National Technical Assistant for National Payment Certification Agency
| For : | Cambodian Only |
| Categories : | Assistant, Health/Medical |
| Schedule : | Full time job |
| Sex : | Male, Female |
| Language : | Khmer, English |
| Location : | Phnom Penh |
| Hiring : | 1 Position |
| Closing Date : | 14th June 2026 |
| Salary : |
Negotiable
|
| Experience : | Minimum 7 years |
| Degree : | Master |
Health Equity and Quality Improvement Project (H-EQIP) aims to strengthen the sustainability, resources, and management of the Health Equity Funds (HEFs) and Service Delivery Grants (SDGs) as envisaged in the Royal Government of Cambodia’s (RGC) Third Strategic Plan for Health (HSP3).
H-EQIP2, effective since early July 2022, supports the RGC in advancing Universal Health Coverage (UHC). With total financing of US$303 million from the World Bank, Pooling Partners (DFAT, GFF, KfW, KOICA), and additional resources from the Pandemic Fund approved in December 2024, the project aims to improve equitable utilization of quality health services and strengthen health emergency preparedness.
National Payment Certification Agency (NPCA) is responsible for Health Equity Fund (HEF) reviewing and certifying claims from health facilities. Currently, HEF covers 4.7 million beneficiaries (28% of the population). The NPCA is now expanding its mandate to take over National Social Security Fund (NSSF) claim reviewing and certification, which covers 3.5 million members and approximately 1,600 public and private health facilities.
To manage this increasing volume, NPCA is implementing a new Rule-based Engine for claim review and certification workflow. This innovation aims to enhance efficiency, cost-effectiveness, and service quality through highly automated adjudication.
In this context, NPCA is looking for a National Technical Assistant (TA) to lead the digital transformation of the claim adjudication process and the associated certification workflows.
- Key responsibilities
- Strategic Review: Evaluate existing digital claim management processes and provide technical guidance for the transition toward full automation.
- Logic Integration: Convert complex clinical protocols into technical logic and algorithms for integration into Rule-based Engine.
- ICT Coordination: Collaborate closely with NPCA ICT team to ensure the medical and clinical logic is accurately translated into the digital adjudication software.
- Workflow Optimization: Identify bottlenecks in current certification workflows and propose automated solutions to streamline claim processing.
- Expected Results
- Standardized Automated Protocols: Comprehensive technical documentation and clinical-to-digital logic maps ready for Rule-Based adjudication.
- Enhanced Adjudication Accuracy: A validated set of digital rules that align with national medical guidelines.
- Master's Degree in Public Health, Health Informatics, or a related medical field
- At least of professional experience in the public health or medical field for 7 years
- At least of direct experience at a health insurance institution or in claim adjudication management for 5 years
- At least of experience demonstrating a strong understanding of clinical guidelines (MPA/CPA) for 3 years
- At least 2 projects with proven expertise in converting medical guidelines into technical logic/algorithms and familiarity with digital health systems, AI-assisted tools are highly desirable.
- Good technical report writing and experience in developing regulatory framework.
- Fluency in written and spoken Khmer and English, with strong report writing, presentation, and interpersonal communication skills.
Application should be submitted via email address provided in the contact details only. Please note that only shortlist candidates will be contacted.
Thanks, From Khmer Online Jobs Team
| Company : | National Payment Certification Agency |
| Email : | npcaprocurement79@gmail.com |
| Address : | Corner, No. 109Eo, Preah Sisowath Quay, Seng Thong (St. 104, Phnom Penh 12202), Sangkat Wat Phnum, Khan Doun Penh, Phnom Penh, Cambodia |
