Medical Services Officer (UM 8)

About the role

The University of Malawi's UNIMED Operations Department is advertising one tenured position for a Medical Services Officer (UM 8). The post oversees the clinical aspects of benefit management so that scheme members receive the correct benefits in line with the scheme rules.

Key responsibilities

• Maintain adequate stock of claim books and update data-capturing tools such as claim and pre-authorisation forms
• Process medical claims in line with clinical guidelines and scheme rules, pre-authorising and approving benefits
• Record and resolve claim issues and rejections, and track members who have exceeded their annual limits
• Advise beneficiaries on treatment options and give accurate information on service providers, benefits, exclusions and limits
• Recommend service providers to the Head of Operations and keep an updated provider database
• Ensure service providers stay up to date with scheme rules and procedures, and assess their adherence
• Manage beneficiaries' confidential medical information in line with scheme policy
• Provide technical advice to the Head of Operations on health services and implement the scheme's health promotion activities
• Record routine data on claims and service use, produce monthly reports and analyse data to improve care delivery
• Monitor and manage day-to-day operations to optimise workflows

Required profile

• Bachelor of Science degree in Clinical Medicine
• Registered with the relevant regulatory authorities
• 5 years of experience in a health insurance/medical scheme industry, clinical set-up or related position
• Sound knowledge of clinical guidelines applicable to the Malawian healthcare setting
• Self-starter able to work independently with minimal supervision, with good interpersonal skills and teamwork

Required skills

• Adequate knowledge of the medical service industry and medical schemes
• Good ICT skills, including Health Management Information Systems and Microsoft Office (Word, Excel)

To apply, submit a detailed CV, copies of certificates, a National ID and the names of three traceable referees by 30 October 2026 to the Registrar, University of Malawi, Zomba, or by e-mail.