MEDICAL SERVICES OFFICER (UM 8) 1 POSITION – readvertisement

Applications are invited from suitably qualified candidates to fill the following positions tenable at the University of Malawi, UNIMED Operations Department. These are tenured positions.

QUALIFICATIONS AND EXPERIENCE:

• Applicants should have a Bachelor of Science degree in Clinical Medicine.

• Registered with the relevant regulatory authorities.

• 5 years’ working experience in a health insurance/medical scheme industry, clinical set-up or related position. 

JOB PURPOSE:

To oversee all clinical aspects of benefit management, and ensure that scheme members receive the correct benefits according to the scheme rules. 

KNOWLEDGE AND SKILLS:

• Should have adequate knowledge of the medical service industry with a fair appreciation of the operations of Medical Schemes.

• Sound knowledge and understanding of clinical guidelines applicable to the Malawian healthcare setting.

• Must be a self-starter and able to work independently with minimum supervision.

• Must have good interpersonal skills and be able to work with teams and various stakeholders.

• Must have good ICT skills, especially working with Health Management Information Systems and Microsoft Packages such as Word, Excel, and Emails. 

KEY DUTIES AND RESPONSIBILITIES:

1. Monitoring and maintaining adequate stock of claim books and updating healthcare delivery data-capturing tools such as claim forms and pre-authorisation forms.

2. Processing medical claims in accordance with clinical guidelines and scheme rules, while pre-authorising and approving medical benefits.

3. Identifying and recording all claim issues and rejections, and facilitating their resolution.

4. Tracking, identifying, and reporting members who have exceeded their annual limits.

5. Providing beneficiaries with medical advice on treatment options and ensuring they have accurate information on service providers, benefits, exclusions, limits, and scheme rules.

6. Recommending reputable service providers to the Head of Operations and maintaining an updated service provider database.

7. Ensuring service providers remain up to date with scheme rules and standard operating procedures, and continuously assessing their adherence.

8. Managing confidential medical information of beneficiaries in line with scheme policies.

9. Providing technical advice to the Head of Operations on all matters related to health services.

10. Implementing the prescribed health promotion activities of the scheme.

11. Recording routine data on medical claims and service utilisation.

12. Producing monthly reports on service utilisation and medical claims.

13. Analysing service utilisation data and using insights to improve healthcare delivery.

14. Monitoring and managing day-to-day operational activities to optimise workflows.

Applications including a detailed CV, copies of certificates, National ID and names of three traceable referees should be submitted not later than Friday, 30th October, 2026, to the address below:

The Registrar, University of Malawi

P.O. Box 280

Zomba

Malawi

Or

E-mail: vacancies@unima.ac.mw