Volunteer, Integrated Care, Health Financing

Overview:

- CHAI is an Equal Opportunity Employer, and is committed to providing an environment of fairness, and mutual respect where all applicants have access to equal employment opportunities. CHAI values diversity and inclusion, and recognizes that our mission is best advanced by the leadership and contributions of people with diverse experience, backgrounds, and culture._

CHAI, in partnership with its India affiliate, William J Clinton Foundation (WJCF), works in close partnership with and under the guidance of the Ministry of Health and Family Welfare (MoHFW) at the Central and States' levels on an array of high priority initiatives aimed at improving health outcomes. Currently, CHAI supports government partners across projects to expand access to quality care and treatment for HIV/AIDS, Hepatitis, tuberculosis, COVID-19, common cancers, sexual and reproductive health, immunization, and essential medicines.

Talent is the fundamental driver of WJCF’s success in helping save lives and reduce the burden of disease. WJCF’s organizational values reflect its relentless endeavour of hiring, nurturing, empowering, and celebrating diverse and high calibre individuals who come together to work as cohesive teams. WJCF places a high premium on providing its staff with an enabling environment that encourages entrepreneurship, humility, respect, equal share of voice and fosters high impact innovation to address some of the most challenging healthcare issues.

**Program Overview**

WJCF’s Health Financing program supports governments implementing reforms towards the goal of universal health coverage; ensuring that patients can access the care they need without suffering financial hardship. In India, WJCF staff work closely with the National Health Authority (NHA) and State Health Agencies (SHAs) to improve key scheme outcomes (reduced out-of-pocket expenses, increased utilization, and the reliable delivery of quality care) through a combination of effective data use and analytics for issue identification, capacity building and policy and process change support.

**Project Background**

As we continue this support, we are now embarking on an ambitious project to demonstrate a vision of ‘Integrated Care’. This vision consists of two key pillars - helping an individual navigate effectively to appropriate care and monitoring the chain of care to ensure that such care has been delivered. This would be enabled through a call centre, where the call centre executives coordinate with the healthcare seekers at every stage of their healthcare seeking journey. The ambit includes primary care through public facilities and secondary and tertiary care through public and private hospitals (through insurance schemes such as Pradhan Mantri Jan Arogya Yojana (PM-JAY), Employee State Insurance Scheme (ESIS), and other state schemes as applicable), with mínimal or zero out of pocket expense.

The primary purpose of such a demonstration is to establish a model for responsive health care delivery from which insights and lessons can be drawn for wider health systems strengthening. In aspiring to deliver the promise of a single, seamless, coordinated, empathetic and complete response to a health event, both impediments to such care and solutions may be identified. By empowering the beneficiary with the promise of responsiveness, specific weaknesses in current delivery mechanisms (whether in coverage, quality, financial equity, or efficiency) may be pinpointed and quantified. In this manner, the ambition is not only to demonstrate a viable model for integrated care, but to also inform ongoing efforts in health systems strengthening.

Position Summary

CHAI anticipates that the success of the pilot as well as assimilation of the learnings for health systems strengthening would be highly dependent on efficient handling of data gathered during the pilot implementation. This would include the data about a) functioning of the call centre, b) support provided through the pilot solution (information and appointment), and c) utilization of the health services extended through different government programs and schemes (including Ayushman Bharat Niramayam).

**Responsibilities**:

- Design and develop data collection tools and support the training of the field team on gathering relevant data about the pilot implementation using the developed tools.
- Collate, clean, and analyse data gathered by field staff during the pilot implementation to draw actionable insights for the program team and government stakeholders.
- Analyse data about the utilization of government schemes/ programs (including Ayushman Bharat Niramayam), enabled through pilot implementation.
- Analyse the data on the functioning of the call centre to improve efficiency and enable optimal allocation of resources.
- Design and deploy dashboards to enable the program team and government stakeholders to keep track of the pilot progress and government schemes’ utilization.
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