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Republic of the hilippines

PHILIPPINE HEALTH INSURANCE CORPORATION

Cilvslalc Centre Building. 709 Sliriw Boulevard, Pasig Cily

llealtlllinc 441-7444 www.pliillicjllli.gov.pli

K gi

19 October 2012

OFFICE MEMORANDUM

No . 0 3?>q -J2ol2

N otice of V acancies for First and Se cond L evel Posit ions

Attached is ihe N ot ice of Vacan cies for the vacan t rus t and secon d level posi tions in the

Corporation w ith the corresponding item num ber, salary grade and qualification standards for

filling-in.

Ap plication forms together w ith the applicant 's curriculum vitae, recent ID picture, certificate of

ebgibility, copies of Transcript of Records, Diploma, training certificates, employment

certificates. Applicant s Data Matrix, Sworn Declaration/ Identification ot Relatives in

PliilHealth, Certification of No Conflict of Interest, and Non -Disclosure Agreem ent Form shall

be subm itted to HK D C entral Office at Room 1507 for die Central Office vacancies while die

PRO vacan cies shall be submitted to die HR Unit of the respective PRO as follows:

PRO NCR

Sunny Male ITC Bklg ,

Quezon Avenue. Quezon City

PRO VIII

3/1 li\'Mngk(ic Bldg., A\-enid:l A'eteianos

Tacloban Cm 6500

PROX

@1/F Trinidad Bldg., Corrales-Yacnpin Sts.

Cay.lyan de Olo City

PRO XI

Yalgo ;md Sons Bldg

Bollon Ext., Diivao On-

Application period: October 19-28, 2012

Other qu est ions by applicants on m atters not coveted by this advisory should be directed to

H R D .

'DR. CLEMENTINE A. BAJLTTIS'

Officerpin-Charge

Human Resource Department


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LIST OF VACANCIES

In compliance with RA 7041)

REGULAR

Adm inistration Services Assistant B (SG - 10 J

Education: Completion of two years studies in college; Work Experience: 2 years relevant experience

Training: 8 hours of relevant training; Eligibility: Career Service Sub-professional)/ First Level Eligibilit

Item No./s:

1 5-02-0003; Health Finance Policy Sector to be assigned under the Office of the Chief Operating Of

Job Description:

1.Records all incoming comm unications, reports, docum ents and maintains accurate and upd

logbook

2.Records all outgoing docum ent commu nications and ensure that corresponding copies are ke

file

3.Establishes a systematic filing system and m aintains com plete and updated file of docum ents

diskettes

4.Drafts/types communications necessary for the attainment of the tasks of the department.

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

6.Assists in organizing, conducting and documenting meetings called fur by the officers o

department

7.Ensures that all supporting documents ate complete and other requirements complied with be

they are forwarded to the Executive Assistant IV for action/decision.

8.Performs other tasks as may be assigned by Executive Assistant IV and other officers.

Administration Services Assistant C (SC - 8 )

Education: Completion of two years studies in college; Work Experience: 1 year of relevant experienc

Training: 4 hours of relevant training; Eligibility: Career Service Sub-professional)/ First Level Eligibili

Item No /s:

15-03-0025; PRO NCR

lob Description:

1.Assist in receiving various docum ents from other units/agencies and distribution of the sam

concerned units/agencies

2.Assist in systematic filing of Corporate Systems, Policies, Guidelines and Procedures for

reference of PRO-Branch Officers and Staffs

3.Process all records and documents for reproduction and mailing

4.Attend to request for copy ot documents maintained by the Office (document retrieval

authentication

5.Assist in processing of payments for consumption of water electric

telephone/telecommunications, internet providers, gasoline, etc.

6.Perform other related tasks as may be assigned

Administrat ive Officer III (SG - 18)

Education: Bachelor s degree; Work Experience: 2 years relevant experience; Training: 8 hours o f

relevant training; Eligibility: Career Service (Professional)/ Second Level Eligibility.

Item No./s:

16-03-0019; PRO XI

Job Description:

1.Provide inputs to the short and long range operational objectives, strategies, action plans, and

budg et of the division specifically in the area of general services

2.Provide inputs in the preparation of operational/accomplishment report of the division

3.Prepare Annual Procurem ent Plan in coordination with various Divisions/Units concerned

4.Conduct risk assessm ent and prescribe adeq uate risk transfer (insurance) of furniture and fixtu

other property of the Corporation up to certain level authorized by the management

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fixtures


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Evaluate adequacy of office space based on num ber of the workforce and other requirements

recomm end appropriate action to satisfy office space requiremen t (acquisition of additional sp

renovaiion of workp lace, transfer of office, etc.) necessary in maintaining a well-organized,

ventilated, well-lit and hazard-free workplace

Prepare prop osal for acquisition of janitorial and security services

Evaluate performan ce of janitorial and security services

Handle review of petty cash vouchers tor ordered items and recommend its approval

Analyze trends and history of various general services transactions to serve as input in impro

existing systems, policies, guidelines and standards

Assist the Division H ead in mon itoring the performance of the section, review its work processes

recommend change/s to improve and optimize its performance

Ensure coordination and harm onious working relations between the division and other units o

PRO

Prepare simple to highly com plex reports, correspondence, presentation m aterials and research

may be requ ired by the higher Officer

Perform other related tasks as may be assigned

Fiscal Examiner A (SG-13)

Education: Bachelor s degree relevant to the job; Work Experience- None required; Training- None

required; Eligibility: Career Service (Professional)/Seco nd Level Eligibility

Item No /s:

33-01-0033; PRO NCR

Job Descriplion:

1.Fiscal Examiner A maybe assigned to perform any ot the following FINAN CE-RE LATE D jobs:

CCOUNTING

@M aintain lecord of all institutional and individual accounts.

@A ssist in the preparation of periodical summary of accounts with unpaid balances and thei

d tes

@A ssist in the preparation of summary o\ accounts with unpaid balances for collection;

@W ith inputs from the Cashier, update the records of institutions who have settled

@their outstanding accounts

@Assist in the preparation of billing of collection letters

@Prepare simple correspondence, presentation materials and other documents as may he requ

by the higher Officer

@A ssist in the preparation of Journal Vouchers with supporting documents

@P repare financial reports (trial balances, cash flow statement, fund flow statement, schedul

benefit claims payments, outstanding accounts payable, operating expenses, cash advan

Officers and employees, operating and service incomes

C SHIERING

@Review checks prepared vis-a-vis the vouche r received from Accounting Budget Section

@R eview auto-credit transaction posted vis-a-vis the vouc her received from Accounting Bu

@ Deposit collections in the authorized depository bank and forward proof of depos

Accounting and Budget Section

@A ssist in the preparation of periodic reports of fund disbursements and collections inclu

weekly cash position report, monthly report of accounts on accountable forms, repo

cancelled checks, report of check register, summary of daily collection report, summary of

cash vouchers for replenishment/liquidation, etc.

2.Prepare simple correspond ence, presentation materials and other docum ents as may be require

the higher Officerr^T@ -:@ -^fff~f'@ ' ' '|

3.Performs other task that may be assignedj ,*J^ v ^vJvi ' ' 1

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Information Technology Officer II (SC - 22 )

Education: Bachelor s degree relevant lo the job; Work Experience: 4 years relevant experience;

Training: 24 hours of relevant training; Eligibility: Career Service (Professional)/ Second Level Eligibili

Additional Preferences.

Has performed supervisory function as head of network and system administration;

Able to conceptualize and develop ICT solutions for the enhancement of IT infrastructure;

Able to translate/communicate technical set-up/configuration of IT projects to managem ent and end-u

Able to work long hours as the need arises;

Must have at least 5-year work experience in ALL of the following functions:

@Data Center Management, monitoring and management of power, cooling and space.

@Enterprise Network Design, implementation and administration; configuration of VLAN , stati

and routing protocols (OSPF, RIPv1/2, BGP), IP subnetting, port trunking, load balancing,

enterprise wireless network.

@Server systems administration and implementation; configuration of SOLARIS (9,10,1 1),

Windows Server (2003, 2008R2), Linux (RedHat, Ubuntu, Fedora) Operating Systems;

managemen t of DFS, NFS, UFS, ZFS, NTFS, DOS and Unix scripting, Active Directory, DNS,

DHCP; implementation and configuration of Blade Server system and Mid and High-end SPA

servers;

@En terprise Security design, implementation and administration; configuration of Firewall, IDP

URL and content filtering, IPsec-VPN, NAT/PAT, SSL-VPN (preferably experience in Juniper

Fortinet); two factor authentication, PKI, RADIUS authentication;

@Enterprise Storage design, implementation and administration; configuration of SAN, ISCSI, N

Fiber channel switch zoning, RAID, Storage Pool and LUN and Meta LUN and Meta LUN

provisioning, Storage Mutipathing and tiering, replication, Snaphot/Cloning, live migration

(preferably experience in EMC storage)

@En terprise Visualization design, implementation, and administration; configuration of virtual

center, data storage, high availability, DRS, Virtual switches (experience in VMware ESX

preferred

Must possess any IT Certifications; and,

Must be able to pass written and actual examinations.

Item No./s:

57-02-0003; Information Technology Management Department

Job Description:

1.Designs and installs appropriate security provisions/m easure to ensure the integrity and security o

operating systems and databases of the Corporation in coordination with the Information Technol

security and Help Desk Unit.

2.Assists in the implem entation of approved action plans and programs to achieve established

objectives and targets of the division.

3.Assists in the review of the overall operations of the division to ensure that all necessary processes

are in place, and responsibilities and authorities are properly delegated for efficient and effective

operations, subject to adequate controls.

4.Planning , installation and testing of database manage systems and ensuring their proper operatio

5.Manages the overall data communications network and implementing systems and procedures fo

efficient administra tion.

6.Continuous monitoring of network performance and resolution of problems.

7. Provision of uber support to all other divisions/units of the Corporation in the areas of IT services,

> s_ @ sys tems des igns , hardware and per fo rmance .

J 'P j r^ 'pinpoint areas of for improvem ent and directs appropriate courses of action to ensure prom pt and

o j O jproper solution of problems.

ij till -10- Continuously monitors the completion of operating systems and databases projects and assesses


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11. Installs, configures and maintains the Corporation's LANA'VAN ser vers and workstations and

manages performance of a multiple hardware and software platform interface at the most comple

level.

1 2. Sets up and observes network systems, recomm ends upgrades and im provements in the operatin

systems and databases, and assesses network performance to resolve network problems and offe

technical assistance to users.

1 3. Assists m the ac quisition, installation and maintenance o f the Corporation's local are a networks

wide area networks and recommends the use of new products and services to ihe top manageme

14. Ensures the confidentiality and reliability of corporate data, proprietary information, and intellectu

property.

1 5. Directs, guides, trains and motivates officers and staff directly supervised an d evaluates their

performance.

1 6. P articipates in the sessions and deliberations of major m anagement com mittees.

I 7. Conducts regular transfer o\ technology to all IT Officers of PhilHealth Regional Offices for updat

the current trends in Information and Com munication Technology.

1 8. Performs other related tasks that may be assigned or delega ted by the Division Chief IV of the

Information Technology Resource Management Division.

M edical Officer VII (SG - 25 )

Education: Doctor of Medicine; Work Experience: 3 years relevant experience; Training: 16 hours of

relevant training; Eligibility: RA 1080.

Item No /s:

08 00 0022; PRO VIII

lob Description:

1.Piepare short and long range operationa l objectives, strategies, action plans, and annua l budg

the division

2.Assist the PRO-H ead in the interpretation of guidelines, rules and systems and procedures perta

to health care delivery management

3.Impleme nt policies/standards on accreditation and qualily assurance and benefit paymen t

4.Dialogue with Institutional Health care Providers to discuss issues and concerns pertaining to c

processing accreditation and quality assurance and other NHIP matters.

5.Ensure rendition of appropriate technical advice to health care providers : re: how to improv

quality of service to patients

___i_i .____, 6. Establ ish and maintain l inkages w ith external agencies performing funct ions n ecessary fo

. \1.- - .. @........

^^ _eff icient and effect ive man agem ent of heal th care del ivery plans and programs

@ 9 ot>- @ - ' 7@ R egularly monitor the performance of the division against plans/target, determine performance g

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SET 1: ACCREDITATION AND QUALITY ASSUSRANCE FUNCTION

@S pearheads the assessment ot existing accreditation and quality assurance systems, policies

guidelines to serve as inputs tor its revision/improvement

@P articipates in dialogue with Institutional Health care Providers to discuss about issues

concerns pertaining to claims processing, accreditation and quality assurance and other M1

matters

@A ssists in the rendition of approp riate technical advice to health care providers : re: ho

improve the quality or service to patients

@Recom mend appropriate action to critical issues and concerns pertaining health care deli

m n gement

SET 2: 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 an

budget ot the division

3.Regularly monitor the performance of the division against plans/target, determine performance g

and take appropriate courses of action to ensure prompt and proper solution to lessen/eliminate

g ps

4.Continuously review the work processes of the division and recommen d change/s to improve

optimize its performance

5.Recommend and/or take appropriate actions to continuously develop knowledge, skills, and abi

of the human resource

6.Assist in establishing linkages with external agencies performing functions necessary for the effi

and effective managem ent of health care delivery plans and programs

7.Performs other related tasks as may be assigned.

Planning Assistant I (SG - 8 )

Education: Comp letion of two years studies in college; Work Experience: I year of relevant experienc

Training: 4 hours of relevant training; Eligibility: Career Service (Sub-pro fessional)/ First Level Eligibili

Item No./s:

52 01 0011; PRO X

Job Description:

1.Attends lo 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 meeting

the Planning Unit;

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

5.Main tains files of the Unit for easy retrieval of docum ents when needed, and

6.Perform s related tasks assigned by the Planning Officer II from time to time.

Social Insurance Analyst I (SG - 11 )

Education: Bachelor s degree relevant to the job; Work Experience: None required; Training- None

required; Eligibility: Career Service (Professional)/Second Level Eligibility

Item No./s:

50-01-0001; Standards and Monitoring Department

Job Description:

1.Performs administrative functions in resolving quality practice issues to include the conduct of

and utilization review or assessment.

2.Assists in devising monitoring tools such as process assessme nt, outcom es assessme nts and pa

satisfaction to determine the appropriateness and effectiveness of services rendered by

accredited health care providers.f .'. ^/H^J^f'^T'thi

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3.Assists in the conduct of mon itoring activities to ensure adherence of health care provide

accreditation standard?, clinical practice guidelines, standards of practice and other policies.

4.Provides technical and administrative support in the review of utilization data from serv

rendered by accredited health care providers.

5.Performs other related tasks that may be assigned or delegated by ihe Social Insurance Special

the Performance Monitoring Division.

Social Insurance Assistant I SG - 0 )

Education: Comp letion of two years studies in college; Work Experience: 1 year of relevant experienc

Training: 4 hours of relevant training; Eligibility: Career Service (Sub-professional)/ First Level Eligibilit

Item No /s:

51 01 0035; PRO NCR

Job Description:

1. Resp onsible lor any of the following set of activities/tasks depen ding on wha t Division/ Sec

he/she will be assigned:

SET 1 : BENEFIT ADMINISTRATION

1.Receives claims form mem bers and providers and counter-check with transmitta

provided/submitted

2.Check completeness of the data declared in PhilHealth Claim Forms and the required suppo

documents attached to it

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

4.Verify accuracy/authenticity of information in PhilHealth Claim Forms based on existing data

or other valid sources

5.Validate the beneficiaries and providers eligibility to avail claims

6.Ensure completeness of docum entary requirements in the claims applications before forwar

to the next processing stage

7.Check the number of encoded claims and verify the accuracy of encoded information in ihe

of Claims Received

8.Performs other related tasks as may be assigned

Set 2 : SERVICE OFFICE - MEMBER MANAGEMENT TEAM

1.Assist in the distribution of various IEC m aterials and m embership forms to target memb

during campaign periods

2.Assist in the screening of accom plished mem bership forms and issuance of Ph i I He

Number/Identification Cards

3.Screen mem bership application form to ensure completeness of data

@4. Verify/validate information declared in the membership application form

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

6.Ensure that PhilHealth Nu mber/Identification Cards are prepared properly and attached to

right memb ership information sheet

7.Assist in he preparation of reply to inquiries and complaints regarding mem bership data

8.Performs other related tasks as maybe assigned

Social Insurance Officer II SG - 13 )

Education: Bachelor s degree relevant to the job; Work Experience: None required; Training: None

required; Eligibility: Career Service (Professional)/ Second Level Eligibility

Additional Preferences:

Other Specific Competencies: Preferably with knowledge in IT hardware/software installation and

troubleshoo ting, and LAN connec tivity installation and troubleshoo ting; familiar with IT trends, securit

policies and issues; basic knowledge of how systems work (familiarity with Phil Health Systems e.g. MC

PREMIS, NCLAIMS, PMAIS, EPR5, etc.)

Item No /s:

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48-02-0019; PRO NCR

Job Description:

I. Accountable to any of the following set of activities/tasks depending on wh at Division he/she wil

assigned:

Set 1: Marketing and Membership

1.Assists in groundwo rking/gathei ing and analysis of various market data/information neede

marketing program

2.Perform marketing/advocacy-related tasks to target organized groups and individuals, from

information education campaign to enrollment stage

3.Conduct presentation of the National Health Insurance Program to potential donors/Spon

including but not limited to the Organized Groups and Private/Government Agencies belon

to small scale/small size category

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

government sector members

5.Attend to telephone and walk-in queries and complaints of mem bers and other stakeholde

the NHI Program

G. Prepare reply to letter of inquiry and complaints from members and various stakeholders o

NHI Program

7.Assist in the preparation of a comp rehensive marketing-related reports and information for r

reference of PRO Officers and Staff which may include the following;

@Status of memb ership coverage by sector vs. set target

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

@T able of marketing strategies implemented and its impact on memb ership enrollment


Set 2: Member Data Management

1.Cond uct regular scanning the mem bership database for double entry and other irregularities

2.Prepare and maintain a periodic report on the status of membership data

updating/maintenance for ready reference of PRO Officers and Staff

3.Mo nitor all issues and concerns regarding mem bership data and recomm end and/or

appropriate action to manage them

A. Recomm end actions to correct and control data irregularities

5.Coo rdinate with/prepare letters to private and governm ent emp loyers with identified defic

in submitted membership forms and/or required attachments to it

6.Prepare reply to Inquiries and comp laints regarding mem bership data

7.Prepare various reports, presentation materials, corresponden ce and other docum ents as ma

required by the higher Officer


Set 3: Collection

j The same as that of the task and activities of the SIO III SG 1 5). The only difference is that the SIO

Ihas higher perform ance target in terms of quantity and level of clients being se rved.

i Set 4 : Ac creditation and Q uality Assurance

@ 1. Receive, evaluate and process application for initial accreditation, renewal of accreditation

re-accreditation of Professional Health Care Professionals

2.Assist in recording, processing and analysis of data in the Mon thly Mand atory Hospital R

and Out-Patient Benefit Report

3.Assist in coordinating with the M anagem ent of Institutional Health Care Providers as re

lacking accreditation requirements schedule of accreditation survey status of application et

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A. Record, process, analyze and evaluate data in Monthly Mandatory Hospital Reports and

Patient Benefit Report and the like

Set 5: CLAIM S PRO CESS ING ( Initial verification and adjudication))

1.Com pute the amount of comp ensable claims based on m edical evaluation done and exis

policies on payme nt of claims (ex. Hospital category)

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

3.Verifies mem ber/dependent eligibility based o n docum ent subm itted, existing databases

other valid sources

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

5.Indicate deficiencies or lacking docum ents in claims docum ent, if there is any

6.Verify accuracy/authenticity of information in PhilHealth Claim Forms based on existing data

or other valid sources

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

8.Examine/check com pleteness of do cumen tary requirements in the claim application be

forwarding to the next stage

9.Check the num ber of received encoded claims and verify the accuracy of encoded i n format io

the list of claims received.

10.Reviews data encoded in route slip

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

1 2. Check category of physician and indicate if D1, D2, D 3 or D4

1 3. Indicate payee (hospital, doctor or mem ber)

14. Considers for inclusion in the compu tation of benefits other items (drugs/meds/supplies) wi

bought outside of hospital used during the confinements

1 5. Performs other related tasks as m ay be assigned

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