The National Health Insurance Authority is made up of various Divisions. These are:
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Operations Division
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Research and Development Division
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Administration/Legal & Human Resuorce Division
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Information and Communication Technology (ICT) Division
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Finance Division
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Strategy and Corporate Affairs Divison
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Internal Audit Division
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Procurement and Projects Division
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Claim Division
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Clinical Audit Division
In addition to the above the Authority has 10 Regional Offices which are an extension of the Operations Division.

INTERNAL AUDIT
Activities:
- Periodic audit of National Health Insurance Fund.
- Operational audit of the activities of the NHIA and the Schemes
- Provision of consulting services to NHIA
- Liaison with external bodies on audit issues, such as external auditors of Secretariat and Schemes
- Maintenance of an audit recommendations follow-up system.
- Special investigations into particular areas, for example fraud.
The office of the internal auditor exists to assure the integrity of the NHIA activities.
OPERATIONS
Activities:
- Supervise, co-ordinate and monitor the activities of health insurance schemes.
- Provide support to service providers to render quality services at all times.
- Enforce utilization and cost control measures at the scheme level.
- Collaborate with relevant stakeholders to achieve the co-operate objectives of the council.
- Facilitate the scaling up of membership registration.
RESEARCH & DEVELOPMENT
Activities:
- Lead the review of tariff structure.
- Lead the review of National Health Insurance drug formulary.
- Conduct research in areas that enhance the implementation of NHIS policy e.g. defining quality health care, determining socio-economic status accurately, sustainability of Health Insurance cost-containment mechanisms.
- Coordinate research being done across the country especially in the area of health finance and act as the first port of call for all such research.
- Collaborate with development partners and coordinate their efforts in accordance with the SWAP approach.
FINANCE
Activities:
- Preparation and Management of NHIA Budget
- Keep and maintain proper financial records of NHIA
- Receiving money and disburses for NHIA
- Provides secure custody for money to be paid into NHIA
- Prepare financial policies of NHIA
- Opening of Bank Accounts for NHIA
- Prepare Financial Reports / Financial Statement
i.Income Statement
ii.Income Surplus Account
iii.Balance Sheet
iv.Cash flow Statement
- Prepare Bank Reconciliation Statements
- Deals with correspondence on financial matters (Internal / External)
- Prepare mid – year and Annual Financial reports of all the Schemes
- Provide the Financial Advice to the Chief Executive(NHIA)
- Payroll management
- Prepare income tax Returns
- Prepare returns on Employee / Employer SSNIT Contribution
- Fixed Assets Management
- Undertake proper Inventory Control.
INFORMATION & COMMUNICATION TECHNOLOGY
Activities:
- Providing ICT support to all users
- Maintenance and update of schemes data
- Providing ICT training for all officers nation-wide
- Supply and maintenance of ICT equipment
- Implementation of ICT related projects
STRATEGY AND CORPORATE AFFAIRS
Activities:
The Division reports directly to the Chief Executive of the Authority. It is responsible for:
- Educating all residents of Ghana and Ghanaians abroad on the NHIS to secure their understanding and acceptance.
- Ensuring the best of relations between the Authority, Schemes and the Media.
- Ensuring the best of relations between the Authority, Schemes and other institutions such as Service Providers, Members of the Schemes and the general public.
- Planning and executing effective Marketing and Publicity programmes to build the Corporate image of the NHIS into an acceptable brand.
- Receiving feedback from the public and responding to suggestions and complaints from members of the public on the operations of the schemes and service providers.
- Organizing public functions of the Authority and arranging for officials of the Authority and the Schemes to attend such functions.
- Securing protocol and other needs of Authority staff such as passports, visas and making travel arrangements.
- Procuring and disseminating information, education and communication materials such as diaries, calendars and magazines.