Job Ref. No: JHIL 147
Position: Manager – Wellness
Jubilee Insurance was established in August 1937, as the first locally incorporated Insurance Company based in
Mombasa. Jubilee Insurance has spread its sphere of influence throughout the region to become the largest Composite
insurer in East Africa, handling Life, Pensions, General and Medical Insurance. Today, Jubilee is the number one insurer
in East Africa with over 1.9 million clients. Jubilee Insurance has a network of offices in Kenya, Uganda, Tanzania,
Burundi, and Mauritius. It is the only ISO certified insurance group listed on the three East Africa stock exchanges –
The Nairobi Securities Exchange (NSE), Dar es Salaam Stock Exchange and Uganda Securities Exchange. Its regional
offices are highly rated on leadership, quality and risk management and have been awarded an AA- in Kenya and
Uganda, and an A+ in Tanzania. For more information, visit www.JubileeInsurance.com.
We currently have an exciting career opportunity for a Manager – Wellness within Jubilee Health Insurance
Limited. The position holder will report to the Chief Operations Officer and will be based at our Head Office in
Nairobi.
Role Purpose
The Manager Wellness will lead the development, execution, and management of corporate wellness programs. The role
holder will focus on driving strategic initiatives that enhance customer and employee well-being, integrating wellness
solutions into insurance products, and fostering a culture of preventive healthcare. He/she will also ensure alignment
with regulatory requirements and corporate objectives while positioning the company as a leader in health and wellness
solutions. The Wellness Manager will be responsible for implementing and improving Value Based Care, promoting
sustainable healthcare delivery through preventive, promotive, and protective strategies. The role also includes
overseeing population health initiatives, technology deployment, clinical integration and strategic planning to enhance
health outcomes, improve the quality of care, and optimize Total Medical Expense Management.
Main Responsibilities
Strategy
1. Develop, implement and supervise Wellness Programs using evidence-based guidelines to add value, drive clinical
performance, improve retention and reduce disparity.
2. Structure, Implement and supervise disease management programs and care coordination through the
continuum of care.
3. Structure, Implement and supervise performance of new products and packages that promote preventive health
services.
4. Collaborate with members of the Leadership team on the development of the annual Wellness strategic goals
and objectives.
5. Spearhead development and successful rollout of preventive health technologies.
Operational
1. Serve as one of the organization’s key spokespersons on value-based care, educating clients, employees,
clinicians, and other stakeholders on the expected changes in healthcare.
2. Work closely with care management and provider partnerships to foster provider alignment with the clinical
strategic priorities of the organization and needs of Jubilee Health clients.
3. Implement and evaluate population health strategies that address the utilization, quality, average cost of care,
patient satisfaction, and overall marketplace competitiveness.
4. Work closely with the Head of Clinical Operations to Identify Key Market drivers and develop plans and strategies
to address incident rates and claim costs.
5. Work closely with the Head of Clinical Operations to ensure providers adhere to best clinical practices, cost of
care standards, and where necessary, address inappropriate or poor performance.
6. Monitor disease-specific and cost of care metrics to ensure the delivery of value-based care within quality
standards.
7. Work closely with the Head of Clinical Operations to review, align and implement quality metrics related to
patient care.
8. Monitor performance indicators, patient and provider satisfaction and implemented changes to improve
customer retention and net promoter scores.
9. Conduct real time analysis of disease trends based on clams’ data and advise the clinical operations team on
appropriate interventions.
10. Provide medical expertise and leadership in the development and implementation of clinical disease and
population health management strategies.
11. Work closely with the Head of Clinical Operations to develop and implement medical management initiatives
and
12. provide leadership in implementation and interpretation of clinical review policies and guidelines, evidence-
based
13. guidelines, and pharmacy benefits management to achieve set performance standards and targeted
benchmarks.
14. Implement and supervise prospective, concurrent, and retrospective reviews of medical services provided to
covered lives.
Leadership & Culture
1. Guide and support health navigators in their communication and collaboration with providers to establish clinical
programs improve the quality and efficiency of care while providing value to all stakeholders.
2. Supervise third party providers contracted for Chronic Disease and Population Health Management.
3. Supervise third party providers offering Telehealth Services.
Corporate Governance
1. Stay informed about and strictly adhering to all external laws, including Anti-Money Laundering (AML) and
Counter Financing of Terrorism (CFT) laws, Data Protection laws, and any other relevant regulations applicable
to the industry as required by IRA, CMA, RBA and any other regulator.
2. Understand, implement, and enforce internal company policies, processes, and procedures; Ensure that
operational compliance programs are in place within your department.
3. Develop and implement processes and controls that promote compliance with external laws, regulations, and
internal policies.
4. Foster a robust ethical culture within the organization, Lead by example, demonstrating and promoting ethical
behavior, integrity, and compliance with laws and regulations.
5. Encourage open communication and reporting of any potential compliance concerns or violations.
Key skills and Competencies
1. Healthcare Knowledge; A strong understanding of the healthcare system, including insurance plans, medical
terminology, and healthcare policies and regulations.
2. Communication Skills: Excellent verbal and written communication skills to effectively interact with clients,
healthcare providers, and colleagues.
3. Empathy and Compassion; The ability to empathize with clients’ health concerns and provide compassionate
support during difficult times.
4. Active Listening: The skill to actively listen to clients, understand their needs, and address their concerns
effectively.
5. Problem-Solving Skills: Strong problem-solving abilities to help clients overcome barriers to care and find
solutions to complex healthcare challenges.
6. Strategic Thinking – Ability to align wellness programs with business objectives.
7. Innovation & Problem-Solving – Creativity in developing new wellness solutions.
Academic and Professional Qualifications
1. Bachelor of Science in Clinical Medicine & Surgery.
2. A master’s degree in healthcare management/public health is an added advantage.
Relevant Experience
At least 5+ years of experience in wellness program management, health promotion, or corporate wellness within
insurance, healthcare, or a related industry with strong knowledge of preventive healthcare, employee wellness, and
behavioral health strategies and experience in developing and implementing wellness programs with measurable
outcomes.
If you are qualified and seeking an exciting new challenge, please apply via
[email protected]
quoting the Job Reference Number and Position by 7th February 2025.
Only shortlisted candidates will be contacted.
