BACKGROUND

Since July 2023, ADEPR Church has established an Insurance Foundation named “Ubuzima Bwiza Mutual Insurance Foundation” which provides medical care for the entire Staff of ADEPR Church, those of its institutions and their respective eligible family members. The establishment of the Foundation followed the law governing the Foundations in Rwanda (Law n°059/2021 OF 14/10/2021 in the Official Gazette n°41 Bis of 01/11/2021).

Ubuzima Bwiza Mutual Insurance Foundation is granted legal personality No:25/RGB/FDN/LP/06/2023 as registered under Rwanda Governance Board (RGB) to operate its activities in Rwanda since 29th June 2023. To be operational in Rwanda, the license from the regulator BNR (National Bank of Rwanda) has been acquired on 30th October 2023 under the BNR Insurance License N°: I 01/2023. The Insurance is now serving 21,126 beneficiaries across the Country in 30 districts of Rwanda where ADEPR church and its institutions operating its activities. The Foundation contracted with different Health and medical service providers in Rwanda (Health Centers, Public and Privates Hospitals, Clinics, Polyclinics and Pharmacies) to provide medical services to its beneficiaries.

VISION: To create a better everyday life for our members and their dependents.

MISSION: Ubuzima Bwiza Mutual Insurance Foundation is determined to provide high quality health insurance services for a better life of its beneficiaries.

Ubuzima Bwiza Mutual Insurance Foundation needs to recruit experienced and qualified staff on the position of “Pharmacist”.

JOB SUMMARY:

The Pharmacist in Ubuzima Bwiza Mutual Insurance Foundation plays a crucial role in ensuring that clients receive appropriate medication and pharmaceutical care within the scope of their insurance coverage. This role involves reviewing medication claims, providing clinical expertise, and collaborating with healthcare providers to optimize patient outcomes and manage costs effectively.

KEY RESPONSIBILITIES:

Claims Review and Processing:

Evaluate prescription claims for accuracy and eligibility based on insurance policies.
Approve or deny medication claims according to formulary guidelines and coverage criteria.
Clinical Consultation:

Provide clinical-pharmacological advice and support to healthcare providers and patients regarding medication use and therapy management.
Assess the appropriateness of prescribed medications, including potential drug interactions and contraindications.
Formulary Management:

Assist in the development and maintenance of the ubuzima bwiza foundation formulary.
Analyze medication utilization trends and suggest formulary changes to optimize cost-efficiency and therapeutic outcomes.
Customer Support:

Address inquiries from policyholders, providers, and pharmacists about coverage, drug benefits, and claim status.
Resolve issues related to medication coverage and prior authorizations.
Compliance and Documentation:

Ensure adherence to regulatory requirements and foundation policies.
Maintain accurate and detailed records of all reviewed claims, consultations, and formulary changes.
Ensure implementation of strategies for fraud detection, investigation, and mitigation.
Education and Training:

Provide education to policyholders and healthcare providers on the foundation ’s medication policies and procedures.
Stay updated with the latest pharmaceutical advancements and insurance regulations.
Ensure professional development of the medical claim team regarding medication issues.
The Pharmacist will provide all required reports to the Operations Manager.
Carry out any other assignments as may be required by his supervisor.
QUALIFICATIONS:

Having a Bachelor of science (Hons) in Pharmacy from an accredited institution.
Having a Valid license to practice as pharmacist provided by regulatory organ.
Having an experience in a clinical setting or medical insurance environment is preferred.
Having a strong understanding of pharmacology, medication management, and insurance practices.
Excellent communication, analytical, computer and problem-solving skills.
WORK ENVIRONMENT

Office-based with likely potential remote work options.
Collaborative team environment with interaction across various departments.
BENEFITS:

Competitive salary and comprehensive benefits package.
Opportunities for professional development and career growth.

Interested Candidates who strictly meet the above criteria should apply for the position and send their application files (CV, Academic Certificates, Motivation Letter and Church Pastor Recommendation) no later than June 10^th 2024 via email [email protected]

Only shortlisted applicants will be contacted for exams.

Done at Kigali,

29^th May 2024

André Rurangangabo

Executive Secretary

Ubuzima Bwiza Mutual Insurance Foundation