National Payment Certification Agency

Health Equity and Quality Improvement Project (H-EQIP) aims to strengthen the sustainability, resources, and management of the Health Equity Funds (HEFs) and Service Delivery Grants (SDGs) as envisaged in the Royal Government of Cambodia’s (RGC) Third Strategic Plan for Health (HSP3).

H-EQIP2, effective since early July 2022, supports the RGC in advancing Universal Health Coverage (UHC). With total financing of US$303 million from the World Bank, Pooling Partners (DFAT, GFF, KfW, KOICA), and additional resources from the Pandemic Fund approved in December 2024, the project aims to improve equitable utilization of quality health services and strengthen health emergency preparedness.

National Payment Certification Agency (NPCA) is responsible for Health Equity Fund (HEF) reviewing and certifying claims from health facilities. Currently, HEF covers 4.7 million beneficiaries (28% of the population). The NPCA is now expanding its mandate to take over National Social Security Fund (NSSF) claim reviewing and certification, which covers 3.5 million members and approximately 1,600 public and private health facilities.

To manage this increasing volume, NPCA is implementing a new Rule-based Engine for claim review and certification workflow. This innovation aims to enhance efficiency, cost-effectiveness, and service quality through highly automated adjudication.

In this context, NPCA is looking for a National Technical Assistant (TA) to lead the digital transformation of the claim adjudication process and the associated certification workflows.