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#Repttblic of the PhiliPPines

PHILTPPINE HEALTH INSURANCE CORPORATIONCitystate Centre Building, 709 Shaw Boulevard, Pasig City

Healthline 441 -7 444 r'r'rryrv.ph jlhealth' gor' ph

4March201.4

RIffi"*obr

. Notice of Yacancies for Second Lqvel Positions

Attached is the Notrce o{ Yacanctes for the vacant second ievei positions in the Corporation

with the corresponding rtem number, salary grade and qualifrcation standards for fi1ling-in'

Appiicauon forms together wjrh the app)rcant's curriculum vi[ae, Persona] Data Sheet (CS Form

Zii), certtfi.cate of eTigrbtlity, copies of d.tploror, Transcnpt of Recotds, traintng certificates,

.-pioy*.nt certficatels, Applicant's Data M^tri" with recent ID picture, Srvom Declzrap.or,f

Idenuficauon of RelaUv", irl phjlHealth, cetification of No Confhct of Interest, and Non-

Disciosure Agreement Form shall be submitted to the foilowing:

For Central Office vacancies:

HRD Room 1507 Citystate Center Bldg., 709 Shar.v Bivd., Oranbo, Pasig City

For PRO YacancY:

PRO VIII3/F Uytngkoc Bidg',Averuda Veteranos, Tacloban CttY

Application period: March 4-L3, 2014

other questions bv applicants on matters not covered by this advisory should be difected to

HRD.

Human Resource DePartment

tearnpl'rili-realth ffi{ *nr*,. la"ebook. con/PhilHealth W acttoncenter@philhealth:gov.ph

Auditing Systems Specialist II (SG - 16)

Education: Bachelor's degree televant

experience; Trarmng: 4 hours of relevantto the job; Wotk Expelience: 1 year of televant

tl:atrurrg; E ligibiJity : C areer S er-l'ice (Pro fes sional) /S econd Level EiigibriitY'Addttronal Preferences:

I(norvledgeable rn SQL or ACL and other relevant audrflng/analytical tools; experj'enced

m systems ana1y5i5 irra a.rigt /computer ,pt".gtn*T:g or rnformatlon systems audit;

competenci es, crtttcal/iogical,thtnkirrg, leud.,*hrp wtth good personality, organized and

systeLauc, and proficie,'L" to-',,unication ski1ls (ora1 and wntten)'

Item No./s:13-02-0006; operaUons Audrt Department (to be assigned rn IAG-IT Audit)

Job DescnPuon:1. Conducts researches to obtarn background infotmation on the activities to be audited

to determtle the rmpact on the audrt, the lesoulces necessaqr to perform the audrt' and

possible nsks associated vzith the audrt;

2, Discusses research findings rvith the leader of the audrung team;

3. Performs infotmation systems audrtrng work such as:

^. Evaluates the adequacl', and effectiveness of internal controls of the application

systems to determrne the rehabihry and integrity of lnformauon gererated through

the jlforrrration sYstems ;

b. Analyzes and.t.rt, tlr. extentof compliance,effrci'encvandeffectivenessof

exrstulg s\rstems r.vith establtshed poJicies, 1aws, rules, regulations and procedufes;

c. Perforts data extractions and data analytics;

d,PerformsS)IstemteshngofappiicatlonsystemsbernguulrzedrntheCorporation.

4. Drafts rePort on the results of the audrt completed;

5. Drscusses aud.it resuits wrth audrtee/s befote the draft of the leport is finalized;

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

7, Fo11o"rrs-.rp u'.oor* to determ:ne rf audrt tecommendadons ha'e been carried out or

not and to rnquire for the reasons for non-jmplerlentation;

B. Petforms other related task as may be assrgned'

Chief Social Insurance Officer (SG - 22)

Educatton: Bachelor's degree relerrant to the iob; \)7ork Expefience: 4-years teler-ant

experlence; Trarn]Jrg: 24 irours of releYant traimng; E'ligibilirl': Career Selwice

piofessronal) / Second Level E'ligrbilrty'

Item No./s:4B-06-0031; PRO ViIIJob DesctiPuon:1. Supenrses the admrrustradon of any of the following NHIP fr'rnctions/Areas:

' MembershipManagenlent

' Collection/Contdbuuon Management

' NHIP Service Office OPeratrons

2. Provide rnputs to the short and long range operational objectives, stlategles' acflon

plans, and annual budgets of the drvision

3. Asstst rn the prepa ,niJnof rnd1caflve plans and operatr onalf accomphshment report of

LIST OF VACANCIES(1n compliance with RA 7041)

-i

li i r,;the divisron

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4. Assist the Division Head rn morutonng the performance of the unit, review its workprocesses and recommend change/s to rmprove and optimze its petformance, subiect

to approval b)'tlr. Division Head and the PRO-Head5. Assist in the tr-aining/skills development of lower lerrel staff of the urut.

6. Ensure coordination and hatmonious workrng relations befween the drvrsion and

other units of the PRO7. Prepare simple to hLrgh\, corrrplex correspondence, presentation materials and other

documents as may be required by the higher OfficerB. Performs other related tasks as malr be assigned

Social Insurance Specialist (SG - 15 )Education: Bachelor's degree relevant to the job; Work Expelience: I yeat of relevant

experience; Trarning: 4 hours of relevant tramrng; EligibrLity: Career Service (?rofessronal)/

Second Level El-rgibtlit, .

Item No./s:49-01-0001 ; Protest and ;\ppeals Revierv Department

1. Coordinates claims pa),rnent processing rn the drfferent units from submission ofapproved ciarms and rts accompanying payment request forms to the retlieval ofcheques from the cashier.

2. Records ancl handles actaal clarms payment releases to providers and beneficiaries.

3. Based on the summalT report of drsapptoved clarms submitted, prepares and sends out

notices to providers and beneficiaries with demed clairrrs.

4. Assists and entertarn providers and beneflciaries in getung among othets, the status ofthel clarms vedhcations on reduced reimbursements and unprocessed payments'

5. Prepares and submrts reports of unreleased cheques or Payments and other

documentauon/s as ma)r be requrred b,v the Medrcal Specralist IV'6. Assi"sts in processing/ consohdation of means test results'

7. Performs otl1er related tasks that malr bs assrgned or delegated by the Medical

Speciahst IV.

Supervising Auditing Systems Specialist (sG - 22)

Education: Bachelor's degree Lelevant

experience; Trarning: 16 hours of(Professional) / Second Level Eligibih6'.Addi.tional Preferences :

FIas exper.ience rn systems analvsis and design/computer programming and tnformatron

systems audit; knowledgeable rn SQL or ACL and other relevant a:udttsng/anal1't1g^1 tools;

with supenisory experience; has expelience rn prepanng audrt plans/programs and audit

reports; Competencies: Critrcal/logical thrnkrng, leadersh,rp wlth good personality,

oigantzed and sysremattc, and proflcient in communication skills (oral and rvlitten).

Iterr No./s:13-04-0006; Operauons Audrt Department (to be assigned rn IAG-IT Audit)

Job Descripuon:l. Reviews internal audit plans to determine audit coYerage, teasonable staff

composition, time duration, adequacy and appropriateness of internal auditing

guidllines and procedures and posstble risks associated rvrth the audrt;

2. bir.rrr". the irrternal audit plans with the concetned internal audrt staff;

3. Advises staff on need for changes in scope, objectives, audit procedures and how to

resohre audit issues encountered;

to the job; Wo& Exper-ience: 3 years televantrelerrant trarmng; Eligibrliq': Career Serwice

5. Monitors and checks process of collectin g, anilyzirrg, interpteting and documentinginfor:rnation to ensure the audit staffs objectivity and that internal audit goals,

objecnves and performance targets are met;

6. Reviews written internal audit reports to determine completeness and conforrnance to

internal audit plans, objectives, standards and guidelines, and if findings wete discussed

with the audrtee/s before the final rePort was drafted;7. Analyzes internal audit reports to detetmine accompl,ishments and deviations from the

audrr plans with the .rrd to evaluate the intemal audit function and enhance

perFormance;B. Supewises the conduct of special intemal audits,

9. Trains new internal auditors,10. Rates perfotmance of audrt staf{ and11. Performs other related tasks that may be assigned.

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