Clinton Health Access Initiative

Associate Director, Accounting

United States
Full Time
Program (Division)
Finance - Accounting


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.

Overview of Team and Role:


CHAI's finance team is based out of our Boston office and provides operational support to programmatic teams working in over 35 countries around the world. Our program teams work to improve access to quality health care and focus on a number of different issues and disease areas including, but not limited to HIV, vaccines, malaria, and maternal and newborn health.


The Associate Director of Accounting will be responsible for the monthly accounting cycle, the timely and accurate delivery of the monthly financials, and maintaining relationships with all of our country teams. This position reports to the International Controller.


Monthly financial reporting 40%


• Oversees the monthly financial close process to ensure timely distribution of financial financials
• Prepares consolidated and deconsolidated P&L and Balance Sheet
• Provides accounting assistance to CHAI Global and Boston Operation teams
• Reviews monthly bank and balance sheet reconciliations
• Ensure consolidated and de-consolidated financial statements are prepared in accordance with GAAP, statutory requirements and CHAI policies
• Ensures proper recording and tracking of CHAI fixed assets
• Completes quarterly expense sampling to ensure donor compliance
• Reviews sub-ledger posting of Accounts Payable to ensure accuracy
• Records revenue in compliance with Accounting Standards update of 2018
• Ensure proper submission of allocation files and time sheets for expense allocations


External audit and Compliance 40%


• Coordinate CHAI global annual statutory audit
• Liaise with auditors to ensure timely completion of audit
• Populates and coordinates data for the filing of corporate nonprofit tax returns (990)
• Provide support for country finance staff with countries' statutory audits
• Serves as lead for statutory audits in non-program countries across the globe
• Coordinates with global finance staff for donor audits and assessments
• Lead preparation of NICRA calculation for submission to USAID
• Support the completion of the organization's retirement plan audit


Finance operations support 20%


• Provide supervision and support to the global accounting team
• Supports country finance operations on accounting-related issues
• Support Global HR and Payroll with the review of salary advance request
• Assists the International Controller & CFO as needed
• Coordinates with Payroll to ensure reconciliation of wire transfers to payroll registers
• Assist HR with the management of the Cobra repayments
• Supports the International Controller with regional finance manager group meetings


  • Bachelor’s degree in accounting; professional certification (CPA) is highly desirable
  • Minimum of 8 years of related accounting experience
  • Must have demonstrated analytical/research skills, and proven adeptness at detailed work
  • Sound knowledge of compliance regulations for organizations working within the not-for-profit sector
  • Proficiency with Agresso/NetSuite or equivalent accounting software
  • Intermediate level of proficiency in Excel
  • Demonstrated supervisory experience, able to lead effective teams, coach and develop others
  • Ability to think strategically and lead complex projects through to an end
  • High degree of self-motivation; able to work independently with minimal supervision
  • Ability to work effectively across the organizational and functional boundaries
  • Proven experience managing competing priorities and deadlines
  • Exceptional organizational skills with the ability to multitask and work in a fast-paced, limited structured environment
  • Ability to adapt quickly to change and create controls that enhance management decision making
  • Ability to create structure and definition in situations that are uncertain or ambiguous in a team environment
  • Excellent communication skills
  • Experience with financial system implementations (ERP) will be an added advantage

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