Provide senior international technical expertise to strengthen the strategic use of information for health financing and purchasing reforms in Ukraine.
Advise on health financing information systems, claims analytics, provider payment methodologies and decision-support tools. Provide technical guidance on claims management, costing and tariff setting, payment simulation, coding quality, provider performance analysis, and implementation of provider payment methodologies. Work closely with WHO technical staff, national health financing data analytics consultant and national counterparts, providing international expertise, methodological leadership, peer review and capacity building. Review Ukraine’s health financing information systems, claims management arrangements, provider payment methods, tariff methodologies and coding practices. Develop or refine analytical methodologies, payment algorithms, case-grouping approaches, costing and tariff-setting frameworks, payment simulations and provider performance indicators. Analyse administrative and claims data. Translate provider payment methodologies into functional and technical requirements. Support technical consultations, capacity building and preparation of methodological guidance, reports and technical materials.
At least 10 years of international professional experience as a health financing specialist designing information solutions for health financing and purchasing and analysing resulting data patterns. Demonstrated experience strengthening health financing arrangements through the more strategic use of information at country level. Demonstrated experience advising governments, public purchasers, national health insurance agencies or similar institutions on health financing or strategic purchasing reforms. Extensive experience working with administrative claims, reimbursement or provider payment data. Demonstrated experience in the design, implementation or evaluation of provider payment systems. Experience translating health financing policy and payment methodologies into information-system requirements, algorithms or business rules. Experience preparing high-quality technical reports, methodological guidance and policy recommendations for governments or international organizations.
Advanced university degree at Master’s level or higher in health economics, economics, statistics, actuarial science, health informatics, public health, health policy, health financing, information systems or another relevant field.
