National Technical Assistant

Project: Cambodia Health Equity and Quality Improvement Project - Phase 2

KINGDOM OF CAMBODIA

Nation Religion King

((0))

MINISTRY OF ECONOMIC AND FINANCE

NATIONAL PAYMENT CERTIFICATION AGENCY (NPCA)

Health Equity and Quality Improvement Project Phase 2 (H-EQIP 2)

Job Announcement

National Technical Assistant (TA) for Claim Review Protocol Improvement

Ref. No. H-EQIP-II-ICS-26/001

(01 Position)

1. Background

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.

1. 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.

1. 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.

1. Duty Station and Contract Duration:

The Consultant is based at NPCA, with frequent travel to provinces to carry out assigned tasks. The contract is hired for Full-time with a working period of 12 months, starting from the commencement date, with the possibility of extension. The extension of the contract is subject to the consultant’s performance, availability of funds, and the Project’s needs. The Director of Department will assign other tasks.

1. Minimum Qualifications and Experience Requirements

• Education: Master’s degree in Public Health, Health Informatics, or a related medical field.
• Professional Experience:
  • At least 7 years of professional experience in the public health or medical field.
  • At least 5 years of direct experience at a health insurance institution or in claim adjudication management.
• Technical Skills:
  • At least 3 years of experience demonstrating a strong understanding of clinical guidelines (MPA/CPA).
  • 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.
• Language Proficiency:
  • Fluency in written and spoken Khmer and English, with strong report writing, presentation, and interpersonal communication skills.

1. Administrative Details

• Reporting: Reports directly to the Director of the Payment Certification Department.
• Duty Station: Based at NPCA Headquarters in Phnom Penh with frequent travel to provinces as required.
• Performance Review: Subject to quarterly performance assessments.
• Period of assignment: 12 months, and subject for extension based on proficiency and work effectiveness.

How to apply

Application should be submitted via email address npcaprocurement79@gmail.com only. Deadline for application submission is on 14th June 2026 at 17:00 pm. Please note that only shortlist candidates will be contacted.