EM

This Expert's name is Effie Mbugua

This Expert's occupation is HealthCare Consultant
This Expert's location is Kenya
This Expert's nationality is Kenyan

Snapshot

Experience

15+ years

Languages

English, Swahili

Countries of Work

Kenya, Rwanda, South Sudan

Areas of Expertise

  • General
  • Coaching
  • Curriculum development
  • Training
  • Remote Coaching
  • Contracting health providers
  • Health coverage schemes
  • Pay for performance
  • Provider payment
  • Strategic health purchasing
  • Change management
  • Private sector engagement
  • Strategic planning
  • Claims management systems
  • Health management information systems
  • Behavior and health literacy
  • Cost benefit analysis
  • Performance management plans
  • Maternal, newborn and child health
  • Non-communicable diseases
  • Cost-effectiveness analysis
  • Health management
  • Quality and quality assurance
  • Facilitating stakeholder dialgoue
  • Risk management

Professional Experience

  • Britam General Insurance

    Nov 2018 - Mar 2019
    ( Consultant- Medical Operations) Consultancy role on Automation of claims processes to a robotic functionality; Change management training: Case Management training, Training on Strategic management on the medical operations unit rebranded unit.
  • Britam General Insurance ( K) Ltd

    Jan 2013 - Jan 2018
    ( Head Medical Claims & Case Management) Policy formulation, Strategic purchasing, Coaching and Mentor ship, Key claims performance training, Product development, Scheme governance, Business approvals
  • Britam General Insurance (K) Ltd

    Jan 2009 - Jan 2012
    ( Assistant Manager - Medical Claims) Provider contracting, policy formulation, coaching and training, scheme governance, Scheme analysis, Business retention.

Education

  • United States International University

    Graduated 2018
    MBA ( Health, Leadership & Management)
  • College of Insurance

    Graduated 2013
    Diploma in Insurance
  • Strathmore Business School

    Graduated 2009
    Advanced Diploma in Health Care Management
  • Nairobi University

    Graduated 2007
    Degree in Bachelor of Psychology
  • Kenya Medical Training College

    Graduated 2000
    Diploma in Nursing

Areas of Expertise

  • General
  • Coaching
  • Curriculum development
  • Training
  • Remote Coaching
  • Contracting health providers
  • Health coverage schemes
  • Pay for performance
  • Provider payment
  • Strategic health purchasing
  • Change management
  • Private sector engagement
  • Strategic planning
  • Claims management systems
  • Health management information systems
  • Behavior and health literacy
  • Cost benefit analysis
  • Performance management plans
  • Maternal, newborn and child health
  • Non-communicable diseases
  • Cost-effectiveness analysis
  • Health management
  • Quality and quality assurance
  • Facilitating stakeholder dialgoue
  • Risk management