Clinton Health Access Initiative

Finance Manager

United States
Full Time
Program (Division)
Infectious Disease - COVID Treatment Access Team
Additional Location Description
There is flexibility for this role to be based in a CHAI program country, pending leadership approval.


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 in conjunction 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 skillsets and life experiences. CHAI is deeply grounded in the countries we work in, with majority of our staff based in program countries. Learn more about our exciting work:


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.


This position is in support of CHAI’s Infectious Diseases, Research and Labs (IDRL) access program which negotiates price reductions for drugs and diagnostics, customizes products for resource-limited settings, and works to broaden the supply base and increase the quality of these treatments. Specifically, this position will lead in budgeting, financial analysis, reporting and overall grant financial management for a set of teams within IDRL.


The Manager must be able to function independently and flexibly in a fast-paced environment, often working under tight donor-driven deadlines. CHAI places great value on relevant personal qualities: resourcefulness, responsibility, tenacity, independence, and work ethic.

Key measures of success in this role include: timely and accurate reporting on project costs; detailed understanding of variances to budget and forecast and communication of that information to non-finance partners; effective and proactive partnering with our internal clients and external partners; a demonstrated command of the underlying operational and financial content of the projects supported; and proactive identification and resolution of the accounting, financial planning, and financial compliance issues.


Grant Management

  • Support program leads in creating comprehensive budgets for new grant proposals (or re-budgeting of existing grants) that meet both internal CHAI requirements and external donor requirements
  • Create and manage completion of financial reports, audit reports, and invoices for donors, working directly with the relevant leadership within IDRL responsible for the grant, as well as CHAI’s various country teams, global partners, Director of Budgeting and Reporting and Chief Financial Officer for validation and approval of reports
  • Liaise with sub-grantees and sub-contractors to manage all relevant budget and financial management components within the scope of the grant
  • Oversee compliance with donor financial requirements
  • Manage financial close-out of grants coming to an end

Monthly Financial Review and Annual Budgeting

  • Develop and populate relevant tools to facilitate Manager and/or Director review of posted expenses across relevant programs and work collaboratively with Managers and Directors to identify necessary adjustments
  • Analyze and report on monthly variances of operational expenses to budget; work with Managers and Directors to provide variance explanations and to make ongoing adjustments to financial plans based on variances; conduct monthly reviews of activities with Directors and EVP
  • Lead the annual budgeting and semi-annual reforecasting for some of IDRL's teams to ensure consistency and accurate reflection of programmatic goals given the financial resources available
  • Work with the appropriate IDRL Directors and Managers to allocate and track funding from IDRL programs to other CHAI programs, including country teams

Operations Evaluation and Financial Planning

  • Work with IDRL Finance colleagues on the evaluation of program performance e.g. appraisal of cost-allocation and management of key business drivers
  • Lead in the creation and maintenance of financial models to track expenditure and generate forecasts to help drive programmatic decisions
  • Support development of alternative scenario analyses to facilitate decision making by senior management; lead in financial risk management
  • Identify, investigate, and implement potential operational improvement


  • Facilitate training on finance-related issues to non-finance staff; ensure corporate memory is retained; facilitate knowledge transfer of best practices between IDRL programs
  • Create tools and reports for budgeting and planning purposes
  • Perform other programmatic/operational duties as requested by the EVP


  • Advanced degree; Master of Business Administration (MBA) or Master of Public Administration (MPA) preferred. Bachelor’s degree and relevant work experience may be considered in lieu of an Advanced degree;
  • 4-6 years of prior experience in a related field. Experience with an international non-profit/NGO is preferred
  • Strong familiarity with financial systems, budgeting, compliance, accounting best-practices, expense recording and reporting
  • Very strong quantitative and analytical skills, and solid experience in financial modeling using advanced Excel features
  • Strong attention to detail
  • Dynamic individual with strong leadership, interpersonal, analytical, and problem-solving abilities
  • Excellent written and verbal communication skills to deliver high quality, actionable feedback on a variety of complex issues to management, donors, and partners
  • Ability to multi-task and work in a fast-paced environment; self-motivated and capable of working independently as well as within a team
  • Proactive solutions-oriented capability
  • Option to travel domestically 1-2 times per year and internationally 1-2 times per year
  • Highest ethical standards, a deep sense of collegiality, as well as a strong desire to create positive change on a big scale

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