsible for developing and implementing claims management policies, ensuring efficiency, accuracy, and compliance with the Social Health Insurance Act, 2023, and other regulatory frameworks. The position oversees claims adjudication, fraud detection and mitigation, dispute resolution, and case management to enhance service delivery and financial sustainability. Additionally, the role ensures seamless coordination with healthcare providers, members, and regulatory bodies to uphold transparency and accountability in claims processing.
QUALIFICATIONS
- Fifteen (15) years cumulative experience, at least three (3) of which should have been at the level of Assistant Director or in a comparable position in the public or private sector.
- Bachelor’s degree in Medicine and surgery, from a recognized institution.
- Master’s degree in Medicine and Surgery, or health-related fields from a recognized institution.
- Management course lasting not less than four (4) weeks from a recognized institution.
- Membership to the relevant professional body in good standing.
- Valid Practicing license.
- Demonstrate a clear understanding of the SHI Act, 2023, and other laws relevant to SHA operations.
- Meet the requirements of Chapter Six of the Constitution of Kenya.
Key Competencies and Skills
- Strong analytical skills
- Communication skills
- Strong interpersonal skills
- Negotiation skills
Responsibilities:
- Ensure strategic and operational planning for claims management, defining, risk assessments and monitoring progress against strategic objectives in collaboration with other departments;
- Ensure Formulation and implementation of policies and strategies for effective and efficient claims management;
- Coordinate reviewing, processing and validating medical claims from healthcare providers and healthcare facilities;
- Ensure issuing of pre-authorizations for access to healthcare services based on the benefit package;
- Ensure appraising medical claims based on the benefit package;
- Coordinate quality assurance surveillance and claims adjudication in respect of claims;
- Establishing systems and controls for detecting and identifying fraud appropriate to the Fund’s exposure and vulnerability in collaboration with other departments
- Oversee Sensitization of claimants on the consequences of submitting false and fraudulent claims;
- Ensure effective collection and analyzing of data for purposes of claim management in collaboration with other departments.
- Coordinate collaborations with relevant entities in the Health Needs Assessment for clinical interventions and other technologies;
- Ensure preparation of reports on claims
- Ensure effective implementation and continuous improvement of Claims management information systems, ensuring they support efficient operations and member satisfaction in collaboration with the relevant entities in collaboration with other departments.
- Establish and refine robust internal claims management controls to safeguard the sustainability, affordability, and integrity of benefits packages for all stakeholders.
- Ensure compliance with local and international standards in Claims Management (as prescribed in the Act), fostering alignment with globally recognized best practices and enhancing the Authority’s reputation.
- Ensure the development and execution of policies and strategies for business process re-engineering, driving innovation and efficiency in Claims Management.
- Provide expert guidance in Claims management on reviewing and amending the Social Health Insurance Act, ensuring responsiveness to the evolving healthcare landscape and adherence to quality standards.
Method of Application Interested and qualified? Go to The Social Health Authority (SHA) on recruitment.sha.go.ke to apply
