Claims Assurance Associate – Maternity Cover

Job Details

Maisha Meds is hiring a highly motivated and detail-oriented Claims Assurance Associate to join the Programs Assurance Team on a fixed-term maternity cover contract. This role is critical to safeguarding program integrity by ensuring that program claims are verified accurately, consistently and in accordance with organizational policies, program guidelines and service level agreements.

• Organization: Maisha Meds
• Duty Station: Kampala, Uganda — Eastern (Hybrid) with limited travel to field operations
• Location: Kampala, Uganda
• Reports to: Assurance Manager
• Supervisory Responsibilities: None
• Work Mode: Hybrid / Remote-capable (Eastern region) — requires demonstrated experience working effectively in remote/hybrid environments
• Start Date: September 2026
• Contract Type: Fixed-term Maternity Cover (Contract)
• Compensation: Commensurate with experience
• No. of Positions: 1 (Maternity Cover)

Key Duties and Responsibilities

• Verify and adjudicate program claims to determine their approval, rejection, or escalation in accordance with organizational policies, program guidelines, and service level agreements.
• Identify and document non-compliant, high-risk, or potentially fraudulent claims, escalating cases for further investigation as appropriate.
• Maintain accurate records of claim verifications and decisions, ensuring compliance with quality assurance standards and audit requirements.
• Contribute to periodic reports by documenting claim trends, operational risks, fraud indicators, and recommendations for process and system improvement.
• Collaborate effectively with cross-functional teams to resolve claim-related issues and support efficient claims verification processes.
• Uphold organizational standards on confidentiality, data protection, professionalism, and continuous improvement in claims verification and assurance.
• Perform any other roles as may be assigned based on need.

Qualifications, Skills and Requirements

• Academic qualifications: Diploma or Bachelor's degree in a health-related field (Public Health, Pharmacy, or Nursing); candidates with Project Management, Customer Service, or related qualifications shall also be considered.
• Experience: At least one (1) year of experience in healthcare, health programs, or related environments.
• Demonstrated experience working effectively in a remote or hybrid work environment with the ability to manage tasks independently.
• Proficiency or familiarity with productivity and digital collaboration tools such as Google Workspace, Microsoft Office Suite, and Slack.
• Experience using CRM or case management platforms (e.g., HubSpot) and the ability to quickly learn new digital systems.
• Strong analytical, problem-solving, and organizational skills with excellent attention to detail and the ability to meet deadlines.
• High standards of integrity, professionalism, confidentiality, and communication, with the ability to make objective, evidence-based decisions in a fast-paced environment.
• Mindsets:
  • A team player who loves working collaboratively
  • A sense of optimism, flexibility, and adaptability to any situation
  • An ability to thrive in ambiguous situations due to resilience and tenacity
  • A growth mindset and a deep enthusiasm for learning, feedback, and continuous improvement
  • A blend of passion, humility, patience, and a good sense of humor
  • A tendency to roll up your sleeves to move projects forward

About Maisha Meds

Maisha Meds — Technology Transforming Healthcare in Africa (https://maishameds.org/) — builds user-driven software that helps private pharmacies and clinics deliver quality, affordable care while growing stronger businesses. Founded in 2017, it has created the largest digital network of private pharmacies and clinics across Kenya, Tanzania, Uganda, Nigeria, and Zambia through its mobile software.

• 1. Best-in-class business software: Designed for low-connectivity, pen-and-paper settings to track inventory, make sales and track patients. Pharmacies using the POS increased revenues by 24% on average in year one and 30% by year two.
• 2. Evidence-backed patient programs: Within the same software, opt-in programs for malaria, HIV, family planning and vision use quality-assured supply chains, targeted reimbursements and AI-enhanced auditing to dramatically reduce costs (50-80% savings vs traditional programs, 330% increase in high-quality malaria care). Validated by RCTs with UC Berkeley, Emory and KEMRI.
• 3. Industry-leading data insights: 25-34 million patient visits logged annually, creating real-time geotagged data to inform governments, funders and researchers.
• Why join: Doubling year-over-year, backed by Stanford School of Medicine, Google, mPharma and I&M Bank veterans; supported by Gates Foundation, USAID DIV, CIFF, WHO FIND, Pfizer; disrupting a $50+ billion market for healthcare payments for low-income patients; fun, start-up culture with huge impact.

Relevance to this role: The Claims Assurance Associate directly protects the integrity of these reimbursement-driven programs through accurate claims review, verification and fraud detection — ensuring subsidized medicines reach patients at the right price and providers are reimbursed correctly.

Application Procedure

• Prepare your updated CV and relevant academic documents.
• Click the application link below to access the official Maisha Meds BambooHR portal: https://maishameds.bamboohr.com/careers/168
• Complete the online application form in full and attach required documents.
• Submit your application before the closing date: 28 September 2026.
• Only shortlisted candidates will be contacted for next steps.
• No payment is required at any stage of the recruitment process.

Job Summary

• Job Category: Healthcare, Auditing
• Job Type: Contract (Full-time, Fixed-term Maternity Cover)
• Deadline of this Job: 2026-09-28
• Duty Station: Kampala, Uganda — Eastern (Hybrid)
• Posted: 2 (Posted 9 hours ago as per source)
• No of Jobs: 1
• Application Link: https://maishameds.bamboohr.com/careers/168
• Location pin: 📍 Kampala, Uganda (Eastern - Hybrid) | Headquarters: Tom Mboya Drive, Kisumu, Kenya — https://maishameds.org