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: 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, putting an emphasis on 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) 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.

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 Ministry of Finance. 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.

The Associate will report to the Program Manager for 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.

Responsibilities

• Design and carry out the scope of CHAI's support to the Ministry of Health and to Rwanda Social Security Board, for health financing according to government priorities and the evolving support needs of the Ministry of Health.
• Act as a key advisor to government leadership in the design and implementation of health financing interventions and reforms. Those will include, and not be limited to, the following:
  • An ambitious provider payment reforms for primary health care providers. This will involve support to the government at central and subnational levels for the roll out of the payment reform.
  • 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
• Support the government in conducting in-depth financial analyses to inform priority reforms. These analyses may include the following:
  • 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.
• 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.
• Other responsibilities as assigned by supervisor.

• A minimum of 3-5 years of experience in a demanding environment, ideally in public health or in the healthcare industry, including strategy consulting or complex technical projects, with increasing levels of responsibility and leadership;
• Excellent organizational and management skills, including time and project management. Ability to manage multiple tasks simultaneously and to prioritize and manage projects under pressure;
• Outstanding analytical, research and presentation skills for both qualitative and quantitative data;
• Excellent 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 the ability to work in a multi-cultural environment;
• 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.

Advantages:

• 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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