Associate – Sustainable Health Financing

Overview

The Clinton Health Access Initiative, Inc. (CHAI) is a global health organization committed to our mission of saving lives and reducing the burden of disease in low-and middle-income countries. We work at the invitation of governments to support them and the private sector to create and sustain high-quality health systems.

CHAI was founded in 2002 in response to the HIV/AIDS epidemic with the goal of dramatically reducing the price of life-saving drugs and increasing access to these medicines in the countries with the highest burden of the disease. Over the following two decades, CHAI has expanded its focus. Today, along with HIV, we work with our partners to prevent and treat infectious diseases such as COVID-19, malaria, tuberculosis, and hepatitis. Our work has also expanded into cancer, diabetes, hypertension, and other non-communicable diseases, and we work to accelerate the rollout of lifesaving vaccines, reduce maternal and child mortality, combat chronic malnutrition, and increase access to assistive technology. We are investing in horizontal approaches to strengthen health systems through programs in human resources for health, digital health, and health financing. With each new and innovative program, our strategy is grounded in maximizing sustainable impact at scale, ensuring that governments lead the solutions, that programs are designed to scale nationally, and learnings are shared globally.

At CHAI, our people are our greatest asset, and none of this work would be possible without their talent, time, dedication, and passion for our mission and values. We are a highly diverse team of enthusiastic individuals across 40 countries with a broad range of skill sets and life experiences. CHAI is deeply grounded in the countries we work in, with the majority of our staff based in program countries. Learn more about our exciting work: http://www.clintonhealthaccess.org

CHAI is an Equal Opportunity Employer, and is committed to providing an environment of fairness, and mutual respect where all applicants have access to equal employment opportunities. CHAI values diversity and inclusion, and recognizes that our mission is best advanced by the leadership and contributions of people with diverse experience, backgrounds, and culture.

Program 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, emphasizing primary health care as the cornerstone of a strong and sustainable health system.

CHAI Rwanda’s Sustainable Health Financing (SHF) programs work on a day-to-day basis with Government leadership in the Ministry of Health (MoH). 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 an Associate to join Rwanda’s Sustainable Health Financing team. In this role, the Associate will support the implementation of CHAI support to the GoR, working closely with key decision makers of the MoH, RSSB, and affiliated institutions. This will include support to various health financing reforms and operational improvement initiatives, including a provider payment reform for PHC and revision of the national insurance benefit package. The Associate will report to the Technical Director, Health Financing and will work closely with other CHAI teams at the country and global level, including in Health Financing; Health System Strengthening; Infectious Diseases; Reproductive, Maternal, and Child Health; and others. CHAI is looking for a self-starter with strong analytical skills, a strong work ethic, humility, and integrity.

Responsibilities

Health Financing Analysis

• Design and carry out the scope of CHAI’s support to the Ministry of Health for health financing according to government priorities and the evolving support needs of the Ministry of Health.
• Support the government in conducting in-depth financial analyses/modelling to inform priority reforms. These analyses may include:
  • Projections of service demand and financial needs for CBHI, as well as an analysis of financial availability and funding gaps.
  • Efficiency analyses that will inform interventions to improve financial management at central and peripheral levels and for different pillars of the health system.
  • Critical analysis of the distribution of financial resources for the health system as a whole and the expenditure incurred.
  • Other quantitative analyses to assess the opportunities to improve the efficiency, effectiveness, and sustainability of health financing in Rwanda.

Health Financing Reform Design & Implementation

• Support government leadership in the design and implementation of health financing interventions and reforms, including but not limited to:
  • Assessing provider payment reforms for primary health care providers, including support to the government at central and subnational levels for the monitoring of payment reform.
  • The institutionalization of an evidence-based process to ensure essential services are covered by the national scheme.
  • Supporting domestic resource mobilization, resource allocation and a sustainable transition towards greater self-reliance.

Capacity Building, Reporting & Collaboration

• Transfer expertise to government partners in data analysis, including costing, scenario modelling and budgeting.
• Draft presentations and reports for internal and external stakeholders on the work of health system strengthening in Rwanda.
• Pursue opportunities for collaboration with other CHAI teams, helping to build a cross-cutting community of practice within the country, region, and organization.
• Perform any other work-related duties as assigned by the program manager/direct supervisor.

Qualifications

• Master’s degree in Health Economics, Economics, Applied Economics, or another relevant quantitative discipline. Candidates with a bachelor’s degree in a relevant field and substantial, directly applicable experience may also be considered.
• A minimum of 4–5 years of experience in designing and analysing health expenditure, insurance schemes, resource allocation, provider payment mechanisms or health financing reforms to support decision-making, including strategy consulting or complex technical projects, with increasing levels of responsibility and leadership.
• Proficiency in econometric/statistical software such as Stata, R, or Python.
• Excellent working command of English is required; fluency in French or Kinyarwanda is an advantage.
• Experience working with government authorities in developing countries, particularly in sub-Saharan Africa, is an advantage.
• Experience working in public health and with international organizations is an advantage.
• Familiarity with a broad range of key global health issues, including primary health care, health systems or health financing challenges in developing countries, is an advantage.

Required Skills

• Outstanding analytical, research and presentation skills for both qualitative and quantitative data, with the ability to translate quantitative analyses into actionable policy and program recommendations.
• Strong writing and presentation skills.
• Exceptional relationship management skills, including experience in developing and managing relationships with internal and external stakeholders; strong ability to build consensus among diverse multi-stakeholder groups and to work in a multicultural environment.
• Excellent organizational and management skills, including time and project management; ability to manage multiple tasks simultaneously and to prioritize and manage projects under pressure.
• Self-starter with proven experience in launching new projects or initiatives.
• Strong work ethic, humility, and integrity.

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