KKkevin kemoche
@kevinkemoche
Senior healthcare administration professional specializing in claims, compliance, and audits.
KenyaWhat I'm looking for
I am a results-driven healthcare administration professional with over 11 years' experience in claims management, compliance, beneficiary registration, provider surveillance, and operations within NHIF and the Social Health Authority. I lead claims verification, clinical audits, investigations into treatments, and prepare surveillance and audit reports with actionable recommendations to improve compliance and prevent fraud.
I excel in stakeholder engagement, regulatory enforcement, data analysis, and report writing, and I am recognized for integrity, attention to detail, and the ability to work independently or lead teams. My background includes revenue collection, empanelment assessments, and public sensitization, and I continually apply strategic management training to optimize processes and service delivery.
Experience
Work history, roles, and key accomplishments
Senior Claims Officer
Social Health Authority
Jan 2019 - Present (7 years 1 month)
Supervise claims processing and data management, verify and process medical claims, and conduct clinical audits and investigations to prevent fraud and improve payment accuracy.
NFRegistration & Compliance Officer
National Health Insurance Fund
Apr 2013 - Jan 2019 (5 years 9 months)
Enforced NHIF regulations, conducted employer visits and beneficiary registration, led provider surveillance and assessments, and managed revenue collection and debt recovery.
Project Supervisor
Twelve Agency
Jan 2012 - Jul 2012 (6 months)
Organized and supervised experiential marketing events, prepared work plans and reports, and coordinated teams and suppliers to ensure timely project delivery.
Business Development Executive
Twelve Agency
Sep 2011 - Jan 2012 (4 months)
Conducted market research and client acquisition, prepared proposals and presentations, and maintained client relationships to drive sales and service quality.
Team Leader
Dealfish Kenya
Jan 2011 - Aug 2011 (7 months)
Led campus marketing campaigns at Daystar University, organized student engagement events, and prepared performance reports to drive brand awareness.
Education
Degrees, certifications, and relevant coursework
European Business University
Certificate in Strategic Management, Strategic Management
2022 - 2022
Completed a Certificate in Strategic Management during April–October 2022.
DUDaystar University
Bachelor of Commerce, Business Administration & Management
2008 - 2012
Activities and societies: Participated in campus marketing and leadership activities (e.g., role with Dealfish Kenya campus team).
Completed a Bachelor of Commerce with focus on Business Administration & Management from 2008 to 2012.
Utumishi Boys High School
KCSE, Secondary Education
Completed the Kenya Certificate of Secondary Education (KCSE) in 2007.
Eagle Academy
KCPE, Primary Education
Completed the Kenya Certificate of Primary Education (KCPE) in 2003.
Availability
Location
KenyaAuthorized to work in
Job categories
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