National Consultant - Health Care Financing, Philippines

The consultant will provide technical assistance to accelerate health financing reforms in the Philippines, supporting national UHC targets by strengthening financial protection mechanisms, promoting data-informed policies, and supporting sustainable domestic financing of priority health programmes. The role involves policy analysis, health financing analytics, stakeholder engagement, evidence generation, and development and implementation of health financing initiatives in collaboration with DOH, PhilHealth, and partners.

Responsibilities

• Provide technical assistance for PhilHealth for the implementation of the DOH-PhilHealth Unified National Agenda (UNA)
• Produce analysis and policy briefs on the PhilHealth benefit package optimization and performance-based payment metrics for the YAKAP package
• Analyze network contracting implementation at local government unit (LGU) level and support development of PhilHealth policies and guidelines for network contracting and expansion including M&E
• Develop policy briefs on options to streamline licensing and accreditation processes using risk-based approaches for primary care facilities
• Develop M&E framework for Special Health Fund operationalization, monitoring and evaluation
• Produce policy briefs and technical documents on M&E framework for Special Health Fund implementation
• Provide analytical products to support data-informed policy development on Special Health Fund implementation
• Evaluate financial protection policies and mechanisms
• Provide technical assistance for monitoring financial hardship and financial protection indicators by DOH, PhilHealth, and Philippine Statistics Authority (PSA)
• Build capacity for DOH and PSA on monitoring financial hardship using revised SDG 3.8.2 methodology
• Document implementation of the DOH Universal Health Care Fund for Zero Balance Billing in LGU Hospitals including analysis of program implementation, fund utilization, patient coverage, challenges, and lessons learned
• Produce technical briefs, analytical products, WHO position papers, presentations, and other documents on priority health financing topics including health taxes and health financing reforms

Requirements

• University degree in health financing, health economics, health policy, health systems, economics or other relevant health-related disciplines
• Post-graduate degree in health financing, health economics or a related field (desirable)
• At least five years of relevant experience in health financing policy development, implementation, monitoring and evaluation, or health financing analytics at the national level or subnational level
• Work experience with government agencies, particularly the Department of Health, PhilHealth, or other health sector institutions (desirable)
• Work experience with the United Nations, international development agencies, or development partners (desirable)
• Experience in financial protection, strategic purchasing, or social health insurance (desirable)
• Strong technical expertise in health financing, including financial protection, health financing policy, and health financing reforms
• Strong analytical and technical writing skills, including data collection, management, analysis, interpretation, and presentation of findings
• Good knowledge of health systems strengthening, health service delivery, and Universal Health Care reforms in the Philippines
• Excellent written and oral communication skills, including presentation and stakeholder engagement skills
• Ability to develop policy briefs, technical reports, presentations, and other knowledge products for technical and non-technical audiences
• Ability to work effectively in multidisciplinary teams and communicate with a wide range of stakeholders, including government agencies, development partners, and civil society organizations
• Proficiency in Microsoft Office applications
• Expert knowledge of English and Filipino

Skills

• Health Financing Policy Analysis
• Health Financing Analytics
• Health Economics
• Public Health Systems Strengthening
• Financial Protection
• Strategic Sourcing
• Social Health Insurance
• Health Financing Reforms
• Policy Analysis
• Data Collection
• Data Management
• Data Analysis
• Technical Writing
• Presentation Skills
• Stakeholder Engagement
• Policy Brief Writing
• Technical Report Preparation
• Microsoft Office Suite

Languages

English, Filipino