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 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.

Role Overview

CHAI’s Global Operations team seeks a strategic and operations-oriented professional to serve as the Manager, Non-Program Country (NPC) Operations. This full-time position (100% FTE) will act as CHAI’s central point of coordination for operational management and compliance-related efforts in non-program countries —where CHAI employs staff but does not implement active programs or maintain country offices.

The Manager, NPC Operations will enhance operational effectiveness, reduce administrative burden, and ensure compliance with local expectations in NPCs by working closely with CHAI’s enabling support functions, namely Global Operations, Finance, HR, Legal & Compliance and in-country focal points. The lead will play a critical role in preserving staff equity and aligning CHAI’s global operating model with emerging needs.

Expected travel: 15-20% to relevant NPCs.

Base Location is flexible to countries in which CHAI operates, subject to country leadership approval and work authorization.

Navigating Country Frameworks & Requirements (30%)

• Lead efforts to align CHAI’s operations with local country requirements and expectations in each NPC
• Project manage key registrations, reporting requirements, and internal protocols to ensure smooth operations
• Track country-specific risks, timelines, and requirements in NPCs, while ensuring CHAI remains responsive and in compliance in each location

Financial Oversight and Risk Management (25%)

• Monitor and advise Global Operations and Finance on financial implications tied to operating structures in each NPC (e.g., banking models, payroll efficiency, taxation)
• Identify cost-saving strategies and process improvements tailored to country-specific financial environments.
• Collaborate with Finance to streamline payroll, pension models, and vendor management
• Partner with CHAI’s Global Finance team to ensure all financial filings are properly submitted to relevant government entities
• Lead development of country-specific policies and procedures as required in each jurisdiction, in partnership with relevant subject-matter experts and organization-wide policy owners 

Operational Coordination and Institutional Setup (20%)

• Lead setup or realignment of local operations, including initiating transitions in registration or banking processes where appropriate
• Coordinate with CHAI’s Global Operations team and with current CHAI staff in NPCs, who will serve as in-country focal points, to manage workflows and resolve challenges
• Implement scalable frameworks for managing CHAI’s presence in non-program countries moving forward
• Lead vendor procurement and management of local vendors, as needed

Staff Support (15%)

• Work with Global Operations and HR to ensure consistent and equitable staff support across all NPCs
• Identify and address disparities in benefits or operational support (e.g., retirement contributions, local payroll logistics)
• Support onboarding and ongoing support for CHAI team members based in NPCs
• Processing of visa letters for CHAI staff visiting NPCs
• Works with the Safety & Security Department to uphold CHAI’s duty of care and support, tracking and responding to security incidents

Strategic Planning and Engagement (10%)

• Collaborate with CHAI’s Global Operations team to define the purpose, role, and long-term strategy for each non-program country
• Support decision-making around possible expansion, consolidation, or exit of CHAI presence in specific NPCs
• Present periodic key updates and proposals to CHAI’s Operations Committee and other key stakeholders

• Bachelor’s degree required; a concentration in business, public administration, or international affairs is a plus
• French language proficiency is required, as French is the primary language in some NPCs
• 5–7 years of experience in global operations, nonprofit management, or program coordination within a complex, international setting
• Proven experience managing operational and compliance processes across multiple countries, including understanding of legal employment and contractual frameworks
• Strong project management, communication, and interpersonal skills
• Experience working with diverse teams across time zones
• Experience in developing internal protocols and procedures and supporting implementation
• Experience in liaising with governmental and local authorities
• Detail-oriented with strong organization and time-management skills
• Strong written and verbal communication skills
• Ability to navigate ambiguity and problem-solve creatively.

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