NOTICE OF VACANCIES...PRO XII vacancies PRO C.AR.AG.A vacancies Phi!Health Regional Office XII CSA I...

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Republic of the Philippines

PHILIPPINE HEALTH INSURANCE CORPORATION

June 18,2018

Citystate Centre, 709 Shaw Boulevard, Pasig City Call Center (02) 441-7442 Trunkline (02) 441-7444

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CORPORATE MEMORANDUM No_ 2JJI~- 005~

NOTICE OF VACANCIES

Attached is the list of vacant First and second level positions in the Corporation with the corresponding item number, salary grade and qualification standards for filling-in. Said positions were also published in the CSC website at htt.p://ncr.csc.gov.ph in compliance to CSC MC No. 24, s. 2017.

Qualified applicants are advised to hand in their Application Form (Annex D), fully accomplished Personal Data Sheet (PDS) with passport-sized picture, performance rating in the present position for one (1) year (if applicable), work experience sheet, certificate of eligibility, transcript of records, sworn declaration/identification of relatives in PhilHealth, certification of no conflict of interest and non-disclosure agreement form to the following concerned offices within the application period:

Central 0 ffice vacancies

PRO CAR vacancies

PRO I vacancies

PRO II vacancies

PRO III vacancies

Human Resource Department Room 1509 15"' floor CityState Center Building 709 Shaw Blvd. Brgy. Oranbo Pasig City Phi!Health Regional Office CAR SN Oriental Traders Building, No. 19 Leonard Wood Road, Baguio City Phi!Health Regional Office I EMDC Bldg., Sec. Francisco Q. Duque Jr. Road, Tapuac District, Dagupan City Phi!Health Regional Office II The Builder's Place, Del Rosario, Tuguegarao City Phi!Health Regional Office III Phi!Health Bldg., Lazatin Blvd, Dolores, City of San Fernando, Pampanga

PRO IV-A vacancies ..-------e!r:-1

~ Phi!Health Regional Office IV-A Lucena Grand Central Terminal, Ilayang Dupay, Lucena City Phi!Health Regional Office IV -B PRO IV -B vacancies

PRO VI vacancies

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PRO V vacancies

PRO VII vacancies

PRO VIII vacancies (..) CJ PRO X vacancies

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PRO XI vacancies

Caedo Commercial Center, Calicanto, Batangas City PhiiHealth Regional Office V ANST 3 Building, Alternate Road, Legaspi City Phi!Health Regional Office VI Gaisano Capital City Mall, Luna St., La Paz, Iloilo City PhilHealth Regional Office VII 81h Floor Golden Peak Tower, Gorordo Ave. cor. Escario St., Cebu City Phi!Health Regional Office VIII 2/F Phi!Health Building 2, P. Burgos St., Tacloban City Phi!Health Regional Office X 8/F Gateway Tower 2, Limketkai Centre, C.M. Recto Ave., Cagayan De Oro City . PhiiHealth Regional Office XI

::' I V~lgo and Sons Bldg., Bolton Ext., Davao City ' . """·"'"·· ... ··. \;

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PRO XII vacancies

PRO C.AR.AG.A vacancies

Phi!Health Regional Office XII CSA I Bldg., cor. Zulueta St., General Santos Drive, City of Koronadal, South Cotabato Phi!Health Regional Office CARAGA 766 Lynzee's Bldg.,). Rosales Ave., Butuan City

Only applications submitted witb tbe application period and witb complete documents shall be considered for evaluation.

Application period: JUN 2 9 201G 'JO[ 0 8 2018 _________________ to ________________ _

After such period, no applications shall be entertained. Further, only applicants witb complete documents shall be considered for evaluation.

You may contact HRD at 441-7442 local 7524 for quenes on matters not covered by this advisory.

DR. ROY Acting Pres'

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CS Form No.9 Series of 2017

To: CIVIL SERVICE COMMISSION (CSC)

Republic of the Philippines PHILIPPINE HEALTH INSURANCE CORPORATION

Request for Publication of Vacant Positions

This is to request the publication of the following vacant positions of PHILIPPINE HEALTH INSURANCE CORPORATION in the CSC website:

Date:

Salary/ Qualification Standards Plantilla

No. Position Title Item No.

Job/Pay Monthly Salary Grade Education Training Experience Eligibility

1 Clerk Ill 20.03·0001 6 14,340.00 Completion of two None Required None Required Career Service years studies in (Subprofessional)/1 st college Level Eligibility

2 Chauffeur II 18-02-0006 6 14,340.00 Elementary School None Required None Required Driver License (MC # Graduate 11, S-1996 0 CAT. II)

3 Social Insurance Analyst II 50-02-0004 13 24,224.00 Bachelor's degree None Required None Required Career Service relevant to the job (Professional)/

Second Level

4 Social Insurance Assistant I 51-01-0009 8 16,282.00 Completion of two 4 hours of relevant 1 year of relevant Career Service years studies in training experience (Subprofessional)/ 1st college Level Eligibility

5 Fiscal Controller I 32-01-0005 11 20,179.00 Bachelor's degree None Required None Required Career Service relevant to the job (Professional)/

Second Level

Electronic copy to be submitted to the esc FO must be in MS Excel format

ROY B. RRER, M.D. (Hea of Agency)

Competency Place of Assignment

(if applicable)

Office of the Corporate Secretary

Management Services Sector (to be assigned under PRID)

Overseas Filipino Program


Comptrollership Department

Interested and qualified applicants should signify their interest in writing. Attach the following documents to the application letter and send to the address below not later than------~ 1. Fully accomplished Personal Data Sheet (PDS) with recent passport-sized picture (CS Form No. 212, Revised 2017) which can be downloaded at www.csc.gov.ph;

2. Performance rating in the present position for one (1) year (if applicable); !?!! 3. Photocopy of certificate of eligibility/rating/license; and 4. Photocopy of Transcript of Records.

QUALIFIED APPLICANTS are a~~a~send through courier/email their application to:

~!LA S. TUAZON iJ OIC-Senior Man ger, Human Resource Department

Room 1509 15th Floor No. 709 Shaw Blvd Brgy. Oranbo Pasig City recruitment@ phil he a lth.gov. ph

APPLICATIONS WITH INCOMPLETE DOCUMENTS SHALL NOT BE ENTERTAINED.

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JOB TITLE OFFICE SALARY GRADE REPORTS TO SUPERVISES

JOB SUMMARY

CLERK III 0 ffice of the Corporate Secretary 6 Department Manager None

Under general supervision, the Clerk III shall be responsible in performing a variety of administrative duties in the discharge of the official functions of the division/ office/ department.

JOB DESCRIPTIONS:

1. Records all incoming communications, reports, documents and maintains accurate and updated logbook or any records keeping device.

2. Records all outgoing communications, reports, documents or any other records and ensures that corresponding copies are kept on file.

3. Establishes a systematic filing system arid maintains complete and updated file of documents and diskettes.

4. Ensures that all communications are received/forwarded to concerned accountable officers

5. Receives all calls and visitors of the division/office/department.

6. Type reports, memoranda, correspondences, communications and all other outputs necessary for the attainment or'the tasks of the division/ office/ department.

7. Assists in organizing meeting/ s called for by the officers of the division/ office/ department.

8. Ensures that all supporting documents are complete and other requirements complied with before they are forwarded for action/ decision.

9. Performs other related task that may be assigned or delegated by the Department Manager.

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OJ Corporate Secretary_ Clerk Ill. doc

JOB TITLE OFFICE SALARY GRADE REPORTS TO

SUPERVISES

JOB SUMMARY:

CHAUFFEUR II Management Services Sector 6 Senior Vice President Management Services Sector None

Under general supervision, the Chauffeur II is responsible for transporting the Senior Vice-President and authorized personnel of the Management Services Sector to and from official places of business/meetings/conferences, etc., using the service vehicle assigned for this purpose, and for performing variety of administrative duties in support of this function.

JOB DESCRIPTION

1. Transports the Senior Vice-President and the personnel of the Management Services Sector to and from official places of business/meetings, using the service vehicle of the Cotporation that is assigned for this purpose.

2. Ensures that the Senior Vice-President and/ or the staff of the Management Services Sector gets to his/her destination promptly and safely.

3. Ensures and maintains the good running condition and cleanliness of the vehicle, performs minor repairs and mechanical troubleshooting tasks whenever necessary.

4 Accomplishes and submits Daily Trip Tickets and maintains other records of official travels made.

5. Performs other related tasks that may be assigned by the Senior Vice-President of the Management Services Sector.

OSOSVP MSS _ Chauffer !!.doc


JOB SUMMARY:

SOCIAL INSURANCE ANALYST II SPECIAL PROGRAMS DEPARTMENT 13 Senior Social Insurance Specialist None

Under general supervision, the Social Insurance Analyst II shall be responsible for preparation of various monitoring reports/ presentations covering specific project/s, gatbering of simple research data and transforming these data into management reports.

DUTIES AND RESPONSIBILITIES:

1. Establish /maintains research database for easy reference;

2. Generates various research data and transforms tbe same into a draft management reports / presentations;

3. Conducts minors researches and assists in tbe conduct of major research projects under close supervision of the Project Head/Supervisor concerned;

4. Ensures clients queries are recorded and managed appropriately and on time;

5. Ensures continuous self-learning to improve/ enhance competencies in special program management and development;

6. Performs otber duties as may be assigned.

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JOB TITLE OFFICE

SALARY GRADE REPORTS TO SUPERVISES

JOB SUMMARY:

FISCAL CONTROLLER I Fiscal Management Team Comptrollership Department 11 Fiscal Controller III None

Under general supervision, the Fiscal Controller I is responsible for the maintenance of an updated/systematic file of remittances, memoranda and other necessary documents. He/ she shall also provide administrative support to the Fiscal Controller III and other superior to ensure that he/ she can effectively and efficiendy discharge their functions as officials of the Fiscal Management Team:

);> evaluation/processing of documents needing budget certification/utilization and in the preparation of monthly budgetary reports.

);> review and documentation of proposals and analysis of reports submitted by all organizational units of the corporation.

JOB DESCRIPTION:

Cost Center Monitoring and Analysis Team

1. Assist in the consolidation/preparation of monthly budgetary reports.

2. Assist in the analysis and evaluation of documents/transactions needing Budget Utilization/ Certification.

3. Establish and maintains an updated/ general files or record of monthly budgetary reports, correspondence and other documents/ data.

4. Entertains inquiries regarding policies, regulations and other budgetary matters from organizational units in the Head 0 ffice.

5. Performs Administrative 1\ssistance to Officers and Staff of the team, such as drafting of correspondence, reports, and processing of transactions/ documents.

6. Receives telephone call and routes inquiries to concerned unit/personnel.

7. Performs other duties that may be assigned or delegated.

iscal Stewardship Team

1. Maintains and establish a general file of the Team.

05Comptrollership_Fiscal Controller !_Fiscal Mgmt. Team.doc

2. Provides administrative support in the preparation and execution of the Corporate Operating Budget.

3. Provides administrative support to meetings and official functions of the Fiscal Management Team.

4. Entertains inquiries regarding policy, regulations and other budget matters of different organization units of the Corporation.

5. Performs administrative support to official functions such as drafting of memoranda, reports, and other correspondences relative to budget policies, procedures, rules and other matters pertaining to corporate funds.

6. Performs other duties that may be assigned or delegated.

Disbursement Administration Team

1. Prepares disbursement vouchers with supporting schedules of remittances of suppliers, contractors, consultants, contractuals and regular employees;

2. Prepares disbursement vouchers with supporting schedules and diskettes of Phi!Health remittance for contractors, consultants, contractuals and regular employees;

3. Performs administrative assistance to officials of the Disbursement Administration Team such as drafting of communications to government agencies related to remittances;

4. Establish and maintains a general file of copies of all remittances;

5. Provides administrative support to meetings and official functions of the Disbursement Administration Team;

6. Entertains inquiries regarding remittances and other matters pertaining to processing of disbursement vouchers of the Corporation

7. Performs other duties that may be· assigned or delegated by the Fiscal Controller III, Fiscal Management Team.

------

05Comptrollership_Fiscal Controller !_Fiscal Mgmt. Team.doc 2

CSFormNo. 9 Series of 2017




This is to request the publication of the following vacant positions of PHILIPPINE HEALTH INSURANCE CORPORATION in the esc website:

Date:

Salary/ Qualification Standards

No. Position Title Plantilla Job/

Monthly Salary Item No. Pay Education Training Experience Eligibility

Grade 1 Division Chief IV 07-00-0024 24 73,299.00 Master's Degree or 40 hours of 4 years of Career Service

Certificate in Leadership supervisory/ supervisory/ (Professional)/ Second and Management from management management Level Eligibility the esc learning and experience

development intervention undertaken within the last 5 years

Electronic copy to be submitted to the CSC FO must be in MS Excel format

REPOSTING


(if applicable)

PhilHealth Regional Office CAR

Interested and qualified applicants should signify their interest in writing. Attach the following documents to the application letter and send to the address below not later than _____ .

1. Fully accomplished Personal Data Sheet (PDS) with recent passport-sized picture (CS Form No. 212, Revised 2017) which can be downloaded at www.csc.gov.ph;

2. Performance rating in the present position for one (1) year (if applicable); 3. Photocopy of certificate of eligibility/rating/license; and 4. Photocopy of Transcript of Records.

QUALIFIED APPLICANTS are advised to hand in or send through courier/email their application to:

ATTY. JERRY F.IBAY Regional Vice President, PRO CAR

SNOBT Inc. Bldg #19 Leonard Wood Road, Baguio City

[email protected]


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DIVISION CHIEF IV Field Operations Division-PRO 24+ Assistant Vice President Chief Social Insurance Officer Clerk III

JOB SUMMARY:

Under general supervision, the Division Chief IV shall be responsible for the overall supervision, coordination and performance management of Service Offices or Field Units. It shall ensure compliance of Field units with policies, guidelines, systems and procedures.

JOB DESCRIPTION:

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1. Plan, organize, direct, and coordinate the activities of the division

2. Prepare short and long range operational objectives, strategies, action plans, and annual budgets of the division for review of the PRO-Head

3. ReguL~r!y monitor the performance of the division against plans/target, determine performance gaps, and take appropriate courses of action to ensure prompt and proper solution to lessen/ eliminate these gaps

4. Continuously review the work processes of the division and recommend change/ s to improve and optimize its performance

5. Recommend and/ or take appropriate actions to continuously develop knowledge, skills, and abilities of the human resource

6.

7.

8.

Ensure coordination and harmonious working relations between the division and other units of the PRO

Assist the PRO-Head in the interpretation of guidelines, rules and systems and procedures pertaining to membership and marketing

Submit operational report to the PRO-Head

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Regularly updates the PRO-Head of issues and concerns on membership and marketing and propose possible solution/ of the same

Perform other related tasks as may be assigned.

50PRO_Division Chief Fields Operations.doc






Date:




Grade 1 Planning Assistant I 52-01-0003 8 16,282.00 Completion of two years 4 hours of relevant 1 year of relevant Career Service

studies in college training experience (Subprofessional)/1 st Level Eligibility



(if applicable)

PhiiHealth Regional Office I

Interested and qualified applicants should signify their interest in writing. Attach the following documents to the application letter and send to the address below not later than ____ _




ALBERTO C. MANDURIAO Regional Vice President

EMDC Building, Sec. Francisco Q. Duque, Jr. Road, Tapuac Distric, Dagupan City

[email protected]

APPLICATIONS WITH,INCOMPLETE DOCUMENTS SHALL NOT BE ENTERTAINED.

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JOB SUMMARY

PLANNING ASSISTANT I Planning Unit-PRO 8 Planning Officer III None

Under general supervision, the Planning Assistant I provides administrative assistance in the formulation of regional plans in accordance with the overall Corporate Plan.

JOB DESCRIPTION

1. Attends to all administrative concerns of the Unit;

2. Assists in data-gathering during the conduct of researches and surveys;

3. Provides assistance in documenting the discussions, especially agreements, made during meetings of the Planning Unit;

4. Updates database and records of the Unit for easy reference;

5. Maintains files of the Unit for easy retrieval of documents when needed, and

6. Performs related tasks assigned by the Planning Officer III from time to time.

12PRO _Planning Assistant. doc 1





This is to request the publication of the following vacant positions of PHILIPPINE HEALTH INSURANCE CORPORATION in the esc website:

Date:




Grade 1 Chief Social Insurance 48-06-0066 22 58,717.00 Bachelor's degree 24 hours of 4 years relevant Career Service

Officer relevant to the job relevant training experience (Professional)/ 2nd Level Eligibility

2 Attorney IV 25-04-0006 23 65,604.00 Bachelor of Laws 8 hours of relevant 2 years relevant RA 1080 training experience



(if applicable)

PhilHealth Regional Office II

Phi!Health Regional Office II



2. Performance rating in the present position for one (1) year (if applicable); 3. Photocopy of certificate of eligibility/rating/license; and 4. Photocopy of Transcript of Rec~rds.


OSCAR B. ABADU, JR. Regional Vice President

The Builders Place, del Rosario St., Tuguegarao City

[email protected]


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JOB SUMMARY:

CHIEF SOCIAL INSURANCE OFFICER SERVICE OFFICE-PRO 22+ Division Chief IV Senior Social Insurance Officer Social Insurance Officer III Social Insurance Officer II Social Insurance Officer I Social Insurance Assistant II Social Insurance Assistant I

Under general supervision, the Chief Social Insurance Officer shall be responsible for the supervision of program implementation in membership management and/ or collection/ contribution management.

JOB DESCRIPTION:

1. Supervises the administration of any of the following NHIP functions/ Areas:

• • •

Membership Management Collection/Contribution Management NHIP Service Office Operations

2. Provide inputs to the short and long range operational objectives, strategies, action plans, and annual budgets of the division

3. Assist in the preparation of indicative plans and operational/ accomplishment report of the division ·

4. Assist the Division Head in monitoring the performance of the unit, review its work processes and recommend change/ s to improve and optimize its performance, subject to approval by the Division Head and the PRO-Head

5. Assist in the training/ skills development of lower level staff of the unit.

6. Ensure coordination and harmonious working relations between the division and other units of the PRO

~---0-..l 7. Prepare simple to highly complex correspondence, presentation materials and other documents as may be required by the higher Officer

8. Performs other related tasks as may be assigned

85PRO CHIEF SOCIAL INSURANCE OFFICER.doc-Service Office

--------


JOB SUMMARY:

ATTORNEY IV Legal Office-PRO 23 Assistant Vice President Special Investigator III Special Investigator II Legal Researcher Legal Assistant I

Under general supervision, the Attorney IV shall provide legal support to the Assistant Vice President in all transactions and activities engaged in by the PRO.

JOB DESCRIPTION:

1. Provides legal advice on all official transactions to be entered into by the PRO;

2. Prepares/ reviews legal documents and contracts to be entered into by the PRO for endorsement to the Legal Services Group;

3. Conducts fact-finding activities on all cases flled for action of the unit

4. Ensures completeness of documents and attachments to all cases acted upon prior to endorsement to the Central Office;

5. Consults with the Central Office Legal Officers/Lawyers regarding matters confronting the PRO;

6.

7.

8.

Prepares indicative plan of the unit in coordination with Legal Services Group, subject to approval by the PRO Head;

Monitors the status of all cases/ documents flled for legal action and ensure speedy processing of the same base on the indicative plan of the unit;

Perform other related tasks as may be assigned.

1717PRO_ATIORNEY IV.doc - 1 -

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CSForm No.9 Series of 2017





Date:




Grade 1 Clerk Ill 20-03-0066 6 14.340.00 Completion of two years None Required None Required Career Service

studies in college (Subprofessional)/ 1st Level Eligibility

2 Public Relations Officer Ill 45-03-0008 18 38,085.00 Bachelor's degree 8 hours of relevant 2 years relevant Career Service training experience (Professional)/ 2nd

Level Eligibility 3 Fiscal Controller I 32-01-0057 11 20,179.00 Bachelor's degree None Required None Required Career Service

relevant to the job (Professional)/ 2nd Level Eligibility


(Head o Agency)


(if applicable)

PhilHealth Regional Office Ill

PhilHealth Regional Office Ill

PhiiHealth Regional Office 111-A- LHIO Olangapo





WALTER R. BACAREZA Vice-President

3rd Floor PhiiHeaJth Building., Lazatin Blvd. Brgy. San Agustin, City of San Fernando, Pampanga

hr [email protected]


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JOB SUMMARY:

CLERK III Office of the Assistant Vice-President-PRO 6 Executive Assistant II None

Under general supervision, the Clerk III shall be responsible for performing a variety of administrative duties in the discharge of the official functions of the Office.

JOB DESCRIPTION:

1. Receives and records in a logbook or any records keeping device all incoming and outgoing communications/ correspondences, reports and documents to and from the office.

2. Distributes all mcommg and outgoing documents received to the appropriate addressee/ s.

3. Establishes and maintains the general and other files of the office.

4. Types reports, memoranda, correspondences and other outputs of the office.

5. Assists in the receiving of callers, guests and visitors of the office.

6. Attends to the administrative task of calling, conducting, documenting meetings, discussions or dialogues as necessary.

7. Performs other functions as may be assigned by the supervisor.

04PRO_CLERK III- Ol'C OF THE AVP.doc


JOB SUMMARY

PUBLIC RELATIONS OFFICER III Public Affairs Unit-PRO 18 Assistant Vice-President Public Relations Officer II Public Relations Officer B Public Relations Officer I

Under general supervlS!on, the Public Relations Officer III shall prepare, implement and monitor implementation of public relations strategies on ensuring synergistic implementation of the Corporate Communication Plan particularly in the Phi!Health Regional Office (PRO) level

JOB DESCRIPTION

Guided by the overall Corporate Communication Plan, the Public Relations Officer III shall:

1. Plan and conduct public and media-related programs/projects/activities in the PRO (tri-media/IEC campaign)

2. Design and develop various local information materials such as audio-visual materials, brochures, primers, etc.

3. Prepare/review major news releases, tadio and TV scripts about PRO activities and NHI Program in general

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Spearhead the conceptualization and conduct of Corporate events including but not limited to Anniversary celebration, launching of programs/projects, Corporate exhibits and the like

Prepare various speeches as needed

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Prepare write-ups featuring the NHIP at the PRO as contribution to corporate newsletter and other publications/ advisories for internal and external circulation

Conduct various research studies and surveys on the impact of the NHIP implementation and other related subjects;

8. Conduct continuous review of the existing work processes of the unit and recommend change/ s to improve and maximize the performance of the unit

9. Review the works/outputs of learners directly working under his/her supervision and conduct learning sessions and/ or coaching to improve their competencies

10. Performs other related duties that may be assigned

0606PRO PUB RELN OFCR III.doc


JOB SUMMARY:

FISCAL CONTROLLER I Cashier-PRO 11 Division Chief IV Fiscal Clerk III Cash Clerk III

Under general supervision, the Fiscal Controller I shall provide services on preaudit/review of financial documents/reports, review of budget proposals and utilization, preparation of checks and cash reports.

JOB DESCRIPTION:

1. Fiscal Controller I maybe assigned to perform any of the following finance-related jobs:

A. ACCOUNTING

• Conduct pre-audit/review of all kinds of disbursement vouchers (screen documents, journalize accounting entries, record transactions in voucher register, updates index of payment, etc.)

• Review petty cash vouchers, requisition issuance vouchers, purchase orders, canvass of quotation, abstract of canvass, and the like

• Review contracts for Certification of fund availability

• Review file documents for submission to Commission on Audit

• Prepare accounting/financial reports such as Summary of Outstanding Checks, bank reconciliation statements, and the like

• Review report of collection against Official Receipts, validate deposit slips and check footings

• Verify checks against bank statement, arrange checks in series, update list of outstanding checks

• Prepare Summary of outstanding checks, bank reconciliation statement and summary of benefit payment

B. BUDGETTING JOB

1. The Budget Officer I shall assist in performing the following tasks:

86PRO_Fi:>cal COntroller I. doc

• Review and consolidation of budget proposals of various PRO Divisions/Units and Service Offices

• Preparation of various budget-related reports

• Preparation request for allotment of the PRO

• Preparation of the annual work and financial plan of the PRO

• Monitoring the fund utilization of the PRO to avoid overdraft or the problem of excess funds at the end of the Calendar year.

C. CASHIERING

e Prepare benefit payment checks m accordance with vouchers reviewed by Accounting & Budget Section

• Post benefit payment to Medical Officers through auto-debit system

• Prepare maintenance and operating expenses checks

• Ensures maintenance of cashbook

• Verify MIS, accept payment and issue Official Receipts

• Prepare daily collection report

• Upon instruction from the higher Officer, assist in the training/ skills development of lower technical and/ or non-technical staff of the unit

2. Prepare simple to moderately complex correspondence, presentation materials and other documents as may be required by the higher Officer

---~3 .. Performs other task that may be assigned

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CSForm No.9 Series of 2017


Republic of the Philippines , PHILIPPINE HEALTH INSURANCE CORPORATION



Date:

Qualification Standards

No. Position Title Plantilla Salary/ Job/

Monthly Salary Item No. Pay Grade Education Training Experience Eligibility

1 Attorney IV 25-04-0008 23 65,604.00 Bachelor of Laws 8 hours of relevant 2 years relevant RA 1080 training experience

Electronic copy to be submitted to the CSC FO must bfl in MS Excel format

REPOSTING


(if applicable)

PhiiHealth Regional Office IV-A





DR. ELIZABETH S. FERNANDEZ Regional Vice President

Lucena Grand Central Terminal, Brgy. llayang Dupay,

hr.pro4a@ philhealth.gov.ph


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JOB SUMMARY:

ATTORNEY IV Legal Office-PRO 23 Assistant Vice President Special Investigator III Special Investigator II Legal Researcher Legal Assistant I

Under general superv1s1on, the Attorney IV shall provide legal support to the Assistant Vice President in all transactions and activities engaged in by the PRO.

JOB DESCRIPTION:

1. Provides legal advice on all official transactions to be entered into by the PRO;

2. Prepares/ reviews legal documents and contracts to be entered into by the PRO for endorsement to the Legal Services Group;

3. Conducts fact-finding activities on all cases filed for action of the unit

4. Ensures completeness of documents and attachments to all cases acted upon prior to endorsement to the Central Office;

5. Consults with the Central Office Legal Officers/Lawyers regarding matters confronting the PRO;

6. Prepares indicative plan of the unit in coordination with Legal Services Group, subject to approval by the PRO Head;

7. Monitors the status of all cases/documents filed for legal action and ensure speedy processing of the same base on the indicative plan of the unit;

8. Perform other related tasks as may be assigned.

1717PRO_ATTORNEY IV.doc - 1 -






Date:


No. Position Title Plantilla Salary/ Job/

Monthly Salary Item No. Pay Grade Education Training Experience Eligibility

1 Medical Specialist I 40-04-0012 21 52,554.00 Doctor of Medicine 4 hours of relevant 1 year of relevant RA 1080 training experience


( ead of Agency)


(if applicable)

PhiiHealth Regional Office IV-A

Interested and qualified applicants should signify their interest in writing. Attach the following documents to the application letter and send to the address below not later than--,.-----




DR. ELIZABETH S. FERNANDEZ Regional Vice-President

Lucena Grand Central Terminal, Brgy. llayang Dupay,

[email protected]


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JOB SUMMARY:

MEDICAL SPECIALIST I Benefit Administration Section-PRO 21 Medical Specialist III NONE

Under general supervlSlon, the Medical Specialist I shall be perform either medical evaluation of claims or evaluation of accreditation of health care providers

JOB DESCRIPTION:

1. The Medical Specialist I shall perform any of the following medical - related tasks:

SET 1: Accreditation and Quality Assurance

•

•

•

Conduct accreditation surveys to Institutional Health Care Providers

Evaluate application for accreditation of Institutional Health Care Providers

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Assists the Central Office in the systematic evaluation of the effects of the use of drugs, devices, medical procedures and other health related products as well as the HCPs and organizations that use these technologies.

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Provides technical assistance to other units that reqwres expert medical advice and inputs.

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Manages medical related technical issues on health care provider's practice.

Conducts studies and researches on quality assurance, standards development and accreditation policies.

SET 2: Benefit Administration

• Responsible for medical evaluation of claims

• Review of the medical aspect of claims forwarded for reconsideration


CS Form No.9

Series of 2017




This is to request the publication of the following vacant positions of (Philippine Health Insurance Corporation (PhiiHealthl in the CSC website:

Date:


No. Position Title Plantilla Job/ Monthly Item No. Pay Salary Education Training Experience Eligibility

Grade

Completion of two 8 hours of relevant 2 years of relevant

CS Sub-Professional 1 Social Insurance Assistant II 51-02-0080 10 18.718.00 years studies in (First Level

College training experience Eligibility)

Bachelor's Degree 24 hours of 4 years of relevant CS Professional

2 Chief Social Insurance Officer 48-06-0086 22 58.717.00 (Second Level relevant to the job relevant training experience Eligibility)



(if applicable)

PhiiHealth Regional Office IVB

PhiiHealth Regional Office IVB (LHIO Romblon)

Interested and qualified applicants should signify their interest in writing. Attach the following documents to the application letter and send to the address below not later than _______ _

1. Fully accomplished Personal Data Sheet (PDS) with recent passport-sized picture (CS Form No. 212, Revised 2017) which can be downloaded at www.csc.gov.ph; 2. Performance rating in the present position for one (1) year (if applicable); 3. Photocopy of certificate of eligibility/rating/license; and 4. Photocopy of Transcript of Records.


PAOLO JOHANN C. PEREZ Regional Vice President, Phil Health RegionaiiVB

Caedo Commercial Center, Calicanto Batangas City

[email protected]



JOB SUMMARY:

SOCIAL INSURANCE ASSISTANT II

Membership Section-PRO 10 Senior Social Insurance Officer None

Under general supervision, the Social Insurance Assistant II shall provide assistance in the packaging and distribution of IEC material, screening of membership forms/ collection reports

JOB DESCRIPTION:

1. Responsible for any of the following set of activities/tasks depending on what Division / Section he/ she will be assigned:

SET 1 : MARKETING AND MEMBERSHIP

1. Assist in the distribution of various IEC materials and membership forms to target members during campaign periods

2. Assist in the screening of accomplished membership forms and 1ssuance of PhilHealth Number/Identification Cards

3. Consolidate accomplished membership forms and forward the same to concerned marketing officers or units for distribution

4. Assist in the preparation of various reports/ documents as may be assigned

5. Assist in generating marketing-related pro forma letters/ correspondence

6. Prepare marketing kits and materials at least a day before the scheduled marketing date

7. Establish and update database of marketing status monitoring system


SET 2: MEMBER DATA MANAGEMENT

1. Screen membership application form to ensure completeness of data

2. Verify /validate information declared in the membership application form

3. Review member infonnation encoded in the database to ensure correctness

64PRO _ Social Insurance Assistant II

4. Ensure that PhilHealth Number/Identification Cards are prepared properly and attached to the right membership information sheet

5. Assist in the preparation of reply to inquiries and complaints regarding membership data


SET 3 : COLLECTION /ACCOUNTS MANAGEMENT

1. Screen/ examine employer reports to ensure employers' compliance to existing Contribution Accounts systems and policies

2. Record/post remittance data in the accounts monitoring index/ database

3. Prepare report of deficiency /ies found in the report/ s

4. Generate pro-forma Notice of Deficiency

5. Maintain record of reports screened/ examined and released to concerned units

6. Proof-read entry in control slips and prepare required documents for transmittal of reports/ data to service bureau

7. Scan and validate/arrange format of diskette reports

8. Review correctness/ accuracy of entries in contribution database


64PRO Social Insurance Assistant II 2

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JOB SUMMARY:

Under general supervision, the Chief Social Insurance Officer shall be responsible for tbe supervision of program implementation in membership management and/ or collection/ contribution management.

JOB DESCRIPTION:

1. Supervises tbe administration of any of tbe following NHIP functions/ Areas:

• • •

Membership Management Collection/ Contribution Management NHIP Service Office Operations

2. Provide inputs to tbe short and long range operational objectives, strategies, action plans, and annual budgets of tbe division

3.

4.

5.

6.

7.

Assist in tbe preparation of indicative plans and operational/ accomplishment report of tbe division

Assist tbe Division Head in monitoring tbe performance of tbe unit, review its work processes and recommend change/ s to improve and optimize its performance, subject to approval by tbe Division Head and tbe PRO-Head

Assist in the training/ skills development of lower level staff of tbe unit.

Ensure coordination and harmonious working relations between the division and otber units of tbe PRO

Prepare simple to highly complex correspondence, presentation materials and otber documents as may be required by tbe higher Officer

8. Performs otber related tasks as may be assigned

85PRO_CHIEF SOCIAL INSURANCE OFFICER.doc-Service Office



Republic of the Philippines Philhealth Regional Office V


This is to request the publication of the following vacant positions of Phil health Regional Office V in the CSC website:


Plantilla Item Salary/

Monthly No. Position Title

No. Job/ Pay

Salary Grade Education Training Experience

Bachelor's Degree 1 Social Insurance Officer II 48-02-0062 13 24,224.00 None Required None Required relevant to the job


ROYB RRER, M.D. lnterim/OIC P esident and CEO

Date:

Competency Place of Assignment Eligibility

(if applicable)

CS Professional/ PhiiHealth Regional Second Level Eligibility

Office V


1. Fully accomplished Personal Data Sheet (PDS) with recent passport-sized picture (CS Form No. 212, Revised 2017) which can be downloaded atwww.csc.gov.ph; 2. Performance rating in the present position for one (1) year (if applicable); 3. Photocopy of certificate of eligibility/rating/license; and 4. Photocopy of Transcript of Records.


ORLANDO D. INIGO, JR. Regional Vice"President

ANST Bldg., Alternate Road, Legazpi City [email protected]

APPLICA IONS WITH.INC'oMPLETE DOCUMENTS SHALL NOT BE ENTERTAINED. ·\ %\ . ~ ~ Qj ...... ~ !Lir •.;; ~-t.:L .. a

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JOB SUMMARY:

SOCIAL INSURANCE OFFICER II Collection Section-PRO 13 Senior Social Insurance Officer None

Under general supervision, the Social Insurance Officer II shall be responsible for providing services in any of the following areas: a) marketing/ advocacy to or collection management of small-sized organized groups/private and govemment agencies; b) benefit payment computation; and member data management.

JOB DESCRIPTION:

1. Accountable to any of the following set of activities/tasks depending on what Division he/ she will be assigned:

SET 1: MARKETING AND MEMBERSHIP

1. Assists in groundworking/ gathering and analysis of vanous market data/information needed in marketing program

2. Perform marketing/ advocacy-related tasks to target organized groups and individuals, from the information education campaign to enrollment stage

3. Conduct presentation of the National Health Insurance Program to potential donors/Sponsors including but not limited to the Organized Groups and Private/Government Agencies belonging to small scale/ small size category

4. Conduct orientation and re-orientation on NHIP to various stakeholders including the private and government sector members

5. Attend to telephone and walk-in queries and complaints of members and other stakeholders of the NHI Program

6. Prepare reply to letter of inquiry and complaints from members and various stakeholders of the NHI Program

7. Assist in the preparation of a comprehensive marketing-related reports and information for ready reference of PRO Officers and Staff, which may include the following;

o Status of membership coverage by sector vs. set target • Trends and history of membership drop-outs and its causes

• Table of marketing strategies implemented and its impact on membership enrollment



55PRO_Social Insurance Officer II

., 1~· •• L!J>~,..-CL. U:JQ ~0 ~

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1. Conduct regular scanning the membership database for double entry and other irregularities

2. Prepare and maintain a periodic report on the status of membership database updating/maintenance for ready reference of PRO Officers and Staff

3. Monitor all issues and concerns regarding membership data and recommend and/ or take appropriate action to manage them

4. Recommend actions to correct and control data irregularities

5. Coordinate with/prepare letters to private and government employers with identified deficiency in submitted membership forms and/ or required attachments to it

6. Prepare reply to inquiries and complaints regarding membership data

7. Prepare various reports, presentation materials, correspondence and other documents as may be required by the higher Officer


SET 3: COLLECTION

The same as that of the task and activities cif the SIO III (SG 15). The only difference is that the SIO III has higher performance target in terms of quantity and level of clients being served.

SET 4 : ACCREDITATION AND QUALITY ASSURANCE

1. Receive, evaluate and process application for initial accreditation, renewal of accreditation and re-accreditation of Professional Health Care Professionals

2. Assist in recording, processing and analysis of data in the Monthly Mandatory Hospital Report and Out-Patient Benefit Report

3. Assist in coordinating with the Management of Institutional Health Care Providers as regards lacking accreditation requirements, schedule of accreditation survey, status of application, etc.

4. Record, process, analyze and evaluate data in Monthly Mandatory Hospital Reports and Out-Patient Benefit Report and the like

SET 5 : CLAIMS PROCESSING (Initial verification and adjudication))

55PRO _Social Insurance Officer II 2

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1. Compute the amount of compensable claims based on medical evaluation done and existing policies on payment of claims (ex. Hospital category)

2. Indicate total amount of benefits to be paid and forward claims to encoder

3. Verifies member/ dependent eligibility based on document submitted, existing databases and other valid sources

4. Checks completeness of information in claims forms 1 & 2 (if du1y filled-up)

5. Indicate deficiencies or lacking documents in claims document, if there is any

6. Verify accuracy/ authenticity of information in Phi!Health Claim Forms based on existing database or other valid sources

7. Validate the beneficiaries and providers' eligibility to avail claimed benefits

8. Examine/ check completeness of documentary requirements in the claim application before forwarding to the next stage

9. Check the number of received encoded claims and verify the accuracy of encoded information in the list of claims received.

10. Reviews data encoded in route slip

11. Forwards claims to validation encoders for posting of benefits and deficiencies

12. Check category of physician and indicate ifD1, D2, D3 or D4

13. Indicate payee (hospital, doctor or member)

14. Considers for inclusion in the computation of benefits other items (drugs/meds/supplies) with or bought outside of hospital used during the confinements

15. Performs other related tasks as may be assigned.

55PRO_Social Insurance Officer II 3

CSFarmNa.9 Series of 2017





This is to request the publication of the following vacant positions of Philippine Health Insurance Corporation (PhiiHealth) in the CSC website:

ROYB.

Date:


Plantilla Item Salary/

Monthly No. Position Title Job/ Pay Place of Assignment

No. Grade

Salary Education Training Experience Eligibility Competency (if applicable)

Bachelor's Degree CS Professional/ PhilHealth Regional

1 Fiscal Controller I 32-01-0078 11 20,179.00 None Required None Required Second Level relevant to the job

Eligibility Office VI

Interested and qualified applicants should signify their interest in writing. Attach the following documents to the application letter and send to the address below not later than----~

1. Fully accomplished Personal Data Sheet (PDS) with recent passport-sized picture (CS Form No. 212. Revised 2017) which can be downloaded at www.csc.gov.ph; 2. Performance rating in the present position for one (1) year (if applicable); 3. Photocopy of certificate of eligibility/rating/license; and 4. Photocopy of Transcript of Records.


LOURDES F. DIOCSON Regional Vice-President

Gaisano City Capital-Iloilo, Luna St. La Paz, Iloilo City

. a 'APPLICA ~~S WITH INCOMPLETE DOCUMENTS SHALL NOT BE ENTERTAINED.

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JOB SUMMARY:


Under general supervision, the Fiscal Controller I shall provide services on preaudit/review of financial documents/reports, review of budget proposals and utilization, preparation of checks and cash reports.

JOB DESCRIPTION:


A. ACCOUNTING

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u 0 • Verify checks against bank statement, arrange checks in series, update list of

outstanding checks


B. BUDGETTING JOB


86PRO_Fiscal COntroller J.doc

l






C. CASHIERING

• Prepare benefit payment checks 1n accordance witb vouchers reviewed by Accounting & Budget Section






• Upon instruction from tbe higher Officer, assist in the training/ skills development of lower technical and/ or non-technical staff of tbe unit

2. Prepare simple to moderately complex correspondence, presentation materials and otber documents as may be required by tbe higher Officer

3. Performs otber task tbat may be assigned

86PRO_Fiscal COntroller !.doc 2






Date:


No. Position Title Plantilla Job/ Monthly Item No. Pay Salary Education Training Experience Eligibility

Grade Completion of Career Service

1 Human Resource Management

21-01-0017 8 16,282.00 two years 4 hours of 1 year relevant (Subprofessional Assistant studies in relevant training experience )/ First Level

college Eligibility

Electronic copy to be submitted fo the CSC FO must be in MS Excel format

REPOSTING

Place of Competency (if applicable)

Assignment

PhiiHealth Regional Office VII

Interested and qualified applicants should signify their interest in writing. Attach the following documents to the application letter and send to the address below not later than _____ .

1. Fully accomplished Personal Data Sheet (PDS) with recent passport-sized picture (CS Form No. 212, Revised 2017) which can be downloaded at www.csc.gov.ph; 2. Performance rating in the present position for one (1) year (if applicable); 3. Photocopy of certificate of eligibility/rating/license; and 4. Photocopy ofTranscript of Records.


WILLIAM 0. CHAVEZ Regional Vice President

PhiiHealth Regional Office VII, Golden Peak Hotel & Suites Gerardo Avenue corner Escario Street, Cebu

Ci [email protected]


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JOB SUMMARY:

HRM ASSISTANT HR Unit-PRO 8 HR Management Officer III None

Under general supervision, the HRM Assistant shall assist in attendance monitoring, processing of loan applications, issuance of compensation related documents and maintenance of 201 file.

JOB DESCRIPTION:

1. Process application for loans

2. Prepare draft Warning and Notices of Violation to Corporate Policies and Standards (Attendance, Dress Code, etc.)

3. Assign Control Numbers for Travel Orders, Official Business Slips, and the like

4. Prepare/issue compensation and benefit documents such as notices of salary adjustments, notices of salary deductions due to insufficient leave balances

5. Maintain/update 201 files (including training and performance management documents)

6. Perform other related tasks as may be assigned

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49PRO_HR~IA.doc 1

CSFonnNo.9 Seriu of2017


Too CIVIL SERVICE COMMISSION (CSC)


Request for Publication ofVacant Positions

This is to request the publication of the following vacant positions of Philippine Health Insurance Corporation tPhiiHealth) in the CSC website:

(Head of Agency) Dateo _________ _


No. Position Title Plantilla

Job/Pay Monthly

Competency Item No. Grnde

Salary Education Training Experience Eligibility (if applicable)

1 Planning Officer II I 53-03-0014 18 38,085.00 Bachelor's degree 8 hours of 2 years of relevant Career Service

Relevant to the Job relevant tr.tining experience (Professional) Second

Level Eligibility

Interested and qualified applicants should si&rnify their interest in writing. Attach the following documents to the application letter and send to the address below not later

than -----------

1. Fully accomplsihcd Personal Data Sheer (PDS) with recent passport-sized picture (CS Form No. 212, Revised 2017) which can be downloaded at www.csc.gov.ph: 2. Performance rating in the present position for one (1) year (lf applicable);

3. Photocopy of certificate of eligibility/rating/license; and

4. Photocopy of Transcript of Records.

QUAUFIED APPUCANTS arc advised to hand in or send through courier/email their application to:

AP

RENA TO L LIMSIACO, JR. Regional Vice-President

Philippine Health Insurance Corporation Regional Office VIII, p. Burgos St Tacloban City

[email protected]

CA'FIOl H INCOMPLETE DOCUMENTS SHALL NOT BE ENTERTAINED.

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Place of Assignment

PhilHealth Regional Office VIII

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PLANNING OFFICER III Planning Unit-PRO 18 Assistant Vice President Planning Officer I Planning Assistant I

JOB SUMMARY

Under general supervision, the Planning Officer III provides technical assistance in the formulation of regional plans in accordance with the overall Corporate Plan.

JOB DESCRIPTION

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1. Assists the Assistant Vice-President in the discharge of planning and coordinating functions of the PRO, particularly in the following activities:

• Formulation of Strategic Operational Plan for the Phi!Health Regional Office (PRO); Integration of plans and operational reports submitted by the different Divisions/Units/Offices of the PRO;

• Monitoring of the progress of program implementation; Review of the performance of all Divisions/Units/Offices of the PRO, and Preparation of project proposals and position papers;

2. Provides assistance to the Division Heads/ supervisors in the preparation of their respective indicative plans for the year, to ensure that the individual plans are synchronized with one another and anchored on the overall directions and plans of the PRO;

3. Maintains a manual of operations for each functional unit of the PRO, to ensure that there is no duplication of functions among and within the PRO Divisions/Units, and

4 . Performs other duties assigned by the Assistant Vice-President from time to time.

~0 ~ ~o I u 0

I OPRO _planning Officer III.doc I

CSFormNo. 9 Sedestif2017




PHILIPPINE HEALTH INSURANCE CORPORATION Request for Publication ofVacant Positions

This is to request the publication of the following vacant positions of Philippine Health Insurance Corporation <PhiiHealth) in the CSC website:

REPOSTING

ROY( ~ . ERRER, M.D. (H a of Agency)

Date:

Salary/ Qualification Standards Planrilla Monthly

No. Position Title Job/Pay Competency Item No. Grade

Salary Education Training' Experience Eligibility (if applicable)

1 Planning Assistant I 52-01-0010 8 16,282.00 Completion of rwo 4 hours of 1 year of relevant Career Service years studies in college relevant training experience (Subprofessional)/ First

Level Eligibility

2 Social Insurance Assistant I 51-01-0211 8 16,282.00 Completion of two 4 hours of 1 year of relevant Career Service years studies in college relevant training experience (Subprofessional)/ l'ir:;t

Level Elib>ibility

Interested and qualified applicants should signify their interest in writing. Attach the following documents to the application letter and send to the address below not later than

1. Fully accomplsihed Personal Data Sheet (PDS) with recent passport-sized picrurc (CS Form No. 212, Revised 2017) which can be doWnloaded at www.csc.gov.ph; 2. Performance rating in the present position for one (1) year (tf applicable); 3. Photocopy of certificate of eligibility /rating/license; and

4. Photocopy ofT ranscript of Records.

QUALIFIED APPLICANTS arc advised to hand in or send through courier/email their application to:

RENA TO L. LIMSIACO,JR. Regional Vice-President

Philippine Health Insurance Corpor3tion Regional Office VIII, p. Burgos St. Tadoban City

hr [email protected]


Place of Assignment

PhilHcalth Regional Office VIII

PhilHcalth Regional Office VIII

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JOB SUMMARY

PLANNING ASSISTANT I Planning Unit-PRO 8 Planning Officer III None

Under general supervision, the Planning Assistant I provides administrative assistance in the formulation of regional plans in accordance with the overall Corporate Plan.

JOB DESCRIPTION

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1. Attends to all administrative concerns of the Unit;

2. Assists in data-gathering during the conduct of researches and surveys;

3. Provides assistance in documenting the discussions, especially agreements, made during meetings of the Planning Unit;

4. Updates database and records of the Unit for easy reference;

5. Maintains files of the Unit for easy retrieval of documents when needed, and

6. Performs related tasks assigned by the Planning Officer III from time to time.

·; I

12PRO _Planning Assistant.doc I


JOB SUMMARY:

SOCIAL INSURANCE ASSISTANT I MEMBER MANAGEMENT TEAM-PRO

8 Social Insurance Officer III None

Under general supervision, the Social Insurance Assistant I shall provide services in the receiving/screening of membership forms, receiving and screening of claims and distribution of IEC materials.

JOB DESCRIPTION:

1. Responsible for any of the following set of activities/tasks depending on what Division/ Section he/ she will be assigned:

SET 1: BENEFIT ADMINISTRATION

1. Receives claims form members and providers and counter-check with transmittal list provided/ submitted

2. Check completeness of the data declared in PhilHealth Claim Forms and the required supporting documents attached to it

3. Indicate deficiencies or lacking documents in claims documents, if there 1s any

4.

5.

6.

7.

Verify accuracy/ authenticity of information in Phi!Health Claim Forms based on existing database or other valid sources

Validate the beneficiaries and providers' eligibility to avail claims

Ensure completeness of documentary requirements in the claims applications before forwarding to the next processing stage

Check the number of encoded claims and verify the accuracy of encoded information in the List of Claims Received


SET 2: SERVICE OFFICE- MEMBER MANAGEMENT TEAM

93 PRO Social Insurance Assistant I

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2. Assist in the screening of accomplished membership forms and issuance of PhilHealth Number/Identification Cards



5. Review member information encoded in the database to ensure correctness



8. Performs other related tasks as maybe assigned

93PRO Social Insurance Assistant I 2

CSFonnNo.9 SerieJoj2017

Electronic copy to be submitted to the esc FO must be in MS Excel forrhat

To' CIVIL SERVICE COMMISSION (CSC)



This is to request the publication of the following vacant positions of Philippine Health Insurance Corporation (Phil Health) in the CSC website:



Job/Pay Monthly

Item No. Grade

Salary Education Training Experience Eligibility

1 Fiscal Controller I 32-01-0110 11 20,179.00 Bachelor's degree None required None required Career Service relevant to the job (Professional)/ Second

Level Eligibility

Competency (if applicable)

Interested and qualified applicants should signify their interest in writing. Attach the following documents to the application letter and send to the address below not later

ilian --------------------

1. l'ully accomplsihcd Personal Data Sheet (PDS) with recent passport-sized picture (CS Form No. 212, Revised 2017) which can be downloaded at www.csc.gov.ph; 2 Performance rating in the present position for one (1) year (if applicable); 3. Photocopy of certificate of eligt"bility /rating/license; and


QUALIFIED APPLICANTS arc advised to hand in or send through courier/t'fllail their application to:

DATU MASIDING M. ALONTO,JR. Regional Vice-President

Philippine Health Insurance Corporation 8/F Gateway Tower 2 Limketkai Centre, C.M. Recto Ave.,

Cagayan de Oro, City


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Place of Assignment

Phill-Iealth Regional Office X

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JOB SUMMARY:


Under general supervision, the Fiscal Controller I shall provide services on preaudit/ review of financial documents/ reports, review of budget proposals and utilization, preparation of checks and cash reports.

JOB DESCRIPTION:


A. ACCOUNTING







• Verify checks against bank statement, arrange checks in series, update list of outstanding checks


B. BUD GETTING JOB


86PRO_Fi~cal COntroller I.doc






C. CASHIERING

• Prepare benefit payment checks m accordance with vouchers reviewed by Accounting & Budget Section






• Upon instruction from the higher Officer, assist in the training/ skills development of lower technical and/ or non-technical staff of the unit


3. Performs other task that may be assigned

86PRO_Fisca\ COntroller Ldoc 2

CSFonnNo.9 Seriesqf2017




This is to request the publication of the following vacant positions of Philippine Health Insurance Corporation <Phil Health) in the esc website:

Sairuy/ Qualification Standards Plantilla Monthly

No. Position Tide

.-El;ctr~~i~ co~; to be sub;;;;tt~d -;;;;he Csc fo mu~tb-;1 1 in MS Excel format ~ . - - ---- -- . - - ---- - - -

REPOSTING

RO . FERRER, M.D. Head of Agency)

Date: _ _,_ _______ _

Job/Pay Competency Place of Assignment Item No. Salary Education Training Experience Eligib;li'Y

Grade (;r applicable)

1 Medical Specialist IV 41-03-0024 24 73,299.00 Doctor of Medicine 8 hours of 2 years relevant RA 1080 relevant training experience

2 Medical Specialist I 40-04-0026 21 52,554.00 Doctor of ~1edicine 4 hours of 1 year relevant RA 1080 relevant training experience


than -----------

1. Fully accomplsihed Personal Data Sheet (PDS) with recent passport-sized picture (CS Form No. 212, Revised 2017) which can be downloaded at www.csc.gov.ph;

2. Performance rating in the present position for one (1) year (if applicable);

3. Photocopy of certificate of eligibility/ rating/license; and



DATU MASIDING M. ALONTO, JR. Regional Vice-President

Philippine Health Insurance Corporation 8/F Gateway Tower 2 Limketkai Centre, C.M. Recto Ave.,

Cagayan de Oro, City


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Phi!Hcalth Regional Office X


JOB SUMMARY:

MEDICAL SPECIALIST IV Health Care Delivery Mgt. Div.-PRO 24+ Assistant Vice President MEDICAL SPECIALIST III CLERK III

Under general supervision, the Medical Specialist IV shall be responsible for ensuring the delivery of health care services to NHIP covering, accreditation and quality assurance and claims processing.

JOB DESCRIPTION:

1. Prepare short and long range operational objectives, strategies, action plans, and annual budget of the division

2. Assist the PRO-Head in the interpretation of guidelines, rules and systems and procedures pertaining to health care delivery management

3. Implement policies/ standards on accreditation and quality assurance and benefit payment

4. Dialogue with Institutional Health care Providers to discuss issues and concerns pertaining to claims processing, accreditation and quality assurance and other NHIP matters.

5. Ensure rendition of appropriate technical advice to health care providers : re: how to improve the quality of service to patients

6. Establish and maintain linkages with external agencies performing functions necessaty for the efficient and effective management of health care delivery plans and programs

7. Regularly monitor the performance of the division against plans/target, determine performance gaps, and take appropriate courses of action to ensure prompt and proper solution to lessen/ elintinate these gaps


9. Submit operational report to the PRO-Head

10. Provide regular updates to the PRO-Head on critical concerns pertaining to health care delivery management


12. Recommend and/ or take appropriate actions to continuously develop knowledge, skills, and abilities of the human resource


66PRO_Mcdical Specialist IV.doc



JOB SUMMARY:

Under general supervlSlon, the Medical Specialist I shall be perform either medical evaluation of claims or evaluation of accreditation of heald1 care providers

JOB DESCRIPTION:

1. The Medical Officer IV shall perform any of the following medical - related tasks:


•

•

•

•

•

Conduct accreditation surveys to Institutional Health Care Providers

Evaluate application for accreditation of Institutional Health Care Providers

Assists the Central Office in the systematic evaluation of the effects of the use of drugs, devices, medical procedures and other health related products as well as the HCPs and organizations d1at use these technologies.

Provides technical assistance to other units that reqlllres expert medical advice and inputs.

Manages medical related technical issues on health care provider's u practice. C)

• Conducts studies and researches on quality assurance, standards development and accreditation policies.


• Responsible for medical evaluation of clainls



CSFo.tmNo. 9 Saietoj2017

flecuonic copy ID be wbmitted to the CSC FO must be

Republic of the Philippines • PHIUPPINE HEALTH INSURANCE CORPORATION

Request for Publication of Vacant Posilio.u

--------- ~-~&ul/or~-- ___ j

REPOSTit\G To: CIVIL SERVICE COMMISSION (CSC)

This is to request the pubfication of the foDowing vacant positions of philippine Health Insurance Comorntion cphirHealthl In the CSC ~Wbsite:

~MD (H ad of Agency)

o,~

Pl:anlilla Sabry/ Qualil"ac:uioo St:aod:uds

No. Position Title Job/Pay Monthly

Competency Pbcc: or Assigmnent Item No. S:aluy Education Tniuiug Eotperieuce Elig.Oilil}'

Gade (ifapplia.b~)

I Ak.Wc.U Specialist I .ID-0--1-0029 21 s:!,SS.\.00 Doaot o( Medicine 4hour5of l•=rn:!...-.·an! RA 1080 P!:ti!lbhh Regional relevant rr.Unine ~peri~>= Office XI

2 Hunun Re•ou«:e Marugomom 22-03-0016 " 38,085.00 Bachelor'$ d.gtce 8 houlll or 2 )"C~n rcle~am ('__..reer Sen~ce Phil/lcalth Rcginnol Officer !II relcv:mt training experience (Profe~sion.1l)/ Srcond Office: XI

Level Eligibility

3 Special lmnogotor II 28-02-0011 1; 29,010.00 Bachelor', dcgrcc 4 hounof I y-eat of rel...,·mt Cueer Scn!ice l'hillle•hh Rcgional relevant to diC iob rclcvant mining e"P"rience (Prof~siooal)/ Second Office XI

Level Eligibilicy

~ Sooal Insurance Ofticer HI 48-03---UISO 1; 29,010.00 B~dtelor's degree ~ hounof I ye;~r nf n:lcnnt C:areerSer.icc PhiiHcahh Rq;ional rdC\":tnt to the job n:IM-.nt training ""'"'ritnee (Profc .. ional)/ Second Office XI

...... ~Eligibility

5 Administr~t""' Officer I 16--01-0067 II 20,179.00 Iladtelor's degree None required None n:quin:d C:arecr Sen-ice Pliilllca!th Region..! / (Profeosionnl)/ Second Office XI

Lcvd Eligibi!it}'

6 Social lnsurmcc: Oflicc:t I 48-tll-0221 II 20,179.00 Bachdor's dtgrtt Nonct required l\'onc required C:areer&nice PIUIJ leal!h Regional rdC\·:uu to the job (J'rof!'Ssional)/ Second OfliceXI

t.....·el r:.li~;~biliry

7 Soci~\lnsurancc Oflicer I 48-01-0216 II 20,179.00 Bochelor'l degree None required None required Career Scr.ice Phillfealrh Regional rcJ...,·:mt to rhc job (Profession.ol)/ Second Office XI

l=cl Eligibility

8 fiscol Oerk Ill 31--03--0056 8 16,282.00 Completion of two 4 houn. of I year relevant Career Ser.~ce Phil!le,!th lkgional yean studico in c:ollege rde••mtt111ining e"(>Crieru:c (Subprofessional)/ Fim Office XI

Level Eligibility

9 Hum'n Rcwurce ).l:uugcment 21--01--00~~ 8 16.282.00 Completion of ra:o 4 hounof I year rele•o:rnr Cuur Service PhilHealth Rcgionil Assiswu )""ars srudin in college ret .... ·ant mining experience (Subprofenional)/ first Office XI

t....."d Elig.bility

10 Sociallnsor•nce Assist:lnt I 51--01--0261 8 16,;!8200 Completion of N"O 4howsof I year rclennr UtttrServicc Phillleahh Regional J·ean •rudie!l in college rclevant ruining esperience (Subpmfcssiorul)/ first Office XI

Level Eligibility

11 Oerk Ill 20--03-0106 8 }4,}40.00 Completion of two None~ircd None required Career Service Ph~Hc,\th Regional years studies in college (Suhprofcssional)/ Forst OfliceXI

LeW Eligibility

Interested and qoalifiOO :tpp!it>ntl o.hould signify their interest m writing. Attadt the following documam to the application lcm.r and send 10 the address bclow not later

"""-------I. Fully accomplsihet.l Penornul DJta Sheer (I'DS) with recent pas•pon:·sized pioun: (CS Fonn No. 212, R.c•isOO 2017) whidt can be: downloaded at WWW CC gw nh;

2. PetfOtmancc ming in the present position for 01"1" (I) year (1f :owlicable); 3. Photocq>r of cen:ifiwe of cligibility/nting/liccrue; and

4. PhotocopyofTnn<cript of Records..

QUAUFIED APPUCA.NTS are aohisOO to hand in or send throulth courier/em ;til d1eir applicotion to:

ATTY. RODOLFO B. DELROSARIO, JR. Region.tl \~ce-P<e<i&nr

Philippine Heollh lnsorano::e Corporarinn

V~hm ond Sons Bldg~ Bolton Ext. Davao City

APPUC\TIONS WITH INCOMPLETE DOCUMENTS SHALL NOT BE ENTERTAINED.

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MEDICAL SPECIALIST I Accreditation and QA Section-PRO 21 MEDICAL SPECIALIST III MEDICAL OFFICER IV

JOB SUMMARY:

Under general supervision, the Medical Specialist I shall provide technical assistance in ensuring the proper implementation of accreditation and quality assurance program or the benefit administration program in the PRO.

JOB DESCRIPTION:

1. The Medical Specialist may be assigned to any of the following functions:

SET 1:

SETZ:

ACCREDITATION AND QUALITY ASSUSRANCE FUNCTION

•

•

•

•

Assessment of existing accreditation and quality assurance systems, policies, and guidelines to serve as inputs for its revision/improvement

Participates in dialogue with Institutional Health care Providers to discuss about issues and concerns pertaining to claims processing, accreditation and quality assurance and other NHIP matters.

Assists in the rendition of appropriate technical advice to health care providers : re: how to improve the quality of service to patients

Recommend appropriate action to critical issues and concerns pertaining health care delivery management

BENEFIT ADMINISTRATION

• Ensures accurate processing of benefit payment • Respond to queries/ complaints relative to claims processing procedures

2. Prepare inputs to short and long range operational objectives, strategies, action plans, and annual budget of the division

3. Assist in establishing linkages \vith external agencies performing functions necessary for the efficient and effective management of health care delivery plans and programs


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HR MANAGEMENT OFFICER III HR Unit-PRO 18 Administrative Officer IV HRMO II, HRMO I, PERSONNEL SPECIALIST I HRMA II, HRMA I

JOB SUMMARY:

Under general supervision, the HRM Officer III shall be responsible for the implementation of the human resource management and development program in the PRO consistent with the corporate HR policies, strategies and plans.

JOB DESCRIPTION:

1. Provide inputs to the short and long range operational objectives, strategies, action plans, and annual budget of the division specifically in the area of human resource management and development

2. Assist in the preparation of operational/ accomplishment report of the division

3. Responsible for implementing the following programs in the PRO:

•

•

•

•

• •

recmitment, selection and placement program (personnel interviewing, employment testing, evaluation of applicants' qualification) training management (preparation of training plan, training design and module development, conduct of trainings/ seminars/workshops for employee development) performance management (provide technical assistance to operating units as regards goal and standard-setting, conduct of performance monitoring and review; monitor compliance of PRO units to Plv!S requirements such as submission of Performance Commitment Certification of Accomplishment, conduct of performance reviews, mentoring, coaching, etc; and seek advise from Central Office-HRD in case there are issues difficult to resolve at the PRO level) employee relations/discipline (handling of programs/projects to promote sound management-employee relations, handling of gtievance cases and other problems affecting morale and efficiency (verification of facts, interviews, case reports, resolutions, etc.) Compensation and benefits administration

Employee records/HR information system management

4. Review work processes and recommend change/s to improve and optimize d1e performance of the Division in the area of human resource management and development

5. Establish linkages with various offices/ agencies that have direct influence on management's HR-related concerns;

6. Prepare simple to highly complex correspondence, presentation materials and other documents as may be required by the higher Officer

7. Perform other related tasks as may be assigned. 44PRO_I-IRMO lll.doc


JOB SUMMARY:

SPECIAL INVESTIGATOR II Legal Office-PRO 15 Attorney IV None

Under general supervision, the Special Investigator II shall provide assistance in the investigative functions in the PRO involving simple to moderately complex cases.

JOB DESCRIPTION:

1. Assist in the conduct of fact-finding investigation on all cases flled for action of the unit, including but not limited to:

• Administrative cases filed against personnel of the PhilHealth Regional Office (PRO),

• Fraudulent claims, • Offenses involving fixers, spurious checks, lost/ stolen checks, illegal encashrnent

of checks, etc., • Offenses committed by employer of NHIP members;

2. Assist in the preparation of fact-finding investigation report for revtew of PROAttorney;

3. Prepare simple to complex reports, presentations and correspondence as the need ar1se;

4. Prepare and maintain records/ documentation of cases flled and acted upon by the Unit;

5. Assist in recording/ documenting the proceedings of the meeting/ hearing;

6. Assist in the preparation of indicative plan of the unit;


1919PRO_Sl'ECIAL INVESTIGATOR ll.doc - 1 -

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SOCIAL INSURANCE OFFICER III Member Management Team-PRO 15 Division Chief IV Social Insurance Officer II Social Insurance Officer I Social Insurance Assistant II Social Insurance Assistant I

JOB SUMMARY:

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Under general supervision, the Social Insurance Officer III shall be responsible for providing services in any of the following areas: a) marketing/ advocacy to or collection management of medium-sized organized groups/private and government agencies; and b) review of benefit payment computation.

JOB DESCRIPTION:

1. Accountable to any of the following sets of activities/tasks depending on what Division he/ she will be assigned:


1. Handle groundworking/ gathering and analysis of vanous market data/information needed in marketing program


3. Conduct presentation of the National Health Insurance Program to potential donors/Sponsors including but not limited to the Organized Groups and Private/Government Agencies

4. Conduct orientation and re-orientation on NHIP to vanous stakeholders including the private and government sector members


6. Prepare reply to letter of inquiry and complaints from members and various stakeholders of the NHI Program

7. Assist in the preparation of a comprehensive marketing-related reports and information for ready reference of PRO Officers and Staff, which may include the following:

• Status of membership coverage by sector vs. set target

• Trends and history of membership drop-outs and its causes

89PRO_SOCIAL INSURANCE OFFICER III

• Table of marketing strategies implemented and its impact on membership enrollment


SET 2: COLLECTION /ACCOUNTS MANAGEMENT

1. Prepare and maintain report on the status of collection and contribution database updating/maintenance for ready reference of PRO Officers and Staff

2. Verify and confirm remittance of employers based on available information in accounts database, recently received employer reports and data from Treasury Department

3. Compute penalty charge for late remittances

4. Analyze/ evaluate all issues and concerns regarding contributions data and recommend and/ or take appropriate action to manage them

5. Represent the corporation to outside agencies including but not limited to Accredited Collecting Banks/ Agents, Sponsors and employers whenever there are collection/ contribution accounts concerns that need to be addressed immediately

6. Recommend and/ or take appropriate action to manage ISsues and concerns regarding collection and contributions data.

7.Performs other related tasks as may be assigned

SET 3 : CLAIMS PROCESSING

1.

2.

3.

4.

Review the computation of reimbursable amount of each claim

Check and certify the accuracy of encoded data in validation report vs. claims documents

Confirms member/ dependent eligibility and completeness of attached supporting documents thereof

Ensure that corrections needed are made before preparation of voucher

5. Assist in preparation of various claims report such as daily, weekly and monthly status report, etc.

6. Assist in handling complex quenes and complaints pertaining to benefit payment

7. Edit and re-validate wrong entries

89PRO_SOCIAL INSURANCE OFFICER III 2

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8. Review/ classify RTS/Denied claims and forwards to Section Chief


SET 4: ACCREDITATION AND QUALITY AsSURANCE

1. Assist in the conduct accreditation surveys, spot visits and monitoring visits to Institutional Health Care Providers based on Quality Assurance/ Accreditation Standards

2. Evaluate application for accreditation of Institutional Health Care Providers in terms of compliance to accreditation requirements and prepare draft recommendation to the Accreditation Committee for review by the Accreditation Team Leader

3. Assist in coordinating with various agencies/ offices for put"poses of verification, clarification and monitoring of compliance to deficiencies

4. Assist in preparing reports on pre-accreditation surveys, monitoring, and related activities

5. Recommend accreditation issues for resolution at the Accreditation Committee level

6. Attend to simple to complex queries, complaints of Health Care Providers

7. Assist in the implementation and periodic evaluation on the effectiveness of quality assurance program in the region


89PRO _SOCIAL INSURANCE OFFICER III 3


JOB SUMMARY:

ADMINISTRATIVE OFFICER I General Services Unit-PRO 11 Administrative Officer III None

Under general superv1s1on, the Administrative Officer I shall be responsible for the records management function in the PRO.

JOB DESCRIPTION:

1. Establish and maintain systematic filing/ arrangement of cotporate records for fast and easy retrieval of corporate documents including but not limited to Office Orders, Special Orders, Circulars, Annual Reports, etc.

2. Attend to requests for copy of documents maintained in the records library (retrieve, reproduce, authenticate and issue copies to requesting party /ies)

3. Ensure fast and accurate mailing of various documents to appropt-iate addressees

4. Ensure fast and accurate rendition of printing and reproduction services to various Divisions/Units and prepare report of supplies and materials consumed (no. of requests served, paper and toner usage, binding materials consumed, etc.)

5. Prepare and maintain record of flies received, released, pulled-out, mailed including the amount spent for such services (courier/postal services, gasoline for hand delivered documents, etc.)

6. Evaluate and process requests for allocation of telephone lines, mobile phones, etc. based on existing corporate policies and guidelines

7. Screen billing statements and process payment for telephone services

8. Prepare simple correspondence, reports, presentation materials and researches pertaining to management of records, transportation, communications, printing and reproduction services.


41PRO_AO I.doc


JOB SUMMARY:

SOCIAL INSURANCE OFFICER I Benefit Administration Section-PRO 11 Senior Social Insurance Officer None

----~- ----------

Under general supervision, the Social Insurance Officer I shall provide assistance in any of the following areas: a) marketing/ advocacy; b) screening and validation of membership application/amendment forms; c) monitoring of accounts of small to medium sized agencies; d) computation of benefit (performance standards less than SIO II); and e) accreditation of health care professionals and health care providers ~ess

problematic case).

JOB DESCRIPTION:

1. Accountable to any of the following set of activities/tasks depending on what Division he/ she will be assigned:


1. Coordinate with various offices/ agencies as regards program presentation or conduct of researches and interviews

Assist in ground working/ gathering and analysis of vanous market data/information needed in marketing the program

Perform marketing/ advocacy-related tasks to target organized groups and individuals, from the information education campaign to enrollment stage

Assist in the presentation of the National Health Insurance Program to potential donors/Sponsors including but not limited to the Organized Groups and Private/Government Agencies

Assist in the conduct orientation and re-orientation on NHIP to var1ous stakeholders including the private and government sector members

Attend to telephone and walk-in queries and complaints of members and other stakeholders of the NHI Program

7. Issue PhilHealth Number and Identification Cards

8. Conduct initial screening of membership applications received during the marketing operation, then forward the same to the unit in-charge of membership data management


82PRO _Social Insurance Officer I

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1. Review membership information sheet against the membership application form as well as the screening and validation done by the data controllers

2. Evaluate requests for updating of membership data and effect change/ s if found to be valid

3. Edit/ amend membership data as authorized by the supervisor/ authorized officer and prepare report of changes made

4. Assist in the preparation of reply to rnqumes and complaints regarding membership data

5. Attend to request for retrieval/viewing of membership data for various purposes

6. Monitor status of membership form submission from private and government employers



1. Assist in the preparation and maintenance of various account status reports and the like

2. Assist in verification and confrrmation of employer remittances based on available information in accounts database, recendy received employer reports and other collection data

3. Prepare draft of penalty charge for late remittances

4. Assist in preparation of reply to inquiries and complaints regarding contributions data

5. Assist in monitoring of status of contributions submission from members/ employers/ sponsors

6. Verify the correctness of billing statements to sponsors/members



1. Compute the amount of compensable claims based on medical evaluation done and existing policies on payment of claims

82PRO _ Social Insurance Officer I 2

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2. Indicate total amount of benefits to be paid and forward claims to encoder for recording of computed claims

3. Review as to eligibility and completeness of vanous claims documents attached

4. Assist in handling simple to moderately complex quenes, clarifications, follow-ups from health care providers/professionals



1. Assist in receiving, evaluating and processing of application for initial accreditation, renewal of accreditation and re-accreditation of Professional Health Care Professionals

2. Coordinate with accredited health care providers concern the submission of MMHR

3. Assist in recording and processing of data in the Monthly Mandatory Hospital Report and Out-Patient Benefit Report

4. Monitor status of submission of accreditation requirements from Health Care Providers

5. Maintain record of received applications for accreditation, schedule of surveys, and status of applications for ready reference

6. Ensure that all policies and guidelines affecting Health Care Providers are disseminated to all concerned parties on time


8. .Assist in preparation of accreditation reports, pre-accreditation surveys, monitoring, and related activities

9. Recommend issues for resolution at the Accreditation Committee level for review of the Accreditation Team Leader

10. Record incoming and outgoing documents of the Division

II. Performs other related tasks as may be assigned.

82PRO_ Social Insurance Officer I 3


JOB SUMMARY:


Under general supervision, the Social Insurance Officer I shall provide assistance in any of the following areas: a) marketing/advocacy; b) screening and validation of membership application/ amendment forms; c) monitoring of accounts of small to medium sized agencies; d) computation of benefit (performance standards less than SIO II); and e) accreditation of health care professionals and health care providers (less problematic case).

JOB DESCRIPTION:

1. Accountable to any of the following set of activities/ tasks depending on what Division he/ she will be assigned:

SET 1: MARKETING AND MEMBERSHIP

1. Coordinate with various offices/ agencies as regards program presentation or conduct of researches and interviews

2. Assist in ground working/ gathering and analysis of var1ous market data/information needed in marketing the program


4. Assist in the presentation of the National Health Insurance Program to potential donors/Sponsors including but not limited to the Organized Groups and Private/ Government Agencies

5. Assist in the conduct orientation and re-orientation on NHIP to vanous stakeholders including the private and government sector members


7. Issue Phi!Health Number and Identification Cards



82PRO Social Insurance Officer I

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4. Assist in the preparation of reply to mqwnes and complaints regarding membership data

5. Attend to req~est for retrieval/viewing of membership data for various purposes





2. Assist in verification and confirmation of employer remittances based on available information in accounts database, recendy received employer reports and other collection data




6. Verify the correctness of billing statements to sponsors/ members




82PRO _ Social Insurance Officer I 2

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4. Assist in handling simple to moderately complex quer1es, clarifications, follow-ups from health care providers/professionals



1. Assist in receiving, evaluating and processing of application for initial accreditation, renewal of accreditation and re-accreditation of Professional Health Care Professionals







8. Assist in preparation of accreditation reports, pre-accreditation surveys, monitoring, and related activities




82PRO _Social Insurance Officer I 3


JOB SUMMARY:

FISCAL CLERK III Cashiering Unit-PRO 8 Fiscal Controller III None

Under general supervision, the Fiscal Clerk III shall provide assistance in checks review, preparation of collection reports and other clerical works.

JOB DESCRIPTION:

1. Ensures that all checks bear the signature of authorized personnel

2. Provide assistance in the preparation of daily collection report, maintenance of cashbook and other records of the Section

3. Provide assistance in preparation of correspondence, reports, presentation materials, etc.


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HRM ASSISTANT HR Unit-PRO 8 HR Management Officer III None

Under general supervision, the HRlvi Assistant shall assist in attendance monitoring, processing of loan applications, issuance of compensation related documents and maintenance of 201 file.

JOB DESCRIPTION:

1. Process application for loans

2. Prepare draft Warning and Notices of Violation to Corporate Policies and Standards (Attendance, Dress Code, etc.)

3. Assign Control Numbers for Travel Orders, Official Business Slips, and the like

4. Prepare/issue compensation and benefit documents such as notices of salary adjustments, notices of salary deductions due to insufficient leave balances

5. Maintain/update 201 files (including training and performance management documents)


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SOCIAL INSURANCE ASSIST ANT I Benefit Administration Section-PRO 8 Senior Social Insurance Officer None

JOB SUMMARY:

Under general supervision, the Social Insurance Assistant I shall provide services in the receiving/ screening of membership forms, receiving and screening of claims and distribution of IEC materials.

JOB DESCRIPTION:



1. Receives claims form members and providers and counter-check ,vith transmittal list provided/ submitted

2.

3.

4.

5.

6.

Check completeness of the data declared in PhilHealth Claim Forms and the required supporting documents attached to it

Indicate deficiencies or lacking documents in claims documents, if there 1s any

Verify accuracy/ authenticity of information in PhilHealth Claim Forms based on existing database or other valid sources



7. Check the number of encoded claims and verify the accuracy of encoded information in the List of Claims Received


SET 2: SERVICE OFFICE MEMBER MANAGEMENT TEAM

84PRO _Social insurance Assistant I

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2. Assist in the screening of accomplished membership forms and issuance of Phi!Health Number/Identification Cards




6. Ensure that Phi!Health Number/Identification Cards are prepared properly and attached to the right membership information sheet


8. Perfmms other related tasks as maybe assigned

84PRO _Social insurance Assistant I 2

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JOB SUMMARY:

CLERK III Health Care Delivery Management Division-PRO 6 Medical Specialist IV None

Under general supervision, the Clerk III shall be responsible for performing a variety of clerical duties in the discharge of the official functions of the Office.

JOB DESCRIPTION:

1. Receives and records in a logbook or any records keeping device all incoming and outgoing communications/ correspondences, reports and documents to and from the office.

2. Distributes all mcommg and outgoing documents received to d1e appropriate addressee/ s.

3. Establishes and maintains the general and other files of the office.

4. Types reports, memoranda, correspondences and other outputs of the office.

5. Assists in the receiving of callers, guests and visitors of the office.

6. Attends to the administrative task of calling, conducting, documenting meetings, discussions or dialogues as necessary.


67PRO_CLERK Ill - 1-lca\th Carc.doc

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CSFormNo.9

SelicJoj2017 Electronic copy to be submitted to the CSC FO must be

in MS Excel format



PHILIPPINE HEALTH INSURANCE CORPORATION Request for Publication ofVacant Positions

This is to request the publication of the following vacant positions of Philippine Health Insurance Corporation (PhiiHealth) in the esc website:

Sala<y/ Qualification Standards Plantilla Monthly

No. Position Title Job/Pay Item No. Salary Education Training Experience Eligibility Grade

1 Social Insurance Assistant II 51-02-0159 10 18,718.00 Completion of two 8 hours of 2 years relevant Career Service years studies in college relevant training experience (Subprofessional)/ rirst

Level Eligibility


Interested and qualified applicants should signify their interest in writing. Attach the following document.-> to the application letter and send to the address below not later

than

1. Fully accomplsihcd Pertional Data Sheet (PDS) with recent passport-sized picture (CS Form No. 212, Revised 2017) which can be downloaded at www.csc.gov.ph; 2. Performance rating in the present position for one (1) year (tf applicable);



QUALIFIED APPLICANTS arc advised to hand in or send through courier/email their application to:

MR. EUGENIO C. DONATOS OTC-Rebrional Vice-Prc:;idcnt

Philippine Health Insurance Corporation CSA Bldg., cor. Zulueta St., General Santos Drive,

Koronadal City, South Cotabato

WITH INCOMPLETE DOCUMENTS SHALL NOT BE ENTERTAINED.

---------- ---- ---- ---

Place of Assignment

PhiiHealth Regional Office XII

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JOB SUMMARY:

SOCIAL INSURANCE ASSISTANT II Member Management Team-PRO 10 Social Insurance Officer III None

Under general supervision, the Social Insurance Assistant II shall provide assistance in the packaging and distribution of IEC material, screening of membership forms/ collection reports

JOB DESCRIPTION:

1. Responsible for any of the following set of activities/tasks depending on what Division /Section he/she will be assigned:



2. Assist in the screening of accomplished membership forms and Issuance of Phi!Health Number/Identification Cards

3. Consolidate accomplished membership forms and forward the same to concerned marketing officers or units for distribution

4. Assist in the preparation of various reports/ documents as may be assigned

5. Assist in generating marketing-related pro forma letters/ correspondence

6. Prepare marketing kits and materials at least a day before the scheduled marketing date

7. Establish and update database of marketing status monitoring system




92PRO _ Social Insurance Assistant II

2. Verify/validate information declared in the membership application form






1. Screen/ examine employer reports to ensure employers' compliance to existing Contribution Accounts systems and policies

2. Record/post remittance data in the accounts monitoring index/ database

3. Prepare report of deficiency /ies found in the report/ s

4. Generate pro-forma Notice of Deficiency

5. Maintain record of reports screened/ examined and released to concerned units

6. Proof-read entry in control slips and prepare required documents for transmittal of reports/data to service bureau

7. Scan and validate/arrange format of diskette reports

8. Review correctness/accuracy of entries in contribution database


92PRO _Social Insurance Assistant II 2

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Republic of the Philippines F,-;;;;,~-r~ be sub-;,~;ed ;o Me esc FO must be I

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PHILIPPINE HEALTH INSURANCE CORPORATION Request for Publication of Vacant Positions

This is to request the publication of the following vacant positions of Philippine Health Insurance Corporation (PhiiHealthl in the CSC website:

REPOSTING

ROJJ.dRRER, M.D. flepd of Agency)

Date: I l



Job/Pay Monthly

Competency Item No.

Grade Salary Education Training Experience Eligibility

(if applicable)

1 Medical Officer VII 08-00-0026 25 82,439.00 Doctor of Medicine 16 hours of 3 yt.-ars relennt RA 1080 relc\•ant training C.-..;pcrit.'flCC

2 Chief Sucia1 Insurnnce Officer 48-06-0132 22 58,717.00 Bachelor's degree 24 hours of 4 yt.-ars rele\-a.nt Career Scn·icc rclt.•Yant to the job re!C\"nnt training cxpcnencc (Professional)/ Second

Level Eligibility

3 ~kdical Specialist I 40-04-0038 21 52,554.00 Doctor of Medicine 4 hours of 1 yt.-ar reb·ant RA 1080 rcle\·ant training experit.'flCe

4 ~ledical Specialist I 40-04-0034 21 52,554.00 Doctor of Medicine 4 hours of 1 year relC\·ant RA 1080 relevant training experience

5 Social Insurnnce Officer I 48-01-0232 11 20,179.00 Bachelor's degree None required None required Career Service rcle\'ant to the job (Professional)/ Second

Le\·cl Eligibility

6 Financial Planning Assistant B 34-02-0019 10 18,718.00 Completion of two 8 hours of 2 years relevant Career Scro.>ice years studies in college relcnnt training experience (Subprofessional)/ First

l.evcl Eligibility


than ------------

1. Fully accomplsihed Personal Data Sheet (PDS) with recent passport-sized picture (CS Fo'!ll No. 212, Rt."\;sed 201 T) which can be dmvnloaded at \V\V\v.csc.gm·.ph; 2. Performance rating 1n the prest.'flt position for one (1) year (if applicable); 3. Photocopy of certificate of eligibility/rating/license; and


QUALIFIED APPLICANTS are ad\;scd to hand in or send throu_gh courier/email their application t

MR. EUGENIO C. DONATOS OIC-Regional Vice-President

Philippine Health Insurance Corporation CSA Bldg., cor. Zulueta St., Genera] Santos Dri\'e,

Koronadal City, South Cotabato I !

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Place of Assignment

PhiiHealth Regional Office XII

PhilHcahh Regional Office XII

Phi!Hcalth Regional Office XII

PhiiHcahh Regional Office XII

Phi!Hcalth Regiona1 Office XII

PhiiHeahh Regional Office XII

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JOB SUMMARY:

MEDICAL OFFICER VII Health Care Delivery Mgt. Div.-PRO 25 Assistant Vice President MEDICAL SPECIALIST III CLERK III

Under general supervision, the Medical Officer VII shall be responsible for ensuring the delivery of health care services to NHIP covering, accreditation and quality assurance and claims processmg.

JOB DESCRIPTION:

1. Prepare short and long range operational objectives, strategies, action plans, and annual budget of the division

i Assist the PRO-Head in the interpretation of guidelines, rules and systems and procedures pertaining to health care delivery management

3. Implement policies/ standards on accreditation and quality assurance and benefit payment

4. Dialogue with Institutional Health care Providers to discuss issues and concerns pertaining to claims processing, accreditation and quality assurance and other NHIP matters.

5. Ensure rendition of appropriate technical advice to health care providers : re: how to improve the quality of service to patients

6. Establish and maintain linkages with external agencies performing functions necessary for the efficient and effective management of health care delivery plans and programs

7. Regularly monitor the performance of the division against plans/target, determine performance gaps, and take appropriate courses of action to ensure prompt and proper solution to lessen/ eliminate these gaps


9. Submit operational report to the PRO-Head

10. Provide regular updates to the PRO-Head on critical concerns pertaining to health care delivery management


12. Recommend and/or take appropriate actions to continuously develop knowledge, skills, and abilities of the human resource



JOB SUMMARY:


Under general supervision, the Chief Social Insurance Officer shall be responsible for the supervision of program implement,~tion in membership management and/ or collection/ contribution management.

JOB DESCRIPTION:


• • •

Membership Management Collection/Contribution Management NHIP Service Office Operations


3. Assist in the preparation of indicative plans and operational/ accomplishment report of the division

1 4. Assist the Division Head in monitoring the performance of the unit, review its work

processes and recommend change/ s to improve and optimize its performance, subject to approval by the Division Head and the PRO-Head



25 ,7. Prepare simple to highly complex correspondence, presentation materials and other documents as may be required by the higher Officer ---- ..J


85PRO CHIEF SOCIAL INSURANCE OFFICER.doc-Service Office



JOB SUMMARY:

Under general supervision, the Medical Specialist I shall be perform either medical evaluation of claims or evaluation of accreditation of health care providers

JOB DESCRIPTION:

1. The Medical Specialist I shall perform any of the following medical - related tasks:

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• Conduct accreditation surveys to Institutional Health Care Providers

• Evaluate application for accreditation of Institutional Health Care Providers

•

•

Assists the Central Office in the systematic evaluation of the effects of the use of drugs, devices, medical procedures and other health related products as well as the HCPs and organizations that use these technologies.

Provides technical assistance to other units that reqwres expert medical advice and inputs.

• Manages medical related technical issues on health care provider's practice.

• Conducts studies and researches on quality assurance, standards development and accreditation policies.


• Responsible for medical evaluation of claims



-----------------------------------------------------


MEDICAL SPECIALIST I Accreditation and QA Section-PRO 21 MEDICAL SPECIALIST III MEDICAL OFFICER IV

JOB SUMMARY:

Under general supervision, the Medical Specialist I shall provide technical assistance in ensuring the proper implementation of accreditation and quality assurance program or the benefit administration program in the PRO.

JOB DESCRIPTION:

1. The Medical Specialist I may be assigned to any of the following functions:

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1.----···

SET1:

SET2:

ACCREDITATION AND QUALITY ASSUSRANCE FUNCTION

•

•

•

•

Assessment of existing accreditation and quality assurance systems, policies, and guidelines to serve as inputs for its revision/improvement

Participates in dialogue with Institutional Health care Providers to discuss about issues and concerns pertaining to claims processing, accreditation and quality assurance and other NHIP matters.

Assists in the rendition of appropriate technical advice to health care providers : re: how to improve the quality of service to patients

Recommend appropriate action to critical issues and concerns pertaining health care delivery management

BENEFIT ADMINISTRATION

• Ensures accurate processing of benefit payment • Respond to queries/ complaints relative to claims processing procedures

2. Prepare inputs to short and long range operational objectives, strategies, action plans, and annual budget of the division

3. Assist in establishing linkages with external agencies performing functions necessary for the efficient and effective management of health care delivery plans and programs


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JOB SUMMARY:


Under general supervision, the Social Insurance Officer I shall provide assistance in any of the following areas: a) marketing/advocacy; b) screening and validation of membership application/ amendment forms; c) monitoring of accounts of small to medium sized agencies; d) computation of benefit (performance standards less than SIO II); and e) accreditation of health care professionals and health care providers Qess problematic case).

JOB DESCRIPTION:

1. Accountable to any of the following set of activities/ tasks depending on what Division he/she will be assigned:


1. Coordinate \vith various offices/ agencies as regards program presentation or conduct of researches and interviews

2. Assist in ground working/ gathering and analysis of vanous market data/information needed in marketing the program


4. Assist in the presentation of the National Health Insurance Program to potential donors/Sponsors including but not limited to the Organized Groups and Private/ Government Agencies

' 5. Assist in the conduct orientation and re-orientation on NHIP to vanous

stakeholders including the private and government sector members


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7. Issue PhilHealth Number and Identification Cards



82PRO Socia\ Insurance Officer I





4. Assist in the preparation of reply to mqumes and complaints regarding membership data

5. Attend to request for retrieval/viewing of membership data for various purposes





2. Assist in verification and confirmation of employer remittances based on available information in accounts database, recently received employer reports and other collection data




6. Verify the correctness of billing statements to sponsors/members




82PRO Social Insurance Officer I 2



4. Assist in handling simple to moderately complex quenes, clarifications, follow-ups from health care providers/professionals



1. Assist in receiving, evaluating and processing of application for initial accreditation, renewal of accreditation and re~accreditation of Professional Health Care Professionals







8. Assist in preparation of accreditation reports, pre-accreditation surveys, monitoring, and related activities




82PRO _Social Insurance Officer I 3

---~----


JOB SUMMARY:

FINANCIAL PLANNING ASSISTANT B Comptrollership Unit-PRO 10 Fiscal Controller III None

Under general supervision, the Financial Planning Assistant B shall provide assistance in the preparation of accounting reports and recording of financial transactions.

JOB DESCRIPTION:

1. Prepare accounting reports and certificates such as Monthly BIR Reports, Certificates of Disbursement Voucher for rental, supplies, Annual Summary of Withholding Tax, Certificates of Withholding Tax to Medical Practitioners, etc.

2. Handle recording of transactions in Book of Accounts such as Voucher Register, Journal of Collection and Deposits, General Journal of Check Register and the like

3. Handle posting of transactions in Subsidiary and General Ledgers

4. Perform other tasks as may be assigned.

29PRO_Fincancia1 Planning Asst H.doc

' CSFormNo.9 Series of2017

1

Electronic copy to .be submitted to the esc FO must be 1

~---- ___ mMSE~~~~O~"!_a!___ ____ _ 1

,

To, CML SERVICE COMMISSION (CSC)


PHILIPPINE HEALTH INSURANCE CORPORATION Request for Publication of Vacant Positions

This is to request the publication of the following vacant positions of Philippine Health Insurance Corporation (PhiiHealthl in the CSC website:

ROY 8 FERRER, M.D. (He d of Agency)

Date' __ .1._ ______ _

Salary/ Qualification Standards Plantilla Monthly

No. Position Title Job/Pay Competency Item No.

Grade Salary Education Training Experience Eligibility

(if applicable)

I Human Resource Management 21-02-0007 10 18,718.00 Completion of two 8 hours of 2 years relevant Career Service Assistant II years srudies in college relevant training experience (Subprofessional)/ Pirst

Level Eligibility


than

L Fully accomplsihcd Personal Data Sheet (PDS) with recent passport-sized picrure (CS Form No. 212, Revised 2017) which can be downloaded at www.csc.gov.ph; 2 Performance rating in the present position for one (1) year (tf applicable);



QUALIFIED APPUCANTS are advised to band in or send through courier/email their application to:

DR. EDUARDO S. GONZALES OIC-Regional Vice-President

Philippine Health Insurance Corporation

~ 776 f. Rosales Ave., Buruan City

Place of Assignment

PhilHcalth Regional Office CARAGA

I ,.- --=41 [email protected]

> APPLICAJ" 0 S WITH INCOMPLETE DOCUMENTS SHALL NOT BE ENTERTAINED.

,---------------- -- ------------ -----------

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JOB SUMMARY:

HRM ASSISTANT II HR Unit-PRO 10 HR Management Officer III None

Under general supervision, the HRM Assistant II shall provide administrative function in leave administration and attendance monitoring, payroll preparation, issuance of employment records and conduct of training/ seminars.

JOB DESCRIPTION:

1. Update leave cards and attendance reports

2. Prepare /process payroll updates of personnel and contractors including but not limited to the following activities:

• Computation of actual work rendered and effect changes in payroll based on attendance and leave records/ reports

• Preparation of notices of salary adjustments or NOSA

• Processing of applications for A TM

3. Assist in processing of documentary requirements for the conduct of trainings

4. Prepare service records, certificates of employment and compensation, report of assets, liabilities and net worth of newly hired/separated personnel and annual summary report of employee's assets, liabilities and net worth


48PRO_HRM,\ ll.doc

CSFormNo. 9 Sen·u ofl0/7




Request for Publication ofVaeant Positions

This is to request the publication of the following vacant positions of Philippine Health Insurance Corporation (phi!Healthl in the CSC website:

Salary/ Qualification Standards Plantilla Monthly

No. Position Title Job/Pay Item No. Salary Education Training Experience Eligibility

Grade

1 Chief Social lnsumnce Officer 48-06-0134 22 58,717.00 Bachelor's degree 24 hours of 4 years rch:vant Career Service relevant to the job rcle\'ant training experience (Profe~sional)/ Second

Lc\·cl Eligibility

2 Fiscal Controller IV 32-()4..(]016 22 58,717.00 Bachelor's degree 16 hours of 3 )'c:lt$ reb-ant RA 1080 (Certified relevant to the job relevant training e."perience Public Accountant)

3 Administmtion Services 1>03-0062 8 16,282.00 Completion of two 4 hours of 1 ye1r of rclevant Carcc::r Scnice Assistant C y<."al"S studies in college rcb"3nt training e.":pericncc (Subprofessional)/ First

LeYel Eligibility

4 Fiscal Clerk II I 31-03-0065 8 16,282.00 Completion of two 4 hours of 1 year of relevant Career Serv!ce years studies in college rclc\-ant training C.."\-periL'DCC (Subprofessional)/ First

Level Eligibility 5 Social I nsumnce Assistant I Sl...Ql-0278 8 16,28200 Completion of two 4 hours of 1 year of relevant Career Service

years studies in college relevant training experience (Subprofessional)/ First Le\·el Eligibility

6 Social Insurance 1\s~istant I 51...()1...()276 8 16,282.00 Completion of two 4 hours of 1 year of relevant Career Sen·ice years studies in college relevant training experience (Subprofessional)/ First

Level Eligibility



thm ----------

1. Fully accomplsihcd Personal Data Sheet (PDS) with recent passport-sized picture (CS Form No. 212, Rc\-ised 2017) which can be downloaded at \\'\Vw.c~c.gcwph; 2 Performance rating in the present position for one (I) year (If applicable); 3. Photocopy of certificate of eligibility/rating/license; and


QUALIFIED APPUCANTS are ad\·ised to hand in or send through courier/email their application to:

DR. EDUARDO S. GONZALES OIC-Rcgional Vice-President

Philippine Health Insurance Coporation

776 j. Ro~ales Ave., Butuan City [email protected]


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Place of Assignment

Phi\Hcalth Regional Office CARAGA

l'hili-Icalth Regional Oflicc CAHAGA Phi\Health Regional Office CAR.J\GA

Phi!Hcalth Regional Office CARAGA

PhilHealth Regional Office CARAGA

PhilHealth Regional Office CARAGA


JOB SUMMARY:

CHIEF SOCIAL INSURANCE OFFICER SERVICE OFFICE-PRO 22+ Division ChiefiV Senior Social Insurance Officer Social Insurance Officer III Social Insurance Officer II Social Insurance Officer I Social Insurance Assistant II Social Insurance Assistant I

Under general supervision, the Chief Social Insurance Officer shall be responsible for the supervision of program implementation in membership management and/ or collection/ contribution management.

JOB DESCRIPTION:


• • •

Membership Management Collection/Contribution Management NHIP Service 0 ffice Operations


3. Assist in the preparation of indicative plans and operational/accomplishment report --~- -,

4

. of the division

-:';I Assist the Division Head in monitoring the performance of the unit, review its work

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processes and recommend change/ s to improve and optimize its performance, subject to approval by the Division Head and the PRO-Head





85PRO_CHIEF SOCIAL INSURANCE OFFICER.doc-Service Office


SUPERVISES

JOB SUMMARY:

FISCAL CONTROLLER IV Fund Management Section-PRO 22 Division Chief IV Management Services Division Fiscal Controller III, Comptrollership Unit Fiscal Controller III, Cashiering Unit

Under general supervision, d1e Fiscal Controller IV shall perform responsible jobs in financial control and reporting in ilie PRO.

JOB DESCRIPTION:

1. Develops PRO financial plan 2. Monitors cash position of the PRO including collections and disbursements 3. Monitors/ controls ilie allocation and disbursement of funds in accordance wiili approved

rules and regulations 4. Ensures adherence of ilie PRO to sound financial accounting and control practices 5. Certify availability of funds on vouchers, payroll, requisition slips and purchase orders; 6. Maintain record of all institutional and individual accounts. 7. Provides financial advisory services to ilie PRO Head/Division Head; 8. Provides inputs to the short and long range operational objectives, strategies, action plans,

and annual budgets of ilie division 9. Assists in the preparation of indicative plans and operational/ accomplishment report of ilie

division 10. Assists ilie Division Head in monitoring ilie performance of ilie section, review its work

processes and recommend change/ s to in1prove and optimize its performance, subject to approval by the Division Head and ilie PRO-Head

11. Guide the staff in its work meiliods and procedures to ensure systematic recording of all financial transactions, up-to-date and accurate keeping/ maintenance of books of original entry, general/ subsidiary ledgers and other auxiliary records of d1e PRO, preparation and consolidation of financial statements and financial reports.

12. Establishes/maintains harmonious working relations between ilie division and oilier units ofilie PRO

13. Performs oilier related tasks as may be assigned

24PRO_Pi~ca.l COntroller rv_Fund.doc


JOB SUMMARY:

ADMINISTRATION SERVICES ASSISTANT C General Services Unit-PRO 8 Administrative Officer III None

Under general supervision, the Administration Services Assistant B shall provide general assistance in the area of records management.

JOB DESCRIPTION:

1. Assist in receiving various documents from other units/ agencies and distribution of the same to concerned units/agencies

2. Assist in systematic filing of Corporate Systems, Policies, Guidelines and Procedures for easy reference of PRO Officers and Staffs

3. Process all records and documents for reproduction and mailing

4. Attend to request for copy of documents maintained by the Office (document retrieval and authentication)

5. Assist m processing of payments for consumption of water, electricity, telephone/ telecommunications, internet providers, gasoline, etc.


43PRO_,\St\ C.doc 1


JOB SUMMARY:

FISCAL CLERK III Comptrollership Unit-PRO 8 Fiscal Controller III None

Under general supervision, the Fiscal Clerk III shall provide assistance in checks review, preparation of collection reports and other clerical works.

JOB DESCRIPTION:

1. Ensures that all checks bear the signature of authorized personnel

2. Provide assistance in the preparation of daily collection report, maintenance of cashbook and other records of the Section

3. Provide assistance in preparation of correspondence, reports, presentation materials, etc.


30PRO_riscal Clerk III.doc

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JOB SUMMARY:

SOCIAL INSURANCE ASSISTANT I MEMBER l\L-IN.-IGE!\!ENT TE.-1111-PRO

8 Social Insurance Officer III None


JOB DESCRIPTION:

1. Responsible for any of the following set of activities/ tasks depending on what Division/ Section he/ she will be assigned:




3. Indicate deficiencies or lacking documents in claims documents, if there 1s any

4.

5.

6.

7.

Verify accuracy/authenticity of information in PhilHealth Claim Forms based on existing database or other valid sources






93PRO _Social Insurance Assistant I

1. Assist in the distribution of va1~ous IEC materials and membership forms to target members during campaign periods


3. Screen membership application form to ensw:e completeness of data


5. Review member information encoded in the database to ensw:e correctness

6. Ensw:e that PhilHealth Number/Identification Cards are prepared properly and attached to the right membership information sheet



93 PRO Social Insurance Assistant I 2

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SOCIAL INSURANCE ASSISTANT I Benefit Administration Section-PRO 8 Senior Social Insurance Officer None

JOB SUMMARY:


JOB DESCRIPTION:





3.

4.

5.

6.

7.

Indicate deficiencies or lacking documents in claims documents, if there ts any

Verify accuracy/ authenticity of information in Phi!Health Claim Forms based on existing database or other valid sources






84PRO Social Insurance Assistant I









84PRO_ Social insurance Assistant l 2


To: CML SERVICE COMMISSION (CSC)


PHIUPPINE HEALTH INSURANCE CORPORATION



D l ae:

Salary( Qualification Standards Plantilla Item

No. Position Title No.

Job/ Pay Monthly Salary Grade Education Training Experience Eligibility

1 Management Specialist II 13-02-0009 16 31,765.00 Bachelor's degree 4 hours of relevant 1 year of relevant Career Service relevant to the job training experience (Professional)/ 2nd

Level E~gibUity

2 Audrting Systems Specialist 13-01-0003 13 24,224.00 Bachelor's degree None required None required Career Service I relevant to the job (Professional)/ 2nd

Level Eligibility

3 Public Relations Officer B 44-02-0001 13 24,224.00 Bachelor's degree None required None required Career Service (Prcfesslonai)J 2nd Level Eligibility

4 Cler1t111 2<J.<I3.0022 6 14,340.00 Completion of two None required None required Career Service years studies In {Subprofessional)l1 st OJ liege Level Eligibility

5 Medical Specialist I 4Q...04-0001 21 52,554.00 Doctor of Medicine 4 hours of relevant 1 year relevant RA 1080 training experience

6 Information Systems 55-02-0022 16 31,765.00 Bachelor's degree 4 hours of relevant 1 year relevant Career Service Analyst u relevant to the job training experience (Professional)/ 2nd

Level Eligibility

7 Information Systems 55-02..0025 16 31,765.00 Bachelor's degree 4 hours of relevant 1 year relevant Career Service Analyst u relevant to the job training experience (Professional)/ 2nd

Level Eligibility

8 Senior Social Insurance 48-05-0004 18 38,085.00 Bachelor's degree 8 hours of relevant 2 years relevant Career Service Officer relevant to the job training experience (Professional)/ 2nd

Level Eligibility

9 Medi(;S! Specialist JU 41-02-0010 " 65,604.00 Doctor of Medicine 8 hours of relevant 2 years relevant RA 1080 training experience

10 SOCial Insurance OffiCer I 48-01-0002 11 20,179.00 Bachelor's degree None required None required career Service relevant to the job (ProfessionaQ/2nd

Level Eligibility

11 Social Insurance Officer I 48-01-0023 11 20,179.00 Bachelor's degree None required None required Career Service relevant to the job (Professional)/ 2nd

Level Eligibility

12 Social Insurance Officer I 48-01-0028 11 20,179.00 Bachelor's degree None required None required Career Service relevant to the job (Prcfessiona!}l2nd

Level Eligibility

ElocJronlc ccpy to be subrmt!od /o Jl!o esc FO must b& ill MS E~cot formal

REPOSTING

R Y B. FERRER, M.D.

Head of Agency)


(if applicable)

Organization and Systems Development Office

Operations Audit Department

Public Affairs Department (Corporate Communica~ons Department)

Fact-Finding, Investigation and Enforcement Department

Protest and Appeals Review Department

Corporate lnforma~on Security Department

Corporate Information Security Department

Office of the Area Vice President for NCR and South Luzon

Standards and Monltoring Department

Overseas Filipino Program (to be assigned In SHIA)



Interested and qualified applicants should signify their interest in writing. Attach the following documents to the application letter and send to the address below not later than-------1. Fu!ly accomplished Personal Data Sheet (POS) with recent passport-sized picture (CS Form No. 212, Revised 2017) which can be downloaded at www.csc.gov.ph:

2. Performance rating in the present position for one (1) year (if applicable); 3. Photocopy of certificate of eligibility/rating/license: and 4. Photocopy of Transcript of Records.

QUALIFIED APPLICANTS ar

Room 150915th Floor No. 709 Shaw Blvd Bmy. Oranbo Pasig City recruitment@ ph i!nealth.~:ov.ph


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JOB SUMMARY:

MANAGEMENT SPECIALIST II ORGANIZATION AND SYSTEMS DEVELOPMENT OFFICE 16 Senior Management Specialist None

Assists the Senior Manager in providing advice and staff services to the Corporation on matters pertaining to organization and staffing, med1ods, systems and procedures and physical resources requiretnents.

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AUDITING SYSTEMS SPECIALIST I Operations Audit Department 13 Chief Auditing Systems Specialist Financial Audit Department None SUPERVISES

JOB SUMMARY:

Under general supems10n, the Auditing Systems Specialist I of the Operations Audit Department performs simple and routine professional internal auditing and other related work.

JOB DESCRIPTION :

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1. Conducts researches to obtain background information on the activities to be audited to detennine the impact on the audit, the resources necessary to perform the audit, and possible risks associated with the audit;

2. Discusses research findings with the leader of the auditing team;

3. Performs simple operations auditing work such as:

a. Making physical counts of products, supplies and assets for comparison with books of accounts,

b. Verifying the completeness, validity and accuracy of the operations data entered into information systems by subjecting said data to edit checks, by matching to approved control files, by ensuring that transactions are accounted for in numeric sequence and by comparing file totals with control accounts,

c. Reviewing suitability of report forms,

d. Checking accuracy of reports,

e. Checking adequacy of manuals ,

4. Drafts report on the results of the audit completed;

5. Discusses audit results with auditee/s before the draft of the report is fmalized;

6. Makes appropriate recommendations based on the results of the audit;

7. Follows-up actions to detennine if audit recommendations have been carried out or not and to inquire for the reasons for non-implementation;

8. Performs other related task as may be assigned.

08 Operations Audit_ Auditing Systems Specialist I.doc

JOB TITLE OFFICE


JOB SUMMARY

PUBLIC RELATIONS OFFICER B Communications Management Division Public Affairs Department 13 Public Relations Officer II None

Under general supervision, the Public Relations Officer B shall provide technical assistance in ensuring synergistic implementation of corporate Communication Plan.

JOB DECRIPTION:

1. Prepares public relations materials including news releases, fact sheets, articles, newsletters, advertising copy, broadcast scripts, advertorials and messages of key officers for event souvemr programmes;

2. Drafts policies, strategies, and responses relative to corporate issues on public affairs;

3. Provides administrative support for promotional special events such as press conferences, banquets, exhibits, product or service fairs, athletic events, and other corporate events;

4. Assists in monitoring the content, production, and distribution of promotional printed materials including corporate magazine, brochures and flyers;

5. Responds to requests for information from media personnel and the public;

6. Coordinates with concerned offices on the distribution of promotional materials, including flyers, brochures, and press kits; disseminates information via the appropriate media;

7. Documents corporate events.

8. Arranges media interviews with key officers.

9. Handles basic layout of communication materials such as circulars for publication, advisories, ear ads and advertorials.

10. Handles advertising booking and placement for corporate tri-media ads.

11. Performs other duties that may be assigned and delegated by the Public Relations Officer II.

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05 Public Affairs Dept_ Public Relations Officer B_Communications.doc

JOB TITLE OFFICE


JOB SUMMARY

CLERK III Investigation Division Fact Finding Investigation & Enforcement Department 6 Department Manager None

Under general supervision, the Clerk III shall be responsible in performing a variety of administrative duties in the discharge of the official functions of the division/ office/ department.

JOB DESCRIPTIONS:

1. Records all incoming communications, reports, documents and maintains accurate and updated logbook or any records keeping device.

2. Records all outgoing communications, reports, documents or any other records and ensures that corresponding copies are kept on f:tl.e.

3. Establishes a systematic f:tl.ing system and maintains complete and updated f:tl.e of documents and diskettes.

4. Ensures that all communications are received/ forwarded to concerned accountable officers.

5. Receives all calls and visitors of the division/ office/ department.

6. Type reports, memoranda, correspondences, communications and all other outputs necessary for the attainment of the tasks of the division/ office/ department.

7. Assists in organizing meeting/ s called for by the officers of the division/ office/ department.

8. Ensures that all supporting documents are complete and other requirements complied with before they are forwarded for action/ decision.

9. Performs other related task that may be assigned or delegated by the Department Manager.

02Fact Finding_ Clerk 11I_investigation.doc

JOB TITLE OFFICE

SALARY GRADE REPORTS TO

SUPERVISES

JOB SUMMARY:

MEDICAL SPECIALIST I Medical Review Division Protests and Appeals Review Department 21 Medical Specialist IV Medical Review Division None

Under general supervision, assist in the review of adequacy and compliance of claims appealed by accredited providers and beneficiaries with regard to the requirements of appealed claims.

JOB DESCRIPTION:

1. Assists in the review and appraisal of documents submitted in accordance with policies and guidelines for acting on claims appealed.

2. Evaluates the compensability of claims and provides the most accurate estimated benefits based on the RVU and amounts claimed.

3. Assists in ensuring that all claims received are acted upon or decided within standard review time.

4. Notes down observation/ experience in performing tasks and recommends measures to improve policies and rules.

5. Assists in attending inquiries and interviews needed to support facts and figures m deciding on what action to take on appealed claims.

6.

7.

8.

9.

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Ensures that all concerned are properly informed of the results of the review.

Maintains a digital copy of claims reviewed, resolved and acted upon.

Utilizes advances in information technology to clarify critical data relevant to the case.

Performs such other functions as may be assigned or delegated by the Medical Specialist N.

03 PARD_MED OFFICER IV _medical review division.doc


JOB DESCRIPTION

INFORMATION SYSTEMS ANALYST II Corporate Information Security Department 16 Information Systems Analyst III None

1. Technical inputs on specific area of expertise (per assignment);

2. Systems analysis;

3. Documentation

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JOB DESCRIPTION

INFORMATION SYSTEMS ANALYST II Corporate Information Security Department 16 Information Systems Analyst III None

1. Technical inputs on specific area of expertise (per assignment);

2. Systems analysis;

3. Documentation

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JOB SUMMARY:

SENIOR SOCIAL INSURANCE OFFICER Office of the First Vice President 18 Chief Social Insurance Officer

Under general supervlSlon, the Senior Social Insurance Officer shall be responsible for the supervision of day-to-day implementation activities of PRO projects and ensure effectiveness and efficiency in its administration.

JOB DESCRIPTION:

1. Ensures proper implementation of the project under the Office of the North Luzon and NCR Area based on approved policies and guidelines.

2. Provide inputs to the short and long range operational objectives, strategies, action plans, and annual budgets of the office

3. Assist in the preparation of indicative plans and operational/ accomplishment report of the office

4. Assist the Vice President in monitoring the performance of the unit, review its work processes and recommend change/ s to improve and optimize its performance, subject to approval by the Vice President

5. Assist in the training/skills development of lower level staff of the unit.



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Sr SOCIAL INSURANCE OFFICER.doc

JOB TITLE OFFICE

MEDICAL SPECIALIST III Policy Research & Standards Development Division Standards and Monitoring Department


23 Medical Specialist IV Medical Specialist II

JOB SUMMARY

Under general supervision, the Medical Specialist III of the Policy Research and Standards Development Division shall assist in developing quality assurance and accreditation policies and in conducting related studies and researches.

JOB DESCRIPTION

1. Develops quality assurance and accreditation policies and standards for institutional and professional health care providers (HCP).

2. Performs systematic evaluation of the effects of the use of drugs, devices, medical procedures and other health related products as well as the HCPs and organizations that use these technologies.

3. Appraises and disseminates clinical practice guidelines ands other standards of practice.

4. Provides technical assistance to other organizational units that requires expert medical advice and inputs.

5. Manages medical related technical issues on health care provider's practice.

6. Conducts studies and researches on quality assurance, standards development and accreditation policies.

7. Assists in the development of programs that will ensure quality health care service from accredited health care providers.

Assists in the review and monitoring of overall activities of the division to ensure that all necessaty processes are in place, and responsibilities and authorities are properly delegated for efficient and effective operations, subject to adequate controls.

Assists in directing the implementation of approved policies and programs to achieve established objectives and targets of the division/ department.

Assists in the preparation of short and long term objectives, programs, work and financial plans, and annual budgets of the division and recommends their approval to the Department Manager III.

11. Directs, guides, trains and motivates staff directly supervised and evaluates their performance.

12. Performs other related tasks that may be assigned or delegated by the Medical Specialist IV of the Policy Research and Standards Division.

02Standards and Monitoring_ Medical Specialist lll_Policy.doc


JOB SUMMARY:

SOCIAL INSURANCE OFFICER I SPECIAL PROGRAMS DEPARTMENT 11 Senior Social Insurance Officer None

Under general supervision, the Social Insurance Officer I shall provide assistance in any of the following areas: a) marketing/advocacy; b) screening and validation of membership application/ amendment forms; c) monitoring of accounts of small to medium sized agencies; d) computation of benefit (performance standards less than SIO II); and e) accreditation of health care professionals and health care providers (less problematic case).

DUTIES AND RESPONSIBILITIES: 1. Performs any of the follO\ving set of activities/tasks depending on what area he/she will be

assigned:

SET 1 : MARKETING AND MEMBERSHIP 1. Coordinates with various offices/agencies as regards program presentation or conduct of

researches and interviews; 2. Assists in ground working/ gathering and analysis of various market data/information needed in

marketing the program; 3. Performs marketing/advocacy-related tasks to target organized groups and individuals, from

the information education campaign to enrollment stage; 4. Assists in the presentation of the National Health Insurance Program to potential

partners/ members; 5. Assists in the conduct orientation and re-orientation on NHIP to various stakeholders; 6. Attends to telephone and walk-in queries and complaints of members and other stakeholders of

the NHI Program; 7. Issue PhilHealth Number and Identification Cards; 8. Conducts initial screening of membership applications received during the marketing operation,

then forward the same to the unit in-charge of membership data management; 9. Performs other related tasks as may be assigned.

SET 2: MEMBER DATA MANAGEMENT 1. Reviews membership information sheet against the membership application form as well as the

screening and validation done by the data controllers; 2. Evaluates requests for updating of membership data and effect change/s if found to be valid; 3. Edits/amends membership data as authorized by the supervisor/authorized officer and prepare

report of changes made; Assists in the preparation of reply to inquiries and complaints regarding membership data; Attends to request for retrieval/viewing of membership data for various purposes; Monitors status of membership form submission from private and government employers; Performs other related tasks as may be assigned.

SET 3: COLLECTION/ACCOUNTS MANAGEMENT 1. Receives/records payment ofPhi!Health contribution; 2. Assists in the preparation and maintenance of various account status reports and the like; 3. Assists in verification and confirmation of employer remittances based on available information

in accounts database, recently received employer reports and other collection data; 4. Prepares draft of penalty charge for late remittances; 5. Assists in preparation of reply to inquiries and complaints regarding contributions data; 6. Assists in monitoring of status of contributions submission from

members/ employers/ sponsors; 7. Verifies correctness of billing statements to sponsors/members; 8. Performs other related tasks as may be assigned.

SET 4 : CLAIMS PROCESSING 1. Computes amount of compensable claims based on medical evaluation done and existing

policies on payment of claims; 2. Indicates total amount of benefits to be paid and forward claims to encoder for recording of

computed claims; 3. Reviews as to eligibility and completeness of various claims documents attached; 4. Assists in handling simple to moderately complex queries, clarifications, follow-ups from health

care providers/professionals; 5. Performs other related tasks as may be assigned.

SET 5 : ACCREDITATION AND QUALITY ASSURANCE 1. Assists in receiving, evaluating and processing of application for initial accreditation, renewal of

accreditation and re-accreditation of Professional Health Care Professionals; 2. Coordinates with accredited health care providers concern the submission of MMHR; 3. Assists in recording and processing of data in the Monthly Mandatory Hospital Report and

Out-Patient Benefit Report; . 4. Monitors status of submission of accreditation requirements from Health Care Providers; 5. Maintains record of received applications for accreditation, schedule of surveys, and status of

applications for ready reference; 6. Ensure that all policies and guidelines affecting Health Care Providers are disseminated to all

concerned parties on time; 7. Prepares simple to moderately complex correspondence, presentation materials and other

documents as may be required by the higher Officer; 8. Assists in preparation of accreditation reports, pre-accreditation surveys, monitoring, and

related activities; 9. Recommends issues for resolution at the Accreditation Committee level for review of the

Accreditation Team Leader; 10. Performs other related tasks as may be assigned.


JOB SUMMARY:


Under general supervision, the Social Insurance Officer I shall provide assistance in any of the following areas: a) marketing/ advocacy; b) screening and validation of membership application/amendment forms; c) monitoring of accounts of small to medium sized agencies; d) computation of benefit (performance standards less than SIO II); and e) accreditation of health care professionals and health care providers (less problematic case).

DUTIES AND RESPONSIBILITIES: 1. Performs any of the following set of activities/tasks depending on what area he/she will be

assigned:



marketing the program; 3. Performs marketing/advocacy-related tasks to target organized groups and individuals, from



the NHI Program; 7. Issue PhilHealth Number and Identification Cards; 8. Conducts initial screening of membership applications received during the marketing operation,



2. 3.

4. 5.

screening and validation done by the data controllers; Evaluates requests for updating of membership data and effect change/s if found to be valid; Edits/amends membership data as authorized by the supervisor/authorized officer and prepare report of changes made; Assists in the preparation of reply to inquiries and complaints regarding membership data; Attends to request for retrieval/viewing of membership data for various purposes;

,---15~-, Monitors status of membership form submission from private and government employers; ~~~ Performs other related tasks as may be assigned.

oc cu r.u>- -:;

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SET 3: COLLECTION/ACCOUNTS MANAGEMENT 1. Receives/records payment of Phi!Health contribution; 2. Assists in the preparation and maintenance of various account status reports and the like; 3. Assists in verification and confinnation of employer remittances based on available information

in accounts database, recently received employer reports and other collection data; 4. Prepares draft of penalty charge for late remittances; 5. Assists in preparation of reply to inquiries and complaints regarding contributions data; 6. Assists in monitoring of status of contributions submission from








Out-Patient Benefit Report; 4. Monitors status of submission of accreditation requirements from Health Care Providers; 5. Maintains record of received applications for accreditation, schedule of surveys, and status of






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JOB SUMMARY:


Under general supervision, the Social Insurance Officer I shall provide assistance in any of the following areas: a) marketing/advocacy; b) screening and validation of membership application/amendment forms; c) monitoring of accounts of small to medium sized agencies; d) computation of benefit (performance standards less than SIO II); and e) accreditation of health care professionals and health care providers Oess problematic case).

DUTIES AND RESPONSIBILITIES: 1. Performs any of the following set of activities/tasks depending on what area he/she will be

assigned:



marketing the program; 3. Performs marketing/ advocacy-related tasks to target organized groups and individuals, from



the NHI Program; 7. Issue Phi!Health Number and Identification Cards; 8. Conducts initial screening of membership applications received during the marketing operation,



screening and validation done by the data controllers; 2. 3.

Evaluates requests for updating of membership data and effect change/s if found to be valid; Edits/ amends membership data as authorized by the supervisor/ authorized officer and prepare report of changes made;

4. Assists in the preparation of reply to inquiries and complaints regarding membership data; Attends to request for retrieval/viewing of membership data for various purposes; Monitors status of membership form submission from private and government employers; Performs other related tasks as may be assigned.

* u 0

SET 3 : COLLECTION/ ACCOUNTS MANAGEMENT 1. Receives/records payment ofPhilHealth contribution; 2. Assists in the preparation and maintenance of various account status reports and the like; 3. Assists in verification and confirmation of employer remittances based on available information

in accounts database, recendy received employer reports and other collection data; 4. Prepares draft of penalty charge for late remittances; 5. Assists in preparation of reply to inquiries and complaints regarding contributions data; 6. Assists in monitoring of status of contributions submission from








Out-Patient Benefit Report; 4. Monitors status of submission of accreditation requirements from Health Care Providers; 5. Maintains record of received applications for accreditation, schedule of surveys, and status of






NOTICE OF VACANCIES...PRO XII vacancies PRO C.AR.AG.A vacancies Phi!Health Regional Office XII CSA I...

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Transcript of NOTICE OF VACANCIES...PRO XII vacancies PRO C.AR.AG.A vacancies Phi!Health Regional Office XII CSA I...