Medical Audit Officer

The Rwanda Social Security Board (RSSB) is seeking a highly skilled and detail-oriented Officer, Medical Audit to strengthen our healthcare quality assurance and compliance efforts. If you are passionate about medical auditing, healthcare data analysis, and improving service delivery across Rwanda’s medical sector, this is a perfect opportunity for you.

As an Officer, Medical Audit, you will play a key role in reviewing medical practices, analysing claims and billing accuracy, evaluating compliance with healthcare regulations, and identifying areas for quality improvement within RSSB’s medical schemes. This position requires strong analytical skills, excellent attention to detail, and a thorough understanding of medical coding, healthcare standards, and audit methodologies.

About RSSB
RSSB manages and promotes Rwanda’s social security system across six major schemes: Pension, Occupational Hazards, Medical Scheme, CBHI, Maternity Leave Benefits, and EjoHeza (Long-term Saving Scheme). With over 12 million members and 3 trillion Rwf in assets under management, RSSB is the largest institutional investor in Rwanda and plays a crucial role in advancing national development goals, including Vision 2050 and NST1.

As part of our transformation into a modern, data-driven institution, RSSB is recruiting dynamic, ethical, and results-oriented professionals committed to improving healthcare and social protection services in Rwanda.

Key Duties and Responsibilities

• Conduct comprehensive audits of healthcare services to assess quality, clinical appropriateness, and regulatory compliance.
• Develop, refine, and enhance medical audit methodologies to ensure accuracy and standardization.
• Perform statistical and qualitative analyses to identify trends, discrepancies, and improvement opportunities.
• Review medical claims and billing documentation for accuracy, fraud detection, and compliance with standards.
• Provide evidence-based recommendations to strengthen healthcare quality within RSSB medical schemes.

• Prepare clear, detailed audit reports and present findings to the Manager, Medical Audit, and other stakeholders.
• Engage and collaborate with healthcare providers to discuss audit insights and promote best practices.
• Support training of healthcare facilities and internal teams on audit processes and compliance requirements.
• Ensure secure, confidential, and accurate documentation of all audit activities.
• Monitor regulatory changes and healthcare best practices to keep RSSB’s audit processes updated.
• Participate in special audits or strategic projects as assigned.
• Perform any additional duties assigned by management.

Minimum Qualifications and Experience

• Bachelor’s degree in Medicine (MBBS), Nursing, Pharmacy, Health Management, or a related field.
• At least 2 years of professional experience in medical auditing, healthcare quality assurance, compliance, or a similar field.
• Strong analytical and critical-thinking capabilities.
• Solid understanding of healthcare regulations, medical coding, and billing standards.

Key Competencies

Technical Competencies

• Proficiency in complex medical data review and statistical analysis.
• Knowledge of medical audit processes, compliance frameworks, and healthcare standards.
• Strong understanding of medical coding, claims processes, and billing regulations.
• Ability to use data analysis and audit software tools.

Behavioural Competencies

• High accuracy in reviewing medical records and identifying discrepancies.
• Excellent written and verbal communication skills.
• Strong ethical standards, confidentiality, and integrity.
• Proactive, solution-oriented mindset with a continuous improvement approach.

Application Process
Interested candidates are invited to submit their application online by Friday, November 28, 2025 using the link below:

? Application Link:https://tally.so/r/eqqx2e

Please attach:

1. A detailed CV
2. Copies of academic and professional qualifications
3. Contact information (day/evening phone numbers & email)
4. Names and addresses of three professional referees

Important:

• Any form of canvassing leads to automatic disqualification.
• Only shortlisted applicants will be contacted.

RSSB is an Equal Opportunity Employer