Clinton Health Access Initiative

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Manager, Financial Operations

Manager, Financial Operations

United States
Full Time
Business Unit 
Access Programs - Operations Team
Additional Location Description 
New York, US East Coast

More information about this job


Founded in 2002, by President William J. Clinton and Ira C. Magaziner, the Clinton Health Access Initiative, Inc. ("CHAI") is a global health organization committed to saving lives, reducing the burden of disease and strengthening integrated health systems in the developing world.


This position is in support of CHAI's 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.

CHAI is seeking a Manager, Financial Operations to lead in financial reporting, budgeting, and overall financial grant management for the Access program.


Key measures of success in this role include: timely and accurate reporting on projects costs, variances to budget and forecast; effective partnering with our internal clients and external partners; a demonstrated command of the underlying operational and financial content of the projects supported; proactive identification and resolution of the accounting and financial planning issues as well as accuracy and timeliness of financial reports and plans.


  • Grant Financial Management
    • Liaise directly with Access internal teams and donors on financial matters
    • Generate budgets for grant proposals (or re-budgeting of existing grants)
    • Generate financial reports and invoices for donors, working directly with the relevant Director, Manager, or EVP responsible for the grant, and work directly with the CHAI Director of Budgeting and Reporting and the EVP of the Access Program to validate the reports
    • Review donor contracts, amendments, and no-cost extensions with regards to anticipated cash flows, reporting requirements, approved budget, etc.
    • Ensure compliance with donor financial requirements
  • CHAI Financials
    • Review G/L entries across all Access programs and Project IDs funded through Access grants and work collaboratively with Access program managers and directors on G/L adjustments
    • Prepare monthly analyses of operational expenses against the budget; work with Access program managers and directors to provide variance explanations and to make ongoing adjustments to programmatic plans; conduct monthly reviews of activities with directors and EVP
    • Lead the annual budgeting and semi-annual reforecasting for the Access programs to ensure consistency and accurate reflection of programmatic goals given the financial resources available
    • Work with the appropriate Access directors and managers to allocate and track funding from Access programs to other CHAI programs
  • Operations Evaluation and Financial Planning
    • Work with Access 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 scenario analyses to help facilitate decision making by senior management; take lead in financial risk management
    • Identify, investigate, and analyze potential operational improvements. As appropriate, make proposals for operational changes based on findings
  • Other
    • Facilitate training on finance-related issues to non-finance staff; ensure corporate memory is retained; facilitate knowledge transfer of best practices between Access program teams
    • Create tools and reports for budgeting and planning purposes
    • Perform other programmatic/operational duties as requested by the Access Program EVP and other leadership team members


  • Bachelor's Degree or equivalent plus 6 years work experience; or Advanced Degree or equivalent plus 4 years work experience; or equivalent total work experience
  • Strong familiarity with financial systems, budgeting, accounting best-practices, expense recording and reporting
  • Strong quantitative skills and solid experience in financial modeling using advanced Excel features
  • Ability to think strategically and lead complex projects through to an end point
  • 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; demonstrated ability to work across teams based in multiple locations
  • Experience managing competing priorities and deadlines; exceptional organizational skills required 
  • Ability to travel domestically 2-3 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 large scale 

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