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Republic of the Philippines


PHILIPPINE HEALTH INSURANCE CORPORATION
Citystate Centre, 709 Shaw Boulevard, Pasig City
Call Center (02) 441-7442 Trunkline (02) 441-7444
www.philhcalth.gov.o.h
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June 18,2018

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 Human Resource Department


Room 1509 15"' floor CityState Center Building 709 Shaw Blvd. Brgy.
Oranbo Pasig City
PRO CAR vacancies Phi!Health Regional Office CAR
SN Oriental Traders Building, No. 19 Leonard Wood Road,
Baguio City
PRO I vacancies Phi!Health Regional Office I
EMDC Bldg., Sec. Francisco Q. Duque Jr. Road, Tapuac District,
Dagupan City
PRO II vacancies Phi!Health Regional Office II
The Builder's Place, Del Rosario, Tuguegarao City
PRO III vacancies Phi!Health Regional Office III
Phi!Health Bldg., Lazatin Blvd, Dolores, City of San Fernando,
Pampanga
PRO IV-A vacancies Phi!Health Regional Office IV-A
..-------e!r:-1 Lucena Grand Central Terminal, Ilayang Dupay, Lucena City

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PRO IV-B vacancies Phi!Health Regional Office IV-B
Caedo Commercial Center, Calicanto, Batangas City
PRO V vacancies PhiiHealth Regional Office V
0: Oi ANST 3 Building, Alternate Road, Legaspi City
w>- "" PRO VI vacancies Phi!Health Regional Office VI

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Gaisano Capital City Mall, Luna St., La Paz, Iloilo City
.;

t;g; PRO VII vacancies PhilHealth Regional Office VII


81h Floor Golden Peak Tower, Gorordo Ave. cor. Escario St.,
Cebu City
PRO VIII vacancies Phi!Health Regional Office VIII
(..) 2/F Phi!Health Building 2, P. Burgos St., Tacloban City
CJ PRO X vacancies Phi!Health Regional Office X
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8/F Gateway Tower 2, Limketkai Centre, C.M. Recto Ave., Cagayan
De Oro City .
PRO XI vacancies PhiiHealth Regional Office XI
::' I V~lgo and Sons Bldg., Bolton Ext., Davao City
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PRO XII vacancies Phi!Health Regional Office XII


CSA I Bldg., cor. Zulueta St., General Santos Drive, City of Koronadal,
South Cotabato
PRO C.AR.AG.A vacancies 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.
JUN 2 9 201G
Application period: _________________ '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 ERRE~


Acting Pres' nt and c7"

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CS Form No.9 Electronic copy to be submitted to the esc FO
Series of 2017 must be in MS Excel format

Republic of the Philippines


PHILIPPINE HEALTH INSURANCE CORPORATION
Request for Publication of Vacant Positions

To: CIVIL SERVICE COMMISSION (CSC)

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

ROY B. RRER, M.D.


(Hea of Agency)
Date:

Salary/ Qualification Standards


Plantilla
No. Position Title Job/Pay Monthly Salary Competency Place of Assignment
Item No. Education Training Experience Eligibility
Grade (if applicable)
1 Clerk Ill 20.03·0001 6 14,340.00 Completion of two None Required None Required Career Service Office of the Corporate Secretary
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 # Management Services Sector (to
Graduate 11, S-1996 0 CAT. II) be assigned under PRID)

3 Social Insurance Analyst II 50-02-0004 13 24,224.00 Bachelor's degree None Required None Required Career Service Overseas Filipino Program
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 Overseas Filipino Program
years studies in training experience (Subprofessional)/ 1st

5 Fiscal Controller I 32-01-0005 11


college
20,179.00 Bachelor's degree None Required None Required
Level Eligibility
Career Service Comptrollership Department
v
relevant to the job (Professional)/
Second Level

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 alth.gov. ph

APPLICATIONS WITH INCOMPLETE DOCUMENTS SHALL NOT BE ENTERTAINED.


JOB TITLE CLERK III
OFFICE 0 ffice of the Corporate Secretary
SALARY GRADE 6
REPORTS TO Department Manager
SUPERVISES None

JOB SUMMARY

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 CHAUFFEUR II
OFFICE Management Services Sector
SALARY GRADE 6
REPORTS TO Senior Vice President
Management Services Sector
SUPERVISES None

JOB SUMMARY:

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 TITLE SOCIAL INSURANCE ANALYST II
OFFICE SPECIAL PROGRAMS DEPARTMENT
SALARY GRADE 13
REPORTS TO Senior Social Insurance Specialist
SUPERVISES None

JOB SUMMARY:

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 FISCAL CONTROLLER I
OFFICE Fiscal Management Team
Comptrollership Department
SALARY GRADE 11
REPORTS TO Fiscal Controller III
SUPERVISES None

JOB SUMMARY:

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.

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4. Entertains inquiries regarding policies, regulations and other budgetary matters from
organizational units in the Head 0 ffice.
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1-D.. 0 correspondence, reports, and processing of transactions/ documents.

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

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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 Electronic copy to be submitted to the CSC FO
Series of 2017 must be in MS Excel format

Republic of the Philippines


PHILIPPINE HEALTH INSURANCE CORPORATION
Request for Publication of Vacant Positions
REPOSTING
To: CIVIL SERVICE COMMISSION (CSC)
This is to request the publication of the following vacant positions of PHILIPPINE HEALTH INSURANCE CORPORATION in the esc website:

Date:

Salary/ Qualification Standards


Plantilla Job/
No. Position Title Monthly Salary Competency Place of Assignment
Item No. Pay Education Training Experience Eligibility
Grade (if applicable)
1 Division Chief IV 07-00-0024 24 73,299.00 Master's Degree or 40 hours of 4 years of Career Service PhilHealth Regional Office
Certificate in Leadership supervisory/ supervisory/ (Professional)/ Second CAR
and Management from management management Level Eligibility
the esc learning and experience
development
intervention
undertaken within
the last 5 years

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 0:
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APPLICATIONS WITH INCOMPLETE DOCUMENTS SHALL NOT BE ENTERTAINED.
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JOB TITLE DIVISION CHIEF IV
OFFICE Field Operations Division-PRO
SALARY GRADE 24+
REPORTS TO Assistant Vice President
SUPERVISES 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:

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. Ensure coordination and harmonious working relations between the division


and other units of the PRO

~ 7. Assist the PRO-Head in the interpretation of guidelines, rules and systems

~ and procedures pertaining to membership and marketing


a: .,._01 8. Submit operational report to the PRO-Head
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119. Regularly updates the PRO-Head of issues and concerns on membership
and marketing and propose possible solution/ of the same
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\ J}o Perform other related tasks as may be assigned.

50PRO_Division Chief Fields Operations.doc


CSFormNo. 9 Electronic copy to be submitted to the CSC FO
Series of 2017 must be in MS Excel format
Republic of the Philippines
PHILIPPINE HEALTH INSURANCE CORPORATION
Request for Publication of Vacant Positions

To: CIVIL SERVICE COMMISSION (CSC)


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 Job/
No. Position Title Monthly Salary Competency Place of Assignment
Item No. Pay Education Training Experience Eligibility
Grade (if applicable)
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 PhiiHealth Regional Office
studies in college training experience (Subprofessional)/1 st I
Level Eligibility
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:

ALBERTO C. MANDURIAO
Regional Vice President
EMDC Building, Sec. Francisco Q. Duque, Jr. Road, Tapuac Distric,
Dagupan City

hr.prol@philhealth.gov.ph

APPLICATIONS WITH,INCOMPLETE DOCUMENTS SHALL NOT BE ENTERTAINED.

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JOB TITLE PLANNING ASSISTANT I
OFFICE Planning Unit-PRO
SALARY GRADE 8
REPORTS TO Planning Officer III
SUPERVISES None

JOB SUMMARY

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


CSFormNo. 9 Electronic copy to be submitted to the CSC FO
Series of 2017 must be in MS Excel format
Republic of the Philippines
PHILIPPINE HEALTH INSURANCE CORPORATION
Request for Publication of Vacant Positions

To: CIVIL SERVICE COMMISSION (CSC)


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

Date:

Salary/ Qualification Standards


Plantilla Job/
No. Position Title Monthly Salary Competency Place of Assignment
Item No. Pay Education Training Experience Eligibility
Grade (if applicable)
1 Chief Social Insurance 48-06-0066 22 58,717.00 Bachelor's degree 24 hours of 4 years relevant Career Service PhilHealth Regional Office
Officer relevant to the job relevant training experience (Professional)/ 2nd II
Level Eligibility
2 Attorney IV 25-04-0006 23 65,604.00 Bachelor of Laws 8 hours of relevant 2 years relevant RA 1080 Phi!Health Regional Office
training experience II

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 Rec~rds.

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

OSCAR B. ABADU, JR.


Regional Vice President
The Builders Place, del Rosario St., Tuguegarao City

hr.pro2@philhealth.gov.ph

APPLICATIONS WITH INCOMPLETE DOCUMENTS SHALL NOT BE ENTERTAINED.


JOB TITLE CHIEF SOCIAL INSURANCE OFFICER
OFFICE SERVICE OFFICE-PRO
SALARY GRADE 22+
REPORTS TO Division Chief IV
SUPERVISES Senior Social Insurance Officer
Social Insurance Officer III
Social Insurance Officer II
Social Insurance Officer I
Social Insurance Assistant II
Social Insurance Assistant I

JOB SUMMARY:

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

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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


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JOB TITLE ATTORNEY IV


OFFICE Legal Office-PRO
SALARY GRADE 23
REPORTS TO Assistant Vice President
SUPERVISES Special Investigator III
Special Investigator II
Legal Researcher
Legal Assistant I

JOB SUMMARY:

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. 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 flled 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.

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1717PRO_ATIORNEY IV.doc
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CSForm No.9 Electronic copy to be submitted to the CSC FO
Series of 2017 must be in MS Excel format
Republic of the Philippines
PHILIPPINE HEALTH INSURANCE CORPORATION
Request for Publication of Vacant Positions

To: CIVIL SERVICE COMMISSION (CSC)


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

(Head o Agency)
Date:

Salary/ Qualification Standards


Plantilla Job/
No. Position Title Monthly Salary Competency Place of Assignment
Item No. Pay Education Training Experience Eligibility
Grade (if applicable)
1 Clerk Ill 20-03-0066 6 14.340.00 Completion of two years None Required None Required Career Service PhilHealth Regional Office
studies in college (Subprofessional)/ 1st Ill
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 PhilHealth Regional Office
training experience (Professional)/ 2nd Ill
Level Eligibility
3 Fiscal Controller I 32-01-0057 11 20,179.00 Bachelor's degree None Required None Required Career Service PhiiHealth Regional Office
relevant to the job (Professional)/ 2nd 111-A- LHIO Olangapo
Level Eligibility
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:

WALTER R. BACAREZA
Vice-President
3rd Floor PhiiHeaJth Building., Lazatin Blvd. Brgy. San Agustin, City of
San Fernando, Pampanga

hr .pro3a@philhealth.gov.ph a;
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JOB TITLE CLERK III
OFFICE Office of the Assistant Vice-President-PRO
SALARY GRADE 6
REPORTS TO Executive Assistant II
SUPERVISES None

JOB SUMMARY:

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 TITLE PUBLIC RELATIONS OFFICER III
OFFICE Public Affairs Unit-PRO
SALARY GRADE 18
REPORTS TO Assistant Vice-President
SUPERVISES Public Relations Officer II
Public Relations Officer B
Public Relations Officer I

JOB SUMMARY

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

Spearhead the conceptualization and conduct of Corporate events including but


not limited to Anniversary celebration, launching of programs/projects,
Corporate exhibits and the like
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5 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

-. 7. Conduct various research studies and surveys on the impact of the NHIP
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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 TITLE FISCAL CONTROLLER I
OFFICE Cashier-PRO
SALARY GRADE 11
REPORTS TO Division Chief IV
SUPERVISES Fiscal Clerk III
Cash Clerk III

JOB SUMMARY:

Under general supervision, the Fiscal Controller I shall provide services on pre-
audit/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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u 86PRO_Fiscal COntroller I.doc 2
CSForm No.9 Electronic copy to be submitted to the CSC FO
Series of 2017 must bfl in MS Excel format
Republic of the Philippines
, PHILIPPINE HEALTH INSURANCE CORPORATION
Request for Publication of Vacant Positions
REPOSTING
To: CIVIL SERVICE COMMISSION (CSC)
This is to request the publication of the following vacant positions of PHILIPPINE HEALTH INSURANCE CORPORATION in the CSC website:

Date:

Qualification Standards
Plantilla Salary/ Job/
No. Position Title Monthly Salary Competency Place of Assignment
Item No. Pay Grade Education Training Experience Eligibility
(if applicable)
1 Attorney IV 25-04-0008 23 65,604.00 Bachelor of Laws 8 hours of relevant 2 years relevant RA 1080 PhiiHealth Regional Office IV-
training experience 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 _ _ _ __
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:

DR. ELIZABETH S. FERNANDEZ


Regional Vice President
Lucena Grand Central Terminal, Brgy. llayang Dupay,
hr.pro4a@ philhealth.gov.ph

APPLICATIONS WITH INCOMPLETE DOCUMENTS SHALL NOT BE ENTERTAINED.

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JOB TITLE ATTORNEY IV
OFFICE Legal Office-PRO
SALARY GRADE 23
REPORTS TO Assistant Vice President
SUPERVISES Special Investigator III
Special Investigator II
Legal Researcher
Legal Assistant I

JOB SUMMARY:

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-
CSFormNo. 9 Electronic copy to be submitted to the CSC FO
Series of 2017 must be in MS Excel format
Republic of the Philippines
PHILIPPINE HEALTH INSURANCE CORPORATION
Request for Publication of Vacant Positions

To: CIVIL SERVICE COMMISSION (CSC)


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

( ead of Agency)
Date:

Qualification Standards
Plantilla Salary/ Job/
No. Position Title Monthly Salary Competency Place of Assignment
Item No. Pay Grade Education Training Experience Eligibility
(if applicable)
1 Medical Specialist I 40-04-0012 21 52,554.00 Doctor of Medicine 4 hours of relevant 1 year of relevant RA 1080 PhiiHealth Regional Office IV-
training experience 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--,.-----
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:

DR. ELIZABETH S. FERNANDEZ


Regional Vice-President
Lucena Grand Central Terminal, Brgy. llayang Dupay,
hr.pro4a@philhealth.gov.ph

APPLICATIONS WITH INCOMPLETE DOCUMENTS SHALL NOT BE ENTERTAINED.

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JOB TITLE MEDICAL SPECIALIST I
OFFICE Benefit Administration Section-PRO
SALARY GRADE 21
REPORTS TO Medical Specialist III
SUPERVISES NONE

JOB SUMMARY:

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

• 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
f.J~ w 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
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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

2. Performs other related tasks as may be assigned


CS Form No.9 Electronic copy to be submitted to the esc FO
must be in MS Excel format
Series of 2017
Republic of the Philippines
PHILIPPINE HEALTH INSURANCE CORPORATION
Request for Publication of Vacant Positions

To: CIVIL SERVICE COMMISSION (CSC)

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

Date:

Salary/ Qualification Standards


Plantilla Job/ Monthly
No. Position Title Competency
Place of Assignment
Item No. Pay Salary Education Training Experience Eligibility (if applicable)
Grade
Completion of two CS Sub-Professional
8 hours of relevant 2 years of relevant
1 Social Insurance Assistant II 51-02-0080 10 18.718.00 years studies in (First Level PhiiHealth Regional Office IVB
training experience
College Eligibility)

CS Professional
Bachelor's Degree 24 hours of 4 years of relevant PhiiHealth Regional Office IVB (LHIO
2 Chief Social Insurance Officer 48-06-0086 22 58.717.00 (Second Level
relevant to the job relevant training experience Romblon)
Eligibility)

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:

PAOLO JOHANN C. PEREZ


Regional Vice President, Phil Health RegionaiiVB
Caedo Commercial Center, Calicanto Batangas City
hr.pro4b@philhealth.gov.ph

APPLICATIONS WITH INCOMPLETE DOCUMENTS SHALL NOT BE ENTERTAINED.


JOB TITLE SOCIAL INSURANCE ASSISTANT II
OFFICE Membership Section-PRO
SALARY GRADE 10
REPORTS TO Senior Social Insurance Officer
SUPERVISES None

JOB SUMMARY:

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

8. Performs other related tasks as may be assigned

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

6. Performs other related tasks as may be assigned

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

9. Performs other related tasks as may be assigned

64PRO Social Insurance Assistant II 2


JOB TITLE CHIEF SOCIAL INSURANCE OFFICER
OFFICE SERVICE OFFICE-PRO
SALARY GRADE 22+
REPORTS TO Division Chief IV
SUPERVISES Senior Social Insurance Officer
Social Insurance Officer III
Social Insurance Officer II
Social Insurance Officer I
Social Insurance Assistant II
Social Insurance Assistant I

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


of tbe division

~\ 4. Assist tbe Division Head in monitoring tbe performance of tbe unit, review its work

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processes and recommend change/ s to improve and optimize its performance,
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5. Assist in the training/ skills development of lower level staff of tbe unit.

6. Ensure coordination and harmonious working relations between the division and
otber units of tbe PRO
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7. 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


CS Form No.9 Electronic copy to be submitted to the esc FO
Series of 2017 must be in MS Excel format
Republic of the Philippines
Philhealth Regional Office V
Request for Publication of Vacant Positions

To: CIVIL SERVICE COMMISSION (CSC)

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

ROYB RRER, M.D.


lnterim/OIC P esident and CEO

Date:

Qualification Standards
Salary/
Plantilla Item Monthly
No. Position Title Job/ Pay Competency
Place of Assignment
No. Salary Education Training Experience Eligibility
Grade (if applicable)

CS Professional/
Bachelor's Degree PhiiHealth Regional
1 Social Insurance Officer II 48-02-0062 13 24,224.00 None Required None Required Second Level
relevant to the job Office V
Eligibility

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 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.

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

ORLANDO D. INIGO, JR.


Regional Vice"President
ANST Bldg., Alternate Road, Legazpi City
hr.proS@philhealth.gov.ph

APPLICA IONS WITH.INC'oMPLETE DOCUMENTS SHALL NOT BE ENTERTAINED.


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JOB TITLE SOCIAL INSURANCE OFFICER II
OFFICE Collection Section-PRO
SALARY GRADE 13
REPORTS TO Senior Social Insurance Officer
SUPERVISES None

JOB SUMMARY:

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

8. Performs other related tasks as may be assigned

SET 2: MEMBER DATA MANAGEMENT

55PRO_Social Insurance Officer II


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

8. Performs other related tasks as may be assigned

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

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1. Receive, evaluate and process application for initial accreditation, renewal of
L!J>- accreditation and re-accreditation of Professional Health Care Professionals
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U:JQ 2. Assist in recording, processing and analysis of data in the Monthly Mandatory
~0 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


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)

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14. Considers for inclusion in the computation of benefits other items
(drugs/meds/supplies) with or bought outside of hospital used during the
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15. Performs other related tasks as may be assigned.
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55PRO_Social Insurance Officer II 3


CSFarmNa.9 Electronic copy to be submitted to the CSC FO
Series of 2017 must be in MS Excel format
Republic of the Philippines
PHILIPPINE HEALTH INSURANCE CORPORATION
Request for Publication of Vacant Positions

To: CIVIL SERVICE COMMISSION (CSC)

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

ROYB.

Date:

Qualification Standards
Salary/
Plantilla Item Monthly
No. Position Title Job/ Pay Competency
Place of Assignment
No. Salary Education Training Experience Eligibility
Grade (if applicable)

CS Professional/
Bachelor's Degree PhilHealth Regional
1 Fiscal Controller I 32-01-0078 11 20,179.00 None Required None Required Second Level
relevant to the job Office VI
Eligibility

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:

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 TITLE FISCAL CONTROLLER I


OFFICE Cashier-PRO
SALARY GRADE 11
REPORTS TO Division Chief IV
SUPERVISES Fiscal Clerk III
Cash Clerk III

JOB SUMMARY:

Under general supervision, the Fiscal Controller I shall provide services on pre-
audit/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

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I IX • Review file documents for submission to Commission on Audit


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• Prepare accounting/financial reports such as Summary of Outstanding Checks,
bank reconciliation statements, and the like
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.2! • Review report of collection against Official Receipts, validate deposit slips and
check footings
u
0 • 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_Fiscal COntroller J.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

• Prepare benefit payment checks 1n accordance witb 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 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


CSFormNo. 9 Electronic copy to be submitted fo the CSC FO
Series of 2017 must be in MS Excel format
Republic of the Philippines
PHILIPPINE HEALTH INSURANCE CORPORATION
Request for Publication of Vacant Positions
REPOSTING
To: CIVIL SERVICE COMMISSION (CSC)

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 Job/ Monthly Place of
No. Position Title Competency
Item No. Pay Salary Education Training Experience Eligibility Assignment
Grade (if applicable)
Completion of Career Service
Human Resource Management two years 4 hours of 1 year relevant (Subprofessional PhiiHealth Regional
1 21-01-0017 8 16,282.00
Assistant studies in relevant training experience )/ First Level Office VII
college Eligibility

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.

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

WILLIAM 0. CHAVEZ
Regional Vice President
PhiiHealth Regional Office VII, Golden Peak Hotel &
Suites Gerardo Avenue corner Escario Street, Cebu
Ci
wochavez@philhealth.gov.ph

APPLICATIONS WITH INCOMPLETE DOCUMENTS SHALL NOT BE ENTERTAINED.


JOB TITLE HRM ASSISTANT
OFFICE HR Unit-PRO
SALARY GRADE 8
REPORTS TO HR Management Officer III
SUPERVISES None

JOB SUMMARY:

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 Electronic copy to be submitted to the CSC FO must be
Seriu of2017 in MS Excel format
Republic of the Philippines
PHILIPPINE HEALTH INSURANCE CORPORATION
Request for Publication ofVacant Positions

Too CIVIL SERVICE COMMISSION (CSC)

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 _ _ _ _ _ _ _ _ __

Salary/ Qualification Standards


Plantilla Monthly
No. Position Title Job/Pay Competency Place of Assignment
Item No. Salary Education Training Experience Eligibility
Grnde (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 PhilHealth Regional
Relevant to the Job relevant tr.tining experience (Professional) Second Office VIII
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:

RENATO L LIMSIACO, JR.


Regional Vice-President
Philippine Health Insurance Corporation
Regional Office VIII, p. Burgos St Tacloban City
hr.pro8@philhealth.gov.ph

AP CA'FIOl H INCOMPLETE DOCUMENTS SHALL NOT BE ENTERTAINED.

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JOB TITLE PLANNING OFFICER III
OFFICE Planning Unit-PRO
\, SALARY GRADE 18
REPORTS TO Assistant Vice President
SUPERVISES 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

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


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CSFormNo. 9 Electronic copy to be submitted to the esc FO must be
Sedestif2017 in MS Excel format
Republic of the Philippines
PHILIPPINE HEALTH INSURANCE CORPORATION
Request for Publication ofVacant Positions

Too CIVIL SERVICE COMMISSION (CSC) REPOSTING

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

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

Salary/ Qualification Standards


Planrilla Monthly
No. Position Title Job/Pay Competency Place of Assignment
Item No. Salary Education Training' Experience Eligibility
Grade (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 PhilHcalth Regional
years studies in college relevant training experience (Subprofessional)/ First Office VIII
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 PhilHcalth Regional
years studies in college relevant training experience (Subprofessional)/ l'ir:;t Office VIII
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 ofTranscript of Records.

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

RENATO L. LIMSIACO,JR.
Regional Vice-President
Philippine Health Insurance Corpor3tion
Regional Office VIII, p. Burgos St. Tadoban City
hr .pro8@philhealth.gov.ph

APPLICATIONS WITH INCOMPLETE DOCUMENTS SHALL NOT BE ENTERTAINED.


JOB TITLE PLANNING ASSISTANT I
OFFICE Planning Unit-PRO
SALARY GRADE 8
REPORTS TO Planning Officer III
SUPERVISES None

JOB SUMMARY

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.

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JOB TITLE SOCIAL INSURANCE ASSISTANT I
OFFICE MEMBER MANAGEMENT TEAM-PRO
SALARY GRADE 8
REPORTS TO Social Insurance Officer III
SUPERVISES 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. 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. Verify accuracy/ authenticity of information in Phi!Health Claim Forms


based on existing database or other valid sources

5. Validate the beneficiaries and providers' eligibility to avail claims

6. Ensure completeness of documentary requirements in the claims


applications before forwarding to the next processing stage

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

8. Performs other related tasks as may be assigned

SET 2: SERVICE OFFICE- MEMBER MANAGEMENT TEAM

93 PRO Social Insurance Assistant I


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 issuance of


PhilHealth Number/Identification Cards

3. Screen membership 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 Number/Identification Cards are prepared properly


and attached to the right membership information sheet

7. Assist in the preparation of reply to inquiries and complaints regarding


membership data

8. Performs other related tasks as maybe assigned

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CSFonnNo.9 Electronic copy to be submitted to the esc FO must be
SerieJoj2017 in MS Excel forrhat
Republic of the Philippines
PHILIPPINE HEALTH INSURANCE CORPORATION
Request for Publication of Vacant Positions

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:

Salary/ Qualification Standards


Plantilla Monthly
No. Position Title Job/Pay Competency Place of Assignment
Item No. Salary Education Training Experience Eligibility
Grade (if applicable)
1 Fiscal Controller I 32-01-0110 11 20,179.00 Bachelor's degree None required None required Career Service Phill-Iealth Regional
relevant to the job (Professional)/ Second Office X
Level Eligibility

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
4. Photocopy of Transcript of Records.

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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~

APPLICATIONS WITH INCOMPLETE DOCUMENTS SHALL NOT BE ENTERTAINED.


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JOB TITLE FISCAL CONTROLLER I
OFFICE Cashier-PRO
SALARY GRADE 11
REPORTS TO Division Chief IV
SUPERVISES Fiscal Clerk III
Cash Clerk III

JOB SUMMARY:

Under general supervision, the Fiscal Controller I shall provide services on pre-
audit/ 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
0 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. BUD GETTING 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

• 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

86PRO_Fisca\ COntroller Ldoc 2


CSFonnNo.9 .- El;ctr~~i~ co~; to be sub;;;;tt~d-;;;;he Csc fo mu~tb-;1
Seriesqf2017 1 in MS Excel format
Republic of the Philippines ~ . - - ---- -- . - - ---- - - -
PHILIPPINE HEALTH INSURANCE CORPORATION
Request for Publication of Vacant Positions
REPOSTING
Too CIVIL SERVICE COMMISSION (CSC)

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

RO . FERRER, M.D.
Head of Agency)
Date: _ _,__ _ _ _ _ _ __

Sairuy/ Qualification Standards


Plantilla Monthly
No. Position Tide 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 PhilHcalth Rebrional
relevant training experience Office X
2 Medical Specialist I 40-04-0026 21 52,554.00 Doctor of ~1edicine 4 hours of 1 year relevant RA 1080 Phi!Hcalth Regional
relevant training experience Office X

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 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:

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

APPLICATIONS WITH INCOMPLETE DOCUMENTS SHALL NOT BE ENTERTAINED.


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JOB TITLE MEDICAL SPECIALIST IV
OFFICE Health Care Delivery Mgt. Div.-PRO
SALARY GRADE 24+
REPORTS TO Assistant Vice President
SUPERVISES MEDICAL SPECIALIST III
CLERK III

JOB SUMMARY:

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

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

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

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

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

13. Performs other related tasks as may be assigned.


66PRO_Mcdical Specialist IV.doc
JOB TITLE MEDICAL SPECIALIST I
OFFICE Benefit Administration Section-PRO
SALARY GRADE 21
REPORTS TO Medical Specialist III
SUPERVISES NONE

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:

SET 1: Accreditation and Quality Assurance

• 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.

SET 2: Benefit Administration

• Responsible for medical evaluation of clainls

• Review of the medical aspect of claims forwarded for reconsideration

2. Performs other related tasks as may be assigned


CSFo.tmNo. 9 flecuonic copy ID be wbmitted to the CSC FO must be
Saietoj2017
--------- ~-~&ul/or~-- _ _ _j
Republic of the Philippines •
PHIUPPINE HEALTH INSURANCE CORPORATION
Request for Publication of Vacant Posilio.u
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,~

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


Pl:anlilla Monthly
No. Position Title Job/Pay 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.


JOB TITLE MEDICAL SPECIALIST I
OFFICE Accreditation and QA Section-PRO
SALARY GRADE 21
REPORTS TO MEDICAL SPECIALIST III
SUPERVISES 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: ACCREDITATION AND QUALITY ASSUSRANCE FUNCTION

• Assessment of existing accreditation and quality assurance systems, policies,


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• Participates in dialogue with Institutional Health care Providers to discuss
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about issues and concerns pertaining to claims processing, accreditation and
quality assurance and other NHIP matters.
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~~ • Assists in the rendition of appropriate technical advice to health care
providers : re: how to improve the quality of service to patients

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

SETZ: 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

4. Performs other related tasks as may be assigned.

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JOB TITLE HR MANAGEMENT OFFICER III
OFFICE HR Unit-PRO
SALARY GRADE 18
REPORTS TO Administrative Officer IV
SUPERVISES 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

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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
r.t: ..... compliance of PRO units to Plv!S requirements such as submission of Performance
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I-ll. CJ"' Commitment Certification of Accomplishment, conduct of performance reviews,
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mentoring, coaching, etc; and seek advise from Central Office-HRD in case there are
<>:u issues difficult to resolve at the PRO level)
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• employee relations/discipline (handling of programs/projects to promote sound
management-employee relations, handling of gtievance cases and other problems
0 affecting morale and efficiency (verification of facts, interviews, case reports,
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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 TITLE SPECIAL INVESTIGATOR II
OFFICE Legal Office-PRO
SALARY GRADE 15
REPORTS TO Attorney IV
SUPERVISES None

JOB SUMMARY:

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 PRO-


Attorney;

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;

7. Perform other related tasks as may be assigned.

1919PRO_Sl'ECIAL INVESTIGATOR ll.doc -1-


JOB TITLE SOCIAL INSURANCE OFFICER III
OFFICE Member Management Team-PRO
SALARY GRADE 15
REPORTS TO Division Chief IV
SUPERVISES Social Insurance Officer II
Social Insurance Officer I
Social Insurance Assistant II
Social Insurance Assistant I

JOB SUMMARY:

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:

SET 1 : MARKETING AND MEMBERSHIP

1. Handle 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

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donors/Sponsors including but not limited to the Organized Groups and
Private/Government Agencies
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4. Conduct orientation and re-orientation on NHIP to vanous stakeholders
(J)Q including the private and government sector members

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other stakeholders of the NHI Program
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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

8. Performs other related tasks as may be assigned

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. Review the computation of reimbursable amount of each claim

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

3. Confirms member/ dependent eligibility and completeness of attached


supporting documents thereof

4. 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


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

9. Performs other related tasks as may be assigned

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

8. Performs other related tasks as may be assigned

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89PRO_SOCIAL INSURANCE OFFICER III 3


JOB TITLE ADMINISTRATIVE OFFICER I
OFFICE General Services Unit-PRO
SALARY GRADE 11
REPORTS TO Administrative Officer III
SUPERVISES None

JOB SUMMARY:

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.

9. Performs other related tasks as may be assigned.

41PRO_AO I.doc
----~- ----------

JOB TITLE SOCIAL INSURANCE OFFICER I


OFFICE Benefit Administration Section-PRO
SALARY GRADE 11
REPORTS TO Senior Social Insurance Officer
SUPERVISES None

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 ~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:

SET 1 : MARKETING AND MEMBERSHIP

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

9. Performs other related tasks as may be assigned

82PRO_Social Insurance Officer I


SET 2: MEMBER DATA MANAGEMENT

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

7. Performs other related tasks as may be assigned

SET 3 : COLLECTION /ACCOUNTS MANAGEMENT

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
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and other collection data

3. Prepare draft of penalty charge for late remittances


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5. Assist in monitoring of status of contributions submission from
members/ employers/ sponsors
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6. Verify the correctness of billing statements to sponsors/members

7. Performs other related tasks as may be assigned

SET 4 : CLAIMS PROCESSING

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


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

5. Performs other related tasks as may be assigned

SET 5 : ACCREDITATION AND QUALITY ASSURANCE

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

7. Prepare simple to moderately complex correspondence, presentation materials


and other documents as may be required by the higher Officer

8. .Assist in preparation of accreditation reports, pre-accreditation surveys,


monitoring, and related activities
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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 TITLE SOCIAL INSURANCE OFFICER I
OFFICE Benefit Administration Section-PRO
SALARY GRADE 11
REPORTS TO Senior Social Insurance Officer
SUPERVISES None

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

3. Perform marketing/ advocacy-related tasks to target organized groups and


individuals, from the information education campaign to enrollment stage

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

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

7. Issue Phi!Health 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

9. Performs other related tasks as may be assigned

82PRO Social Insurance Officer I


SET 2: MEMBER DATA MANAGEMENT

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 mqwnes and complaints regarding


membership data

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

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


employers

7. Performs other related tasks as may be assigned

SET 3 : COLLECTION /ACCOUNTS MANAGEMENT

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

2. Assist in verification and confirmation of employer remittances based on


available information in accounts database, recendy received employer reports
and other collection data

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3. Prepare draft of penalty charge for late remittances

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


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

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

7. Performs other related tasks as may be assigned

SET 4 : CLAIMS PROCESSING

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


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 quer1es, clarifications,


follow-ups from health care providers/professionals

5. Performs other related tasks as may be assigned

SET 5 : ACCREDITATION AND QUALITY ASSURANCE

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

~ l 7. Prepare simple to moderately complex correspondence, presentation materials


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8. Assist in preparation of accreditation reports, pre-accreditation surveys,
monitoring, and related activities
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-ij review of the Accreditation Team Leader
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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 TITLE FISCAL CLERK III
OFFICE Cashiering Unit-PRO
SALARY GRADE 8
REPORTS TO Fiscal Controller III
SUPERVISES None

JOB SUMMARY:

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.

4. Perform other related tasks as may be assigned.

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36PRO_Fiscal Clerk III.doc


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

JOB TITLE HRM ASSISTANT


OFFICE HR Unit-PRO
SALARY GRADE 8
REPORTS TO HR Management Officer III
SUPERVISES None

JOB SUMMARY:

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)

6. Perform other related tasks as may be assigned

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JOB TITLE SOCIAL INSURANCE ASSISTANT I
OFFICE Benefit Administration Section-PRO
SALARY GRADE 8
REPORTS TO Senior Social Insurance Officer
SUPERVISES 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. 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 ,vith


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. Verify accuracy/ authenticity of information in PhilHealth Claim Forms


based on existing database or other valid sources

5. Validate the beneficiaries and providers' eligibility to avail claims

6. Ensure completeness of documentary requirements in the claims


applications before forwarding to the next processing stage

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

8. Performs other related tasks as may be assigned

SET 2: SERVICE OFFICE MEMBER MANAGEMENT TEAM

84PRO_Social insurance Assistant I


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 issuance of


Phi!Health Number/Identification Cards

3. Screen membership 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 Phi!Health Number/Identification Cards are prepared properly


and attached to the right membership information sheet

7. Assist in the preparation of reply to inquiries and complaints regarding


membership data

8. Perfmms other related tasks as maybe assigned

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84PRO_Social insurance Assistant I 2


JOB TITLE CLERK III
OFFICE Health Care Delivery Management Division-PRO
SALARY GRADE 6
REPORTS TO Medical Specialist IV
SUPERVISES None

JOB SUMMARY:

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.

7. Performs other related tasks as may be assigned

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


CSFormNo.9 Electronic copy to be submitted to the CSC FO must be
SelicJoj2017 in MS Excel format
Republic of the Philippines
PHILIPPINE HEALTH INSURANCE CORPORATION
Request for Publication ofVacant Positions

To' CIVIL SERVICE COMMISSION (CSC)

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 Competency Place of Assignment
Item No. Salary Education Training Experience Eligibility
Grade (if applicable)
1 Social Insurance Assistant II 51-02-0159 10 18,718.00 Completion of two 8 hours of 2 years relevant Career Service PhiiHealth Regional
years studies in college relevant training experience (Subprofessional)/ rirst Office XII
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);
3. Photocopy of certificate of eligibility/rating/license; and
4. Photocopy of Transcript of Records.

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.


JOB TITLE SOCIAL INSURANCE ASSISTANT II
OFFICE Member Management Team-PRO
SALARY GRADE 10
REPORTS TO Social Insurance Officer III
SUPERVISES None

JOB SUMMARY:

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 Issuance of


Phi!Health Number/Identification Cards

3. Consolidate accomplished membership forms and forward the same to concerned


marketing officers or units for distribution

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

1..!..1>- ro 5. Assist in generating marketing-related pro forma letters/ correspondence


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6. Prepare marketing kits and materials at least a day before the scheduled marketing
;Io date
..2:

7. Establish and update database of marketing status monitoring system


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8. Performs other related tasks as may be assigned

SET 2: MEMBER DATA MANAGEMENT

1. Screen membership application form to ensure completeness of data

92PRO_ Social Insurance Assistant II


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

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

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

6. Performs other related tasks as may be assigned

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

9. Performs other related tasks as may be assigned

92PRO_Social Insurance Assistant II 2


,-;;;;,~-r~be sub-;,~;ed ;o Me esc FO must be I
F
CSFoiinNo. 9
Sm"u aj2017 in MS Excel format 1
- ·- ~ - - _I
Republic of the Philippines
PHILIPPINE HEALTH INSURANCE CORPORATION
Request for Publication of Vacant Positions
REPOSTING
Too CIVIL SERVICE COMMISSION (CSC)

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

ROJJ.dRRER, M.D.
flepd of Agency)
Date: I
l
Salary/ Qualification Standards
Plantilla Monthly
No. Position Title Job/Pay Competency Place of Assignment
Item No. Salary Education Training Experience Eligibility
Grade (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 PhiiHealth Regional
relc\•ant training C.-..;pcrit.'flCC Office XII
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 PhilHcahh Regional
rclt.•Yant to the job re!C\"nnt training cxpcnencc (Professional)/ Second Office XII
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 Phi!Hcalth Regional
rcle\·ant training experit.'flCe Office XII
4 ~ledical Specialist I 40-04-0034 21 52,554.00 Doctor of Medicine 4 hours of 1 year relC\·ant RA 1080 PhiiHcahh Regional
relevant training experience Office XII
5 Social Insurnnce Officer I 48-01-0232 11 20,179.00 Bachelor's degree None required None required Career Service Phi!Hcalth Regiona1
rcle\'ant to the job (Professional)/ Second Office XII
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 PhiiHeahh Regional
years studies in college relcnnt training experience (Subprofessional)/ First Office XII
l.evcl Eligibility

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 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
4. Photocopy of Transcript of Records.

QUALIFIED APPLICANTS are ad\;scd to hand in or send throu_gh courier/email their application t
lJ~ Qj
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MR. EUGENIO C. DONATOS 1--·'1... Cl
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OIC-Regional Vice-President
Philippine Health Insurance Corporation ·C(U
CSA Bldg., cor. Zulueta St., Genera] Santos Dri\'e,
Koronadal City, South Cotabato I ··::...:
~

!,,,,
APPLICATIONS \VITH INCOMPLETE DOCUMENTS SHALL NOT BE ENTERTAINED.~~~-----~
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JOB TITLE MEDICAL OFFICER VII
OFFICE Health Care Delivery Mgt. Div.-PRO
SALARY GRADE 25
REPORTS TO Assistant Vice President
SUPERVISES MEDICAL SPECIALIST III
CLERK III

JOB SUMMARY:

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

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

u 9. Submit operational report to the PRO-Head


0

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

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

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

13. Performs other related tasks as may be assigned.


JOB TITLE CHIEF SOCIAL INSURANCE OFFICER
OFFICE SERVICE OFFICE-PRO
SALARY GRADE 22+
REPORTS TO Division Chief IV
SUPERVISES Senior Social Insurance Officer
Social Insurance Officer III
Social Insurance Officer II
Social Insurance Officer I
Social Insurance Assistant II
Social Insurance Assistant I

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:

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
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

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

25 ,7. Prepare simple to highly complex correspondence, presentation materials and other
---- ..J 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 TITLE MEDICAL SPECIALIST I
OFFICE Benefit Administration Section-PRO
SALARY GRADE 21
REPORTS TO Medical Specialist III
SUPERVISES NONE

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:

SET 1: Accreditation and Quality Assurance

• 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


u
Q 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

2. Performs other related tasks as may be assigned


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

JOB TITLE MEDICAL SPECIALIST I


OFFICE Accreditation and QA Section-PRO
SALARY GRADE 21
REPORTS TO MEDICAL SPECIALIST III
SUPERVISES 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:

SET1: 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
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1.----···
• Recommend appropriate action to critical issues and concerns pertaining
health care delivery management

SET2: 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

4. Performs other related tasks as may be assigned.


JOB TITLE SOCIAL INSURANCE OFFICER I
OFFICE Benefit Administration Section-PRO
SALARY GRADE 11
REPORTS TO Senior Social Insurance Officer
SUPERVISES None

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:

SET 1 : MARKETING AND MEMBERSHIP

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

3. Perform marketing/ advocacy-related tasks to target organized groups and


individuals, from the information education campaign to enrollment stage

~--

~.,_
4. Assist in the presentation of the National Health Insurance Program to potential
donors/Sponsors including but not limited to the Organized Groups and
D:': OJ Private/ Government Agencies
I IJ)- C'J
;:::;o.. Cl
5. Assist in the conduct orientation and re-orientation on NHIP to vanous
'(fJO
I
I ·<o stakeholders including the private and government sector members
~
I """""
'
6. Attend to telephone and walk-in queries and complaints of members and other
stakeholders of the NHI Program
0

\ CJ
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

9. Performs other related tasks as may be assigned

82PRO Socia\ Insurance Officer I


SET 2: MEMBER DATA MANAGEMENT

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 mqumes 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

7. Performs other related tasks as may be assigned

SET 3 : COLLECTION /ACCOUNTS MANAGEMENT

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

2. Assist in verification and confirmation of employer remittances based on


available information in accounts database, recently 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

7. Performs other related tasks as may be assigned

SET 4 : CLAIMS PROCESSING

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


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

5. Performs other related tasks as may be assigned

SET 5: ACCREDITATION AND QUALITY ASSURANCE

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

7. Prepare simple to moderately complex correspondence, presentation materials


and other documents as may be required by the higher Officer

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 TITLE FINANCIAL PLANNING ASSISTANT B


OFFICE Comptrollership Unit-PRO
SALARY GRADE 10
REPORTS TO Fiscal Controller III
SUPERVISES None

JOB SUMMARY:

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
1
Electronic copy to .be submitted to the esc FO must be 1'
Series of2017 ~---- ___ mMSE~~~~O~"!_a!___ ____ _
1
,
Republic of the Philippines
PHILIPPINE HEALTH INSURANCE CORPORATION
Request for Publication of Vacant Positions

To, CML SERVICE COMMISSION (CSC)

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 Place of Assignment
Item No. Salary Education Training Experience Eligibility
Grade (if applicable)
I Human Resource Management 21-02-0007 10 18,718.00 Completion of two 8 hours of 2 years relevant Career Service PhilHcalth Regional
Assistant II years srudies in college relevant training experience (Subprofessional)/ Pirst Office CARAGA
Level Eligibility

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

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);
3. Photocopy of certificate of eligibility/rating/license; and
4. Photocopy of Transcript of Records.

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

,.- --=41
I
>
~

APPLICAJ" 0
776 f. Rosales Ave., Buruan City
caraga@philhealth.gov.ph

S WITH INCOMPLETE DOCUMENTS SHALL NOT BE ENTERTAINED.


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

JOB TITLE HRM ASSISTANT II


OFFICE HR Unit-PRO
SALARY GRADE 10
REPORTS TO HR Management Officer III
SUPERVISES None

JOB SUMMARY:

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 ATM

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

5. Perform other related tasks as may be assigned

u
0

48PRO_HRM,\ ll.doc
CSFormNo. 9 Electronic copy to be submitted to the CSC FO must be
Sen·u ofl0/7 in MS Excel format
Republic of the Philippines
PHILIPPINE HEALTH INSURANCE CORPORATION
Request for Publication ofVaeant Positions
Rl~POSTING
To' CIVIL SERVICE COMMISSION (CSC)

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 Competency Place of Assignment
Item No. Salary Education Training Experience Eligibility
Grade (if applicable)
1 Chief Social lnsumnce Officer 48-06-0134 22 58,717.00 Bachelor's degree 24 hours of 4 years rch:vant Career Service Phi\Hcalth Regional
relevant to the job rcle\'ant training experience (Profe~sional)/ Second Office CARAGA
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 l'hili-Icalth Regional
relevant to the job relevant training e."perience Public Accountant) Oflicc CAHAGA
3 Administmtion Services 1>03-0062 8 16,282.00 Completion of two 4 hours of 1 ye1r of rclevant Carcc::r Scnice Phi\Health Regional
Assistant C y<."al"S studies in college rcb"3nt training e.":pericncc (Subprofessional)/ First Office CAR.J\GA
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 Phi!Hcalth Regional
years studies in college rclc\-ant training C.."\-periL'DCC (Subprofessional)/ First Office CARAGA
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 PhilHealth Regional
years studies in college relevant training experience (Subprofessional)/ First Office CARAGA
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 PhilHealth Regional
years studies in college relevant training experience (Subprofessional)/ First Office CARAGA
Level Eligibility

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
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
4. Photocopy of Transcript of Records.

QUALIFIED APPUCANTS are ad\·ised to hand in or send through courier/email their application to: r.t: ~
hl
!.U>- r.J
DR. EDUARDO S. GONZALES \--D.. Cl

~
OIC-Rcgional Vice-President (/)()
Philippine Health Insurance Coporation I '->:o
776 j. Ro~ales Ave., Butuan City
~
caraga@philhealth.gov.ph \I
<..:>
APPLICATIONS WITH INCOMPLETE DOCUMENTS SHALL NOT BE ENTERTAINED.
\ Cl
JOB TITLE CHIEF SOCIAL INSURANCE OFFICER
OFFICE SERVICE OFFICE-PRO
SALARY GRADE 22+
REPORTS TO Division ChiefiV
SUPERVISES Senior Social Insurance Officer
Social Insurance Officer III
Social Insurance Officer II
Social Insurance Officer I
Social Insurance Assistant II
Social Insurance Assistant I

JOB SUMMARY:

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 0 ffice 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

-:';I 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
u other units of the PRO
D

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 TITLE FISCAL CONTROLLER IV
OFFICE Fund Management Section-PRO
SALARY GRADE 22
REPORTS TO Division Chief IV
Management Services Division
SUPERVISES Fiscal Controller III, Comptrollership Unit
Fiscal Controller III, Cashiering Unit

JOB SUMMARY:

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 TITLE ADMINISTRATION SERVICES ASSISTANT C
OFFICE General Services Unit-PRO
SALARY GRADE 8
REPORTS TO Administrative Officer III
SUPERVISES None

JOB SUMMARY:

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.

2. Perform other related tasks as may be assigned

43PRO_,\St\ C.doc 1
JOB TITLE FISCAL CLERK III
OFFICE Comptrollership Unit-PRO
SALARY GRADE 8
REPORTS TO Fiscal Controller III
SUPERVISES None

JOB SUMMARY:

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.

4. Perform other related tasks as may be assigned

30PRO_riscal Clerk III.doc


JOB TITLE SOCIAL INSURANCE ASSISTANT I
OFFICE MEMBER l\L-IN.-IGE!\!ENT TE.-1111-PRO
SALARY GRADE 8
REPORTS TO Social Insurance Officer III
SUPERVISES 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. 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. Verify accuracy/authenticity of information in PhilHealth Claim Forms


based on existing database or other valid sources

5. Validate the beneficiaries and providers' eligibility to avail claims

6. Ensure completeness of documentary requirements in the claims


applications before forwarding to the next processing stage

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

8. Performs other related tasks as may be assigned

SET 2: SERVICE OFFICE- MEMBER MANAGEMENT TEAM

93PRO_Social Insurance Assistant I


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

2. Assist in the screening of accomplished membership forms and issuance of


PhilHealth Number/Identification Cards

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

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

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

7. Assist in the preparation of reply to inquiries and complaints regarding


membership data

8. Performs other related tasks as maybe assigned

93 PRO Social Insurance Assistant I 2


JOB TITLE SOCIAL INSURANCE ASSISTANT I
OFFICE Benefit Administration Section-PRO
SALARY GRADE 8
REPORTS TO Senior Social Insurance Officer
SUPERVISES 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. 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


ts any

4. Verify accuracy/ authenticity of information in Phi!Health Claim Forms


r..r: ai based on existing database or other valid sources
UJ >- ·;;;
!J)Q J
. ..;o._ 0
5. Validate the beneficiaries and providers' eligibility to avail claims

~u 4 6. Ensure completeness of documentary requirements in the claims


applications before forwarding to the next processing stage

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

8. Performs other related tasks as may be assigned

SET 2: SERVICE OFFICE- MEMBER MANAGEMENT TEAM

84PRO Social Insurance Assistant I


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 issuance of


PhilHealth Number/Identification Cards

3. Screen membership 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 Number/Identification Cards are prepared properly


and attached to the right membership information sheet

7. Assist in the preparation of reply to inquiries and complaints regarding


membership data

8. Performs other related tasks as maybe assigned

84PRO_ Social insurance Assistant l 2


CS Form No.9 ElocJronlc ccpy to be subrmt!od /o Jl!o esc FO
Series of 2017 must b& ill MS E~cot formal
Republic of the Philippines
PHIUPPINE HEALTH INSURANCE CORPORATION
Request for Publication of Vacant Positions
REPOSTING
To: CML SERVICE COMMISSION (CSC)

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

R Y B. FERRER, M.D.
Head of Agency)
Dae:
l

Salary( Qualification Standards


Plantilla Item
No. Position Title Job/ Pay Monthly Salary Competency Place of Assignment
No. Education Training Experience Eligibility
Grade (if applicable)
1 Management Specialist II 13-02-0009 16 31,765.00 Bachelor's degree 4 hours of relevant 1 year of relevant Career Service Organization and Systems

Audrting Systems Specialist 13-01-0003


relevant to the job training

24,224.00 Bachelor's degree None required


experience

None required
(Professional)/ 2nd
Level E~gibUity
Career Service
Development Office

Operations Audit Department


\
2 13
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 Public Affairs Department
(Prcfesslonai)J 2nd (Corporate Communica~ons
Level Eligibility Department)
4 Cler1t111 2<J.<I3.0022 6 14,340.00 Completion of two None required None required Career Service Fact-Finding, Investigation and
years studies In {Subprofessional)l1 st Enforcement Department
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 Protest and Appeals Review
training experience Department

6 Information Systems 55-02-0022 16 31,765.00 Bachelor's degree 4 hours of relevant 1 year relevant Career Service Corporate lnforma~on Security
Analyst u relevant to the job training experience (Professional)/ 2nd Department
Level Eligibility
7 Information Systems 55-02..0025 16 31,765.00 Bachelor's degree 4 hours of relevant 1 year relevant Career Service Corporate Information Security
Analyst u relevant to the job training experience (Professional)/ 2nd Department
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 Office of the Area Vice President
Officer relevant to the job training experience (Professional)/ 2nd for NCR and South Luzon
Level Eligibility
9 Medi(;S! Specialist JU 41-02-0010
" 65,604.00 Doctor of Medicine 8 hours of relevant 2 years relevant
training experience
RA 1080 Standards and Monltoring
Department

10 SOCial Insurance OffiCer I 48-01-0002 11 20,179.00 Bachelor's degree None required None required career Service Overseas Filipino Program (to be
relevant to the job (ProfessionaQ/2nd assigned In SHIA)
Level Eligibility
11 Social Insurance Officer I 48-01-0023 11 20,179.00 Bachelor's degree None required None required Career Service Overseas Filipino Program
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 Overseas Filipino Program
relevant to the job (Prcfessiona!}l2nd
Level Eligibility

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 t h a n - - - - - - -
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

APPLICATIONS WITH INCOMPLETE DOCUMENTS SHALL NOT BE ENTERTAINED.


JOB TITLE MANAGEMENT SPECIALIST II
OFFICE ORGANIZATION AND SYSTEMS DEVELOPMENT OFFICE
SALARY GRADE 16
REPORTS TO Senior Management Specialist
SUPERVISES None

JOB SUMMARY:
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.
JOB TITLE AUDITING SYSTEMS SPECIALIST I
OFFICE Operations Audit Department
SALARY GRADE 13
REPORTS TO Chief Auditing Systems Specialist
Financial Audit Department
SUPERVISES None

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 :

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,

oc
41
Qj
..--
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
w>-
1-Q.. 0"' control files, by ensuring that transactions are accounted for in numeric sequence and

~
UlO by comparing file totals with control accounts,
c:t:o
:2! c. Reviewing suitability of report forms,

u d. Checking accuracy of reports,


Q

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 PUBLIC RELATIONS OFFICER B
OFFICE Communications Management Division
Public Affairs Department
SALARY GRADE 13
REPORTS TO Public Relations Officer II
SUPERVISES None

JOB SUMMARY

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.

u
D

05 Public Affairs Dept_Public Relations Officer B_Communications.doc


JOB TITLE CLERK III
OFFICE Investigation Division
Fact Finding Investigation & Enforcement Department
SALARY GRADE 6
REPORTS TO Department Manager
SUPERVISES None

JOB SUMMARY

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 MEDICAL SPECIALIST I
OFFICE Medical Review Division
Protests and Appeals Review Department
SALARY GRADE 21
REPORTS TO Medical Specialist IV
Medical Review Division
SUPERVISES None

JOB SUMMARY:

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

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

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

9. Performs such other functions as may be assigned or delegated by the Medical Specialist
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JOB TITLE INFORMATION SYSTEMS ANALYST II
OFFICE Corporate Information Security Department
SALARY GRADE 16
REPORTS TO Information Systems Analyst III
SUPERVISES None

JOB DESCRIPTION

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

2. Systems analysis;

3. Documentation

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JOB TITLE INFORMATION SYSTEMS ANALYST II
OFFICE Corporate Information Security Department
SALARY GRADE 16
REPORTS TO Information Systems Analyst III
SUPERVISES None

JOB DESCRIPTION

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

2. Systems analysis;

3. Documentation
JOB TITLE SENIOR SOCIAL INSURANCE OFFICER
OFFICE Office of the First Vice President
SALARY GRADE 18
REPORTS TO Chief Social Insurance Officer

JOB SUMMARY:

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.

6. Prepare simple to highly complex correspondence, presentation materials and other


documents as may be required by the higher Officer

7. Performs other related tasks as may be assigned

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JOB TITLE MEDICAL SPECIALIST III
OFFICE Policy Research & Standards Development Division
Standards and Monitoring Department
SALARY GRADE 23
REPORTS TO Medical Specialist IV
SUPERVISES 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 TITLE SOCIAL INSURANCE OFFICER I
OFFICE SPECIAL PROGRAMS DEPARTMENT
SALARY GRADE 11
REPORTS TO Senior Social Insurance Officer
SUPERVISES None

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 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 TITLE SOCIAL INSURANCE OFFICER I
OFFICE SPECIAL PROGRAMS DEPARTMENT
SALARY GRADE 11
REPORTS TO Senior Social Insurance Officer
SUPERVISES None

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:

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;
4. Assists in the preparation of reply to inquiries and complaints regarding membership data;
5. 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.

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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
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 TITLE SOCIAL INSURANCE OFFICER I
OFFICE SPECIAL PROGRAMS DEPARTMENT
SALARY GRADE 11
REPORTS TO Senior Social Insurance Officer
SUPERVISES None

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:

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 Phi!Health 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;
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;

r
Monitors status of membership form submission from private and government employers;
Performs other related tasks as may be assigned.
I

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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
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.

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