Clinton Health Access Initiative, Inc.
Website:
clintonhealthaccess.org
Job details:
WJCF is an Indian non-profit organisation committed to saving lives by reducing the burden of disease and strengthening government-owned, high-quality health systems. Since 2007, WJCF has combined data-driven approaches and deep public health expertise with strong government partnerships to design, implement, and scale solutions across India's national and state health programmes. We work for and at the service of governments, supporting the Ministry of Health & Family Welfare and State Departments of Health to build systems that are strong, sustainable, and led by Indian institutions.
As an Indian organisation, WJCF brings an unmatched depth of contextual understanding of India's health system architecture, policy landscape, and implementation realities across diverse geographies and population groups. This local institutional credibility, combined with global technical rigour, is central to WJCF's effectiveness as a partner to governments and donors.
Our work is built around four complementary roles as a Trusted Government Partner, co-designing programmes and strengthening health system architecture; as an Operational Partner, translating strategies into effective on-the-ground delivery; as a Market Shaper, improving the availability and affordability of health commodities; and as an Ecosystem Catalyst, convening governments, development partners, academia, and the private sector to drive solutions at scale.
WJCF's programme portfolio spans thematic areas like hepatitis, HIV/AIDS, tuberculosis, vector-borne diseases, syphilis, cervical cancer, diabetes, maternal and childhood anaemia, immunisation, under-5 diarrhoea and pneumonia, sexual and reproductive health, Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY), Ayushman Bharat Digital Mission (ABDM), hypoxemia and oxygen, safe drinking water, sickle cell disease, presbyopia, lead poisoning, and cross-cutting thematic areas like AI and Health, integrated disease surveillance, and climate and health.
We currently support programmes across 19 states and union territories, with teams working at national, state, district, and sub-district levels.
Our people are our greatest asset. WJCF brings together a talented, diverse team of professionals from public health, analytics, consulting, healthcare, the development sector, and academia, all united by a shared commitment to improving health outcomes for the people of India. We are entrepreneurial, action-oriented, and deeply grounded in the communities and systems we work in. Our field teams collectively bring hundreds of years of experience managing public health programmes across the country.
WJCF collaborates with a range of international and domestic partners and donors to advance its mission, including an affiliation with the Clinton Health Access Initiative (CHAI), a global health organisation with which WJCF shares a common mission and values.
Project Background
Over the past seven years, Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) has become one of the largest health-assurance programmes in the world. It has issued more than 44 crore Ayushman cards and authorised over 11.1 crore hospital admissions worth around ₹1.73 lakh crore, across a network of more than 38,000 empanelled hospitals. Running at this scale, the programme has generated a large volume of data as a by-product of its everyday operations, built up over seven years of registrations, pre-authorisations, claims, and utilisation records. Making sense of data this size has never been easy, but Recent advances in artificial intelligence (AI) now provide an opportunity to derive meaningful insights from this rich repository of data more systematically, robustly, more quickly and in a manner that is more actionable than previously possible or conceivable. This in turn provides a clearer picture of how the scheme is working, and of the ways in which even further value can be delivered to citizens by the scheme, giving the National Health Authority (NHA) a real opportunity to refine the programme and sharply improve its effectiveness.
The NHA, an attached office of the Ministry of Health and Family Welfare with full functional autonomy, implements AB PM-JAY and also drives the Ayushman Bharat Digital Mission (ABDM), now a mature layer of national digital health infrastructure that includes registries such as the Health Facility Registry and the Healthcare Professionals Registry and platforms such as the National Health Claims Exchange (NHCX). ABDM follows a federated architecture built on privacy and security by design, which means there is no central store of health records. A patient's clinical records stay with the facility that created them and move only as encrypted FHIR bundles, with the patient's consent, so the NHA never looks inside an individual's health record. What it can work with is aggregated and metadata-level information, for example how actively facilities and providers are participating, or how registration compares with actual use, and even this is enough to reveal patterns that help strengthen the programme.
Turning this potential into practical insight needs dedicated, specialised capacity. The Health Analytics and AI Unit (HAAU) is the NHA's in-house capability for advanced analytics and AI, set up to do exactly this. WJCF supported the NHA in preparing the HAAU Vision Document and, through a team embedded at the NHA, has helped take it from vision to delivery, producing analyses and tools that are already changing how the NHA uses its data. WJCF is now expanding the HAAU with a set of specialised roles to accelerate delivery and catalyse the development of institutionalised capability within the NHA. All of this work is done with privacy by design and strong data governance, in line with the Digital Personal Data Protection (DPDP) Act 2023 and the Strategy for Artificial Intelligence in Healthcare for India (SAHI).
Position Summary
WJCF is looking to hire a Health Financing Specialist within the Health Analytics and AI Unit (HAAU), embedded within the NHA and reporting to the HAAU Lead. This role brings dedicated health-financing and health-economics capability to the unit, working across the questions at the core of AB PM-JAY benefit-package selection, evidence-based package pricing and costing, strategic purchasing and value-based care, and the cost-benefit of beneficiary-inclusion and eligibility decisions. The selected candidate will play a key role in shaping the analytical agenda of the HAAU with a view to firmly establish AB-PMJAY on a path towards financial sustainability while continuing to scale towards Universal Health Coverage. Working as part of one integrated team, the Specialist shapes financing questions into clear hypotheses and requirements, and turns the scheme's own claims, utilisation, and cost data into evidence for package design, pricing, and purchasing decisions.
This position is based out of the NHA office in New Delhi, so that the individual stays closely aligned with the NHA's immediate priorities and the rapidly evolving digital health landscape. This role provides an excellent opportunity for a health-financing professional who would like to shape the financial sustainability of India's flagship health protection programme.
- Bring dedicated health-financing and health-economics capability to the HAAU.
- Work across the questions at the core of AB PM-JAY such as benefit-package selection, evidence-based package pricing and costing, strategic purchasing and value-based care, and the cost-benefit of beneficiary-inclusion and eligibility decisions.
- Support the move to claims transparency as AB PM-JAY empanelled hospitals transition to raising claims through the National Health Claims Exchange (NHCX).
- Turn claims, utilisation, and cost data into evidence for package design, pricing, and purchasing decisions, working closely with the unit's data-science skills.
- Design and model financing and purchasing options and quantify their fiscal impact.
- Produce clear options papers and decision-ready recommendations for senior NHA leadership.
- Embed privacy-by-design and strong health data governance across the financing work, consistent with the DPDP Act 2023 and SAHI, and perform other responsibilities as requested by WJCF and NHA leadership.
- Bachelor's or master's degree in health economics, economics, public health, public policy, or a closely related field.
- Minimum 8 years in health financing or health economics, ideally with publicly funded health-insurance or health-assurance schemes.
- Strong command of health-financing and purchasing mechanisms benefit-package design, provider payment, costing and package pricing, and strategic or value-based purchasing.
- Applied costing and health-technology-assessment (HTA) skills, and the ability to turn claims, utilisation, and cost data into pricing and purchasing evidence.
- Understanding of beneficiary-management and eligibility questions and how to assess them in cost-benefit terms.
- Ability to design and model financing and purchasing options and to quantify their fiscal impact.
Preferred
- Comfort working hands-on with large datasets, including using modern data and AI tools to analyse them directly.
Skills & Traits
- Ability to produce clear options papers and decision-ready recommendations for senior leadership.
- Strong quantitative and analytical skills, including costing and economic modelling (advanced Excel, R, or Python) and claims and cost-data analysis via SQL.
- Familiarity with budget-impact and cost-effectiveness modelling and with visualisation in Power BI or Tableau.
- Excellent analytical (qualitative and quantitative) and communication (written and verbal) skills.
- Ability to think strategically, handle ambiguity, and problem-solve in a fast-paced, limited-structure, multi-stakeholder environment.
- A focus on building institutional capability rather than creating personal dependence.
- Impeccable integrity; humility and open-mindedness; a learning mentality; tenacity and resourcefulness.
- Fluency in English. Fluency in Hindi or an additional Indian language is an advantage.
Last Date to Apply 9th September, 2026
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