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. For this role especially, we strongly encourage individuals from low- and middle-income countries (LMICs) and those with lived experience of type 1 diabetes to apply.

Overview of CHAI’s work in Type 1 Diabetes and other Non-Communicable Diseases

Across the globe, more than 9.4 million people are living with type 1 diabetes (T1D) (Breakthrough T1D, 2024). This burden is growing – by 2040, there are expected to be almost 17.5 million people living with T1D, among whom 4.2 million will be children and adolescents under 25 (Breakthrough T1D, 2024). In LMICs, poor access to T1D care means many people die before they are diagnosed and receive treatment. For those receiving treatment, there are significant gaps in access to equitable standards of care. Lifelong costs associated with managing T1D are also prohibitive and, in many cases, even catastrophic for people with T1D and their families.

The resulting disparities in health outcomes for people living with T1D around the world are enormous, with life expectancy at just 24 years in low-income countries and 37 years in lower-middle-income countries (Breakthrough T1D, 2024). In contrast, in high-income countries (HICs), the life expectancy of people living with T1D is comparable to that of those without. Hence, while care for T1D is complex and a daily challenge for people living with T1D, especially children and adolescents, the high life expectancy in high-income countries is a testament that we have the tools available to enable people living with T1D to live long and high-quality lives.

Over the last year, CHAI has been supporting the establishment of a T1D Alliance across several major organizations that are investing in projects to improve access to T1D care in LMICs, with the aim of coordinating their investments behind a shared strategy of government- and community-defined priorities, to improve impact, sustainability and value-for-money of their investments. Whilst the initial phase of this initiative focused on developing a common strategy with input from a wide range of country- and global-level stakeholders, the Alliance is now moving towards operationalization of this vision.

As of October, an interim Secretariat will be operational, with CHAI likely to be contracted to fulfill this interim Secretariat role for the Alliance during a Start-up Phase (October 2025-December 2026). The interim Secretariat will guide overall strategy implementation across 3 areas of work:

1. Invest in countries & communities: Initiate comprehensive, country-level investments in partnership with governments and community in 3 LMICs, based on current and new investments & government interest; and preparing for scale-up to an additional 5–10 countries in 2027
2. Support healthy markets across countries: Detail an innovative cross-country procurement enhancement initiative and assess its feasibility with countries and stakeholders, for launch in select focus countries in 2027
3. Convene, coordinate and advocate globally: Establish processes/tools for investment coordination & stakeholder convening; establish a common M&E framework; develop communication and advocacy strategy and mobilize additional donors

The interim Secretariat (CHAI T1D team) will consist of four core full-time team members, a (Sr) Director, a Senior Manager/Associate Director, a Program Manager, T1D - Country Support and a Program Manager, T1D - Markets, which will work collaboratively with other CHAI teams.

For this high-profile strategy project, we are looking for a highly motivated Program Manager, T1D – Country Support to lead the first area of work “(1) Invest in countries and communities”. This position will report to the Senior Program Manager/Associate Director T1D and work closely together with the broader CHAI T1D team and CHAI country teams. This role is funded for 18 months.

The optimal candidate has deep in-country experience in public health systems strengthening as well as outstanding strategic, analytical, communication and relationship management skills. The ideal candidate will also be a self-starter, and adhere to the core CHAI values of resourcefulness, entrepreneurialism, flexibility, independence, humility, and work ethic.

Location and Travel

This position can be based in the U.S., subject to appropriate work authorization, or a CHAI program country, subject to approval by the T1D Senior Director and country team leadership. The role will require an ability to travel internationally up to 40%, meeting stakeholders in-country.

The Program Manager, T1D – Country Support will coordinate the engagement of the Alliance at country level, extending support on coordination of existing funding and identifying new funding priorities in three start-up geographies, under the leadership of governments and communities. In addition, the Program Manager will develop the Alliance’s country application and selection process (with the intent of reflecting a more country-driven approach), and plan for the launch of Alliance engagement, coordination and potential new investments in up to 10 potential scale-up countries as of 2027. Responsibilities in this role will include but are not limited to the following:

• Cultivate strong, supportive relationships with in-country government stakeholders, community representatives, and implementing partners (including CHAI country teams), ensuring all perspectives are adequately captured and represented in country-level priority setting process (including validating identified needs, gaps, overlaps and priorities) and ongoing coordination
• Support conversations with donors/partners to secure funding commitments towards priority gaps and scope of work aligned with country program and priorities as defined in-country
• Perform analytical tasks, including e.g., evaluating existing funding vs. potential need, consolidating reach and impact figures across implementing partners and countries, analyzing country-data to determine eligibility for future Alliance phases
• Ensure efficient and effective documentation, processes and templates for, and dissemination of global and in-country partner engagement
• Effectively represent the Alliance to external in-country and global partners, where in-country access topics/learnings are concerned, ensuring alignment with its strategic priorities
• Work across T1D, Global Markets, and other CHAI teams to align strategies with broader NCD health system goals and achieve program deliverables
• Travel up to 40% to engage with stakeholders and represent the Alliance at key meetings and events
• Any other duties as required by the Senior Manager/Associate Director, T1D

• Minimum Bachelor’s degree with strong academic performance required
• Minimum 6 years of professional experience, in a role that demonstrates an ability to work independently and effectively in a high-pressure, fast-paced environment, manage complex projects, and work across multiple teams
• Demonstrated experience of public health systems strengthening and living and working in low-resource settings
• Strong analytical, problem-solving, and quantitative skills, and ability to use data to inform program development and strategy
• Strong project management skills and the ability to work independently and effectively in a high-performance, dynamic environment and handle multiple priorities simultaneously
• Exceptional diplomatic and interpersonal skills, and an ability to manage in a humble manner multicultural, multi-stakeholder engagement to achieve intended results
• Proven track record of working with teams in a matrixed organizational structure, building strong relationships with individuals of varying levels of seniority and soliciting expert inputs
• Excellent verbal and written communication skills in English with the ability to represent the Alliance externally
• Demonstrated ability to work effectively in a remote set-up and willingness to travel up to 40% of the time internationally
• Excellent proficiency in Microsoft Excel, PowerPoint, and Word for strategic analyses and presentations is required
• Strong commitment to principles of diversity, equity and inclusion

Advantages:

• Advanced degree in Business, Economics, Public Health or other related disciplines
• Prior experience working with Ministries of Health in low- and middle-income countries (LMICs) and global public health partners, especially in NCDs

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