DEADLINE: 5TH MAY, 2023
PALLADIUM
USAID INTEGRATED HEALTH PROGRAM (IHP)
REQUEST FOR APPLICATION FOR CONSULTANCY TO SUPPORT THE FHIS WITH THE DESIGN OF AN ICT PLATFORM FOR THE MANAGEMENT OF HEALTH INSURANCE OPERATIONS
Program Activity: Consultancy services to provide technical assistance to the FHIS for the design and deployment of a web-based and mobile ICT application suitable to improve the efficiency in its operations.
The Integrated Health Program (IHP) is a USAID-funded five-year project with a goal to contribute to state-level reductions in child and maternal morbidity/mortality and to increase the capacity of health systems (public and private) to sustainably support quality PHC services.
The FCT Health Insurance Scheme (FHIS) is responsible for administrating and regulating the social health insurance scheme in the territory and engages with internal and external stakeholders in the roll-out of the informal sector scheme. The FHIS is fully operational with beneficiaries enrolled and receiving health care services through the Scheme and the Basic Health Care Provision Fund. The service of Third-Party Administrators (TPAs) has also been engaged to handle some of the aspects of its operations including provider management and quality assurance. In addition, a web- based Information Communication Technology (ICT) application has been developed for the management of key aspects of the Scheme’s operations. However, there are limitations to the existing ICT platform particularly in areas of enrolment, premium payment, claims management and provider management which contributes to inefficiencies in its operations.
This is to be carried out by an experienced Information Communication Technology (ICT) expert to review the existing ICT platform, develop a web-base and mobile application platforms and to build capacity of the relevant teams in the utilization of the platform for the operationalization of the health insurance Scheme.
Roles and Responsibilities
The specific responsibilities of the consultant include:
- Identify and collate all relevant documents, templates and tools for the FHIS’s operations. Review collated documents, tools and business processes to identify key processes, sub- processes, process owners and process operators.
- Review existing web-based and app platforms for health insurance available in the private and public sector in FCT or other states to determine if there are models that can be adopted. Develop a summary flow chart for each key process using a suitable flowcharting software and recommended updates/technical specifications necessary to achieve the goals of the consultancy
- Based on the outcome of the reviews and the FHIS ICT blueprint, design a web-based ICT platform that will include modules for the following health insurance operations: enrolment (which will include features for biometric capturing, self and third party registration, premium payment and ID card production), beneficiary management, pre-authorization and claims management, TPA management, provider management and data analytics. Support will also be provided to transfer existing database into the newly designed platform.
- Design a mobile ICT application with features that enable enrolment, premium payment, access to benefit packages and customer support amongst others. The mobile application will allow access for enrollees and TPAs.
- Facilitate the conduct of user testing for the designed web-based and mobile application solutions
- Develop operational manuals for the designed web-based and mobile application solutions. Organize a training of trainers (TOT) for FHIS staff, TPAs and selected healthcare providers to facilitate the roll-out of the designed web-based and mobile ICT applications.
- Proposed ICT solutions must make provision for a robust security architecture that complies with ICT requirements of the National Health Insurance Authority (NHIA) and other national data protection regulations.
- The proposed solution must be scalable, quality assurance tested, require minimum maintenance costs, have sufficient cloud storage capability and interoperable with the NHIA ICT framework to allow for data sharing.
- The designed ICT solution should comply with current national and international data privacy
Eligibility Requirements
- Proficiency and demonstrable capabilities in web-based using modern technologies such as HTML5, CSS3, JavaScript, and server-side scripting languages such as PHP, Ruby, or Python and mobile application development for both Android and iOS platforms, including knowledge of programming languages such as Java, Kotlin, Swift, or Objective-C.
- Experience developing ICT (web-based) systems for health insurance management is an added advantage.
- Relevant certifications such as CISSP, CISA, OCP, CSM, PMP etc. would also be an added advantage.
- Good understanding of current health financing reform initiatives in Nigeria especially the sub- national level.
- Proven capacity building, competency-based training experience
Please Note: Payments are made based on delivery of approved deliverables. All deliverables must be of high quality and submitted in Microsoft Word and in a PDF format. The deliverable will not be considered final until approved by the Chief of Party (COP).
Period of performance of the consultancy: May 1-September 29, 2023
For more details concerning this consultancy and other associated application tools, please visit the link below: FHIS IT Consultancy To7
Submission information:
Please follow the instructions as contained in the Request for Application (RFA) and submit to: fct.consultancy@ihp-nigeria.com
This consultancy application closes on May 5, 2023: 5.00pm (WAT).
No late application will be received after the deadline.
