CON 2026 053 | PhilHealth Systems Strengthening Specialist

Established in 1951, IOM is a Related Organization of the United Nations and the leading UN agency in the field of migration. Working closely with governmental, intergovernmental and non-governmental partners, IOM promotes humane and orderly migration for the benefit of all. It saves lives and protects people on the move, drives solutions to displacement, and facilitates pathways for regular migration, while providing services and advice to governments and migrants. 

IOM is committed to fostering a respectful, inclusive and supportive workplace where all employees can thrive professionally and feel valued. By creating such an environment, IOM aims to better harness the full potential of migration and strengthen its support to people on the move.

IOM invites candidates from diverse backgrounds to apply and provides reasonable accommodation throughout the recruitment process when required. Learn more about IOM’s workplace culture at IOM workplace culture | International Organization for Migration

The International Organization for Migration (IOM), through the Japan International Cooperation Agency (JICA)-funded Resilient and Equitable Access to Care and Health (REACH-BaSulTa) Project, aims to improve equitable access to quality maternal, newborn, and child health (MNCH) services among vulnerable and underserved populations across Basilan, Sulu, and Tawi-Tawi. The project supports strengthening health systems, workforce capacity development, and improved access to PhilHealth benefits.

Despite progress in expanding PhilHealth coverage, significant gaps remain in BARMM, where only 41.4% of the household population was covered by PhilHealth according to the 2022 National Demographic and Health Survey (NDHS). Vulnerable populations continue to face barriers to enrolment and benefit utilization, including limited awareness, documentation requirements, and geographical inaccessibility.

As of 2026, all six target health facilities have obtained or maintained PhilHealth accreditation, including for applicable Maternity Care Package (MCP) and Newborn Care Package (NCP) benefits. However, continued technical support is needed to strengthen accreditation compliance, claims management, reimbursement processes, and effective utilization of PhilHealth benefits. Under Outcome 2, the project supports improved MNCH practices and health-seeking behaviors through strengthened access to financial protection and community-based PhilHealth awareness and enrolment initiatives.

Under the overall guidance of the Head of Sub-Office in Cotabato City and direct supervision of the National Migration Health Project Officer for MNCH, the Consultant will provide technical assistance in PhilHealth gap analysis, facility-specific capacity strengthening, accreditation compliance, technical training, and community awareness and enrolment support. The Consultant will also review existing beneficiary profiling and monitoring tools, support implementation of community registration activities, and document results and recommendations in coordination with relevant government counterparts.
 

• Prepare and submit an Inception Report, outlining the detailed implementation work plan, proposed methodology, deliverables, coordination and stakeholder engagement, and risk management.
• Review and analyze existing assessments, baseline findings, profiling, and available PhilHealth-related data to identify key gaps affecting enrolment, utilization, claims management, reimbursement, accreditation compliance, and BEMONC and MNCH service delivery.
• Design comprehensive, health facility-specific PhilHealth training/capacity strengthening plans in each of the six selected health facilities that respond to gaps in technical, operational, and service delivery competencies. The result of this activity will be actionable, facility-level training blueprints that guide the project’s investments in workforce capacity development on PhilHealth. This covers the facility-level orientations and Training on PhilHealth Administrative System. 
• Draft the Situational Analysis report and develop facility-specific PhilHealth accreditation and compliance strengthening roadmaps that outline priority actions, technical recommendations, capacity-building needs, and compliance measures to improve PhilHealth enrolment, service utilization, claims management, and sustainability of MCP and NCP in the six priority municipalities
• Prepare Standardized training and orientation package developed, including PowerPoint presentations, facilitator guides, and learning materials on BEmONC, PhilHealth accreditation requirements, and PhilHealth administrative systems for use in capacity-building activities.
• Prepare facility level orientation materials based on the identified needs, including proposed training topics, target participants, learning objectives, and delivery modalities to guide the subsequent capacity-building activities.

Activities shall be completed with all required deliverable reports submitted by email to IOM no later than 30 December 2026 (25 % of overall contract value), upon satisfactory completion and acceptance of the deliverable.

• Conduct six (6) facility-level orientation sessions across the six target health facilities on PhilHealth Maternity Care Package (MCP) and Newborn Care Package (NCP) certification standards, requirements, and procedures.
• Provide technical guidance and assistance to the target facilities in preparing for MCP and NCP certification, including compliance with relevant policies, clinical protocols, referral systems, documentation requirements, and patient safety standards.
• Organize and facilitate one (1) training session on PhilHealth administrative systems for at least 30 participants from the six target health facilities, based on the identified needs and priorities outlined in the facility-level assessments and capacity-strengthening plans.
• Utilize and, where necessary, adapt the training materials developed under the first deliverable to address facility-specific learning needs, without duplicating previously completed outputs.
• Review and refine, as necessary, existing community mapping, beneficiary profiling, tracking tools, and operational processes to strengthen the identification, enrolment, service utilization monitoring, and follow-up of PhilHealth-eligible and vulnerable populations, particularly women of reproductive age (WRA) in the target areas.
• Training Documentation and Reporting activities are required to prepare submit the following:
  • Submit six (6) facility-level orientation reports and one (1) consolidated PhilHealth administrative systems training report, documenting the sessions conducted, participant attendance, key discussions, identified gaps, agreed action points, and recommendations.
  • Include pre- and post-training assessment results, where applicable, to document knowledge improvement and inform subsequent capacity-strengthening activities.
  • Submit revised community mapping, profiling, or beneficiary tracking tools, where modifications have been made, together with a brief summary of the changes and their intended application.

Activities shall be completed with all required deliverable reports submitted by email to IOM no later than 15 March 2027 (35% of overall contract value), upon satisfactory completion and acceptance of the deliverable.

• Review existing PhilHealth information and materials, job aids, enrolment guides, orientation modules, and technical reference materials for technical accuracy, consistency with applicable PhilHealth policies, clarity, and suitability for their intended audiences. Identify gaps and prepare recommended revisions and adapted materials, distinguishing community-facing guidance on enrolment and benefit entitlements from health-worker guidance on documentation, benefit utilization, and claims processes. 
• Prepare PhilHealth Community Awareness and Registration Implementation Package, comprising site-specific campaign mission plans, orientation materials adapted from existing resources, registration and documentation-support guidance, and monitoring templates. The package shall define implementation schedules, roles and responsibilities, logistical requirements, and arrangements for tracking registration outcomes, informed by the validated beneficiary priority list. 
• Provide technical support in planning and implementation during the conduct of community-based PhilHealth awareness, education, and enrolment initiatives to improve understanding, access, and registration among target populations. 12 community-based registration drives will then be rolled out in strategic locations such as RHUs, barangay health stations, evacuation and transit centers, or community halls across the 6 target Health Facilities.
• Prepare and submit Consultancy Report Package documenting all completed deliverables, community profiling results, enrolment outcomes, reach of awareness activities, results of PhilHealth enrolment caravans, capacity-building activities, service utilization, challenges, good practices, lessons learned, and recommendations.

Activities shall be completed with all required deliverable reports submitted by email to IOM no later than 15 May 2027 (40% of overall contract value), upon satisfactory completion and acceptance of the deliverable.
 

• Advanced university degree (Master's degree or equivalent) in Public Health, Health Administration, Health Financing, Health Economics, Nursing, Medicine, Public Administration, Hospital Administration, Health Systems Management, or a related field from an accredited academic institution.
• A university degree in the above fields combined with an additional three to five years of relevant professional experience may be accepted in lieu of an advanced degree.
   

• At least 7 years of progressively responsible professional experience in PhilHealth systems, health financing, health insurance administration, health systems strengthening, healthcare management, or related public health programmes.
• Demonstrated experience in PhilHealth accreditation processes, particularly Maternal Care Package (MCP), Newborn Care Package (NCP), Konsulta, Primary Care Facility (PCF), or other relevant PhilHealth benefit packages and accreditation requirements.
• Proven experience in health financing, PhilHealth claims processing, reimbursement systems, utilization review, and strengthening facility-level claims management systems.
• Demonstrated experience in developing technical assessments, systems improvement plans, accreditation readiness roadmaps, operational guidelines, or policy recommendations for health facilities and government health programmes.
• Experience providing technical assistance, coaching, mentoring, and capacity-building support to health facilities, local government units, health workers, and government counterparts.
• Experience working with government health agencies, including PhilHealth, Department of Health (DOH), Ministry of Health-BARMM (MOH-BARMM), provincial and local health offices, or similar institutions.
• Experience supporting maternal, neonatal, and child health (MNCH), primary healthcare, Universal Health Care (UHC), or health systems strengthening initiatives is highly desirable.
• Previous experience working with international organizations, development partners, United Nations agencies, or donor-funded health programmes is an advantage.
   

• Strong knowledge of PhilHealth policies, circulars, accreditation standards, benefit packages, reimbursement mechanisms, and provider payment systems.
• Strong understanding of the Universal Health Care Act, its implementing rules and regulations, and the Philippine health financing landscape.
• Demonstrated knowledge of health systems strengthening primary healthcare systems, health facility accreditation, quality improvement, and service delivery standards.
• Familiarity with MCP, NCP, BEmONC, facility licensing requirements, and other relevant MNCH-related standards and policies.
• Strong analytical skills with experience in health data analysis, interpretation, reporting, and development of evidence-based recommendations.
• Experience in claims review, reimbursement analysis, compliance monitoring, and performance improvement of health service delivery systems.
• Proficiency in Microsoft Office applications (Excel, Word, PowerPoint) and health information management systems.
• Excellent technical writing, report preparation, presentation, and documentation skills.
   

For this consultancy, English and Filipino.

Proficiency of language(s) required will be specifically evaluated during the selection process, which may include written and/or oral assessments.

IOM’s competency framework can be found at this link. Competencies will be assessed during the selection process.

IOM covers Consultants against occupational accidents and illnesses under the Compensation Plan (CP), free of charge, for the duration of the consultancy. IOM does not provide evacuation or medical insurance for reasons related to non-occupational accidents and illnesses. Consultants are responsible for their own medical insurance for non-occupational accident or illness and will be required to provide written proof of such coverage before commencing work. 

Any offer made to the candidate in relation to this vacancy notice is subject to funding confirmation.

Appointment will be subject to certification that the candidate is medically fit for appointment, accreditation, any residency or visa requirements, security clearances.

IOM has a zero-tolerance policy on conduct that is incompatible with the aims and objectives of the United Nations and IOM, including sexual exploitation and abuse, sexual harassment, abuse of authority and discrimination based on gender, nationality, age, race, sexual orientation, religious or ethnic background or disabilities.

IOM does not charge a fee at any stage of its recruitment process (application, interview, processing, training or other fee). IOM does not request any information related to bank accounts.

IOM only accepts duly completed applications submitted through the IOM e-Recruitment system (for internal candidates link here). The online tool also allows candidates to track the status of their application.

No late applications will be accepted. Only shortlisted candidates will be contacted.

For further information and other job postings, you are welcome to visit our website: IOM Careers and Job Vacancies