Senior Program Manager, Health Systems Strengthening

Job Title: Senior Program Manager, Health Systems Strengthening

Country: Rwanda
Organization: Clinton Health Access Initiative
Closing date: 19 Dec 2021


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. For more information, please visit:

Program and Position Overview

The Government of Rwanda (GoR) strives to achieve Universal Health Coverage (UHC) by enabling equitable access to quality health services for the population as outlined in the Fourth Health Sector Strategic Plan (HSSP IV). This commitment has been made against a backdrop of rising health care costs and uncertainty around the future availability of donor funding and calls for improved health sector sustainability. Acknowledging this, the Government aims to employ effective, equitable, efficient, and sustainable health care financing and systems strengthening, putting an emphasis on primary health care as the cornerstone of a strong and sustainable health system.

CHAI Rwanda’s Sustainable Health Financing (SHF), Primary Health Care (PHC), and other Health Systems Strengthening (HSS) programs work on a day-to-day basis with Government leadership in the Ministry of Health (MoH) and the Rwanda Social Security Board (RSSB). The goal of those programs is to support the Government to accelerate progress towards UHC by ensuring the sustainable delivery of quality, essential health services. This includes work to prioritize and sustainably finance essential services, to improve financial protection through the Community Based Health Insurance (CBHI) scheme, and to support improved management, financing, and delivery of quality primary health care.

Position Overview

CHAI seeks a Senior Program Manager to lead CHAI Rwanda’s sustainable health financing and primary health care programs, as well as broader health systems strengthening efforts. In this role, the SPM will shape and drive the implementation of CHAI support to the GoR working closely with key decision makers of the MoH, RSSB, and Ministry of Finance and leading a team of associates, senior associates, and technical advisors. This will include support to various health financing reforms and operational improvement initiatives, including a provider payment reform for PHC and the revision of the CBHI benefit package, as well as technical assistance for the planning, financing, and implementation of key HSS interventions for PHC.

As part of CHAI Rwanda Senior Management team, the Senior Program Manager will report to CHAI Rwanda Country Director and will work closely with other CHAI teams at the country and global level, including in Health Financing; Health System Strengthening; Infections Diseases; Reproductive, Maternal, and Child Health; and others. He or she will play a key role in shaping CHAI health financing and public health portfolio based on the technical support needs of the Rwanda government.

This position will be based in Kigali, Rwanda. For qualified candidates, the hiring team can consider applicants at the Associate Director level, which will be discussed during the interview process.


  • Lead CHAI Rwanda Sustainable Health Financing, Primary Health Care and other Systems Strengthening programs and shape CHAI Rwanda health financing and public health portfolio together with the rest of CHAI Rwanda Senior Management Team.
  • Act as a key advisor to government leadership in the design and implementation of health financing, primary health care, and other system strengthening interventions and reforms. Those will include, and not be limited to, the following:
    • Ambitious system strengthening and provider payment reforms for primary health care providers
    • The institutionalization of an evidence-based process to revise CBHI health benefit package and ensure essential services are covered by the scheme
    • The strengthening of donor coordination to support domestic resource mobilization and a sustainable transition towards greater self-reliance
  • Advise government on the development and implementation of a mid to long-term financing plan for primary health system strengthening, and help drive progress towards a stronger and more sustainable PHC system
  • Supervise a team of associates, senior associates and technical advisors with diverse professional and educational backgrounds and work with HR to lead and support talent management and development initiatives.
  • Provide technical advice and oversight over the quality of deliverables and ensure that communications and work products that are shared externally meet CHAI standards.
  • Identify and develop medium-term action areas and strategies to address key public health issues in Rwanda and as needed, work with CHAI donors to mobilize funding to address these needs.
  • Pursue opportunities for collaboration with other CHAI teams, helping to build a cross-cutting community of practice within the country, region and organization.**Qualifications**

  • Master’s degree with at least 10 years of experience in a demanding environment, ideally in health financing or health systems strengthening, with increasing levels of responsibility and leadership. Experience in Sub Saharan Africa is highly preferred;

  • Excellent relationship management skills, including experience in developing and managing government relations at leadership levels. Strong ability to build consensus among diverse multi-stakeholder groups and the ability to work in a multi-cultural environment;

  • Extensive program and team management experience, working end to end from strategy development to proposal development, through implementation, monitoring and evaluation and reporting, as well as program budgeting and operations;

  • Strong demonstrated project and team management skills and a passion for mentoring and coaching team members;

  • Self-starter with proven experience in launching new projects or initiatives and strong analytical skills;

  • Excellent organizational and management skills, including time management and project management;

  • Ability to manage multiple tasks simultaneously and prioritize and manage projects under pressure;

  • Strong quantitative, presentation and writing skills, including proficiency in MS Excel, PowerPoint and Word;

  • Strong work ethic, humility, and integrity;

  • Excellent working command of English language.


  • Experience in Health Financing, provider payment reforms and(or) Health systems strengthening and management consulting;
  • Experience working with government authorities in developing countries, with experience in sub-Saharan Africa;
  • Experience working in public health and with international organizations;
  • Familiarity with a broad range of key global health issues, including Primary healthcare, health systems or health financing challenges in developing countries.
  • Fluency in French or Kinyarwanda.

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