Clinton Health Access Initiative Program Manager, Global Health Financing Jobs in Rwanda

Clinton Health Access Initiative Program Manager, Global Health Financing Jobs in Rwanda


  • The Clinton Health Access Initiative, Inc. (CHAI) is a global health organization committed to saving lives and reducing the burden of disease in low-and middle-income countries, while strengthening the capabilities of governments and the private sector in those countries to create and sustain high-quality health systems that can succeed without our assistance.

    Program Overview

  • CHAI’s health financing program is working with countries across Sub-Saharan Africa to support Ministries of Health, Finance and government insurers to substantially and sustainably improve access to essential health services for their populations, towards the goal of universal health coverage. Health financing is often insufficient and overly reliant on donors and individuals paying out of pocket at facilities.

  • Low-income countries in Africa and South East Asia see over half of the global disease burden, are home to 40% of the global population and account for only 3% of health spending. Donor contributions for health have plateaued, and in many countries are likely to decline in the coming years. Domestic resources for health are increasing, but the rate of growth in government spending dedicated to health fluctuates and is often insufficient to meet population needs. Resources that are made available may not be spent efficiently.

  • Healthcare providers face stock-outs, ration services among patients and charge informal or formal user fees; a deterrent for patients, and particularly the poor, to seek care. Even when patients can afford these fees and funds are available, primary health care systems are often fragmented and weak. This situation has been exacerbated with the onset of COVID-19 and ensuing economic crisis which is putting pressure on resources at a time when more health spending is needed.

  • CHAI’s health financing strategy supports governments to address these challenges by supporting priority setting and benefits package design, investment in upgrading health systems to deliver an optimized package of services and strengthening or improving domestic financing through public financial management and strategic purchasing.

  • At CHAI, staff members work closely with government partners to support evidence-based decision making and design systems to ensure those resources go as far as possible so that providers can deliver quality care that patients can afford and access. The global health financing team works closely with health financing advisors based in Sub-Saharan Africa and Asia.


  • The Program Manager will provide health financing technical assistance to country teams and governments in a portfolio of countries and help shape CHAI health financing and health systems strengthening strategy in Sub-Saharan Africa and Asia.

  • They will play a key role as part of the global health financing team responsible for building out new areas of work for CHAI across a portfolio of over 12 countries and growing. This is a challenging, fast-paced and rewarding position, which offers a unique opportunity to work closely with governments who are leading change in the region to achieve the ambitious goals of universal health coverage.

  • The Program Manager will report to a Senior Program Manager in the global health financing team. They will be based in one of our program countries and travel to other CHAI program offices in the region, and will interact with key government stakeholders, donors, and the broader local and international community. They must therefore be fluent in English and have excellent communication and relationship management skills. French language skills is a plus.

    Key responsibilities include the following:

  • Lead the health financing global team support in a portfolio of countries
    in Sub Saharan Africa, and potentially Asia. This entails playing a key technical and strategic advisor role for country teams and coordinating additional relevant support from the global team and other experts as needed.

  • It also includes engaging directly with governments on priority topics at the request of country offices. Countries where CHAI does health financing work – all being supported by the global health financing team – include Benin, Burkina Faso, Ethiopia, Mali, Malawi, Nigeria, South Africa, Rwanda, Kenya, Zimbabwe, Uganda, and India.

  • Support governments and country teams supporting governments in developing and implementing health financing strategies, including through the design set up and management of national health insurance reforms and subsidy programs including free care or user fee repeal. This will include work related to strengthening necessary institutions and management systems as well as strategic purchasing including priority setting and benefits package design and provider contracting and payment;

  • Directly contribute to CHAI’s strategy on health financing and health system strengthening, with a focus on primary health care, globally and at country level. Share learnings across countries in the Sub-Saharan African and Asia regions. The program manager will play a key role in shaping the evolution of CHAI health financing work leveraging their exposure to in country efforts.

  • In relevant countries, support governments in designing health system reforms with a focus on primary care, including changes in service delivery, financing and management, at sub-national, regional and national levels. This includes conducting assessments of health systems bottlenecks and public financial management challenges, developing and implementing plans with government that address service delivery, financing and management bottlenecks, and costing and assessing resource gaps and working with governments to mobilize external and domestic resources for their strategies.

  • Support knowledge sharing efforts across countries. This includes direct knowledge sharing and the development of relevant documents, publications, and case studies.

  • Maintain technical expertise in health financing and stay abreast of key challenges.

    Other responsibilities as requested by manager.

  • This role requires up to 50% travel within the Sub-Saharan Africa region and amount of travel will vary based on needs and in accordance with travel restrictions. The role will be based in Rwanda, South Africa, or other program country, pending country leadership approval.


  • A minimum of 7-8 years of years of experience in a relevant field (e.g. health financing, health economics, health systems, healthcare management) in the public or private sector with increasing responsibilities;

  • Experience working in Sub-Saharan Africa;

  • Direct experience working with government institutions, informing development of government strategy, policy, and operational plans, preferably in health financing or health system;

  • Demonstrated experience shaping and leading complex projects, from strategy design to implementation and managing ambiguity, preferably in the public sector;

  • Ability to think strategically and in a structured manner, handle ambiguity and work in a very fast-paced, limited-structure, multicultural environment;

  • Affinity for analytics and information management, with strong analytical, problem solving, and quantitative modeling skills;

  • Excellent communication and presentation skills with the ability to write in a clear and concise manner, including for technical documents such as national plans and guidelines;

  • Entrepreneurial mindset, including ability to work independently, self-motivate, and take initiative;

  • Ability to learn on the job quickly and absorb and synthesize a broad range of information;

  • High level of proficiency in Microsoft Office, particularly Excel, PowerPoint, and Word;

  • English fluency. French language skills are an advantage.

    How to Apply

  • For more information and job application details, see; Clinton Health Access Initiative Program Manager, Global Health Financing Jobs in Rwanda

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