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.

Program Overview

The Government of Rwanda (GoR) strives to achieve Universal Health Coverage (UHC) by enabling equitable access to quality health services for the population, as outlined in the Fifth Health Sector Strategic Plan (HSSP V). This commitment has been made against a backdrop of rising health care costs and uncertainty around the future availability of donor funding and calls for improved health sector sustainability. Acknowledging this, the Government aims to employ effective, equitable, efficient, and sustainable health care financing and systems strengthening, putting an emphasis on primary health care as the cornerstone of a strong and sustainable health system.

CHAI Rwanda’s Sustainable Health Financing (SHF) programs work on a day-to-day basis with Government leadership in the Ministry of Health (MoH) and the Rwanda Social Security Board (RSSB). The goal of those programs is to support the Government to accelerate progress towards UHC by ensuring the sustainable delivery of quality, essential health services. This includes work to prioritize and sustainably finance essential services, to improve financial protection through the Community Based Health Insurance (CBHI) scheme, and to support improved management, financing, and delivery of quality primary health care.

Position Overview

CHAI is seeking a Technical Director, Sustainable Health Financing to lead strategic engagement with the Rwanda Social Security Board (RSSB) in advancing priority health financing reforms under the Community-Based Health Insurance (CBHI) scheme. The Technical Director will play a central leadership role in shaping provider payment reforms, strengthening benefit package design, and supporting the development of a more sustainable and equitable primary health care financing model.

The role will work closely with RSSB leadership to drive implementation of major reform initiatives, including the rollout of provider payment reforms for primary health care and the institutionalization of evidence-based processes for revising the CBHI benefit package. The Technical Director will also lead analytical work that informs strategic decision-making and strengthens financial sustainability of the CBHI scheme and broader primary health system.

This position will be a secondment to RSSB and report to the CBHI Head of Department with a parallel reporting line to the CHAI Associate Director for Health Systems Strengthening and will collaborate closely with CHAI country and global teams across health financing, RMNCH, and health systems strengthening.

1. Strategic Leadership in Health Financing Reform

• Lead CHAI’s technical engagement with RSSB to shape and drive implementation of priority CBHI and primary health care financing reforms.
• Serve as a strategic thought partner to RSSB leadership on provider payment design, benefit package reform, and PHC financing strategy.
• Guide rollout and institutionalization of provider payment reforms across central and subnational levels, ensuring alignment with broader health system goals.
• Lead development of evidence-informed approaches to revise and sustain the CBHI benefit package.

2. PHC Financing Strategy & Sustainability

• Lead development of medium- and long-term financing strategies that strengthen sustainability and equity of the primary health care insurance model.
• Drive policy dialogue and reform processes that advance financial protection, efficiency, and service coverage within CBHI.
• Provide strategic guidance on resource mobilization, prioritization, and alignment of financing flows to PHC priorities.

3. Analytics & Evidence for Decision-Making

• Lead design and execution of analytical workstreams that inform health financing reforms, including demand projections, costing, fiscal space analysis, and funding gap assessments.
• Oversee efficiency and expenditure analyses that identify opportunities to improve financial management and resource allocation across the health system.
• Guide development of quantitative models and scenario analyses that support reform design and policy decisions.
• Ensure analytical insights are translated into actionable recommendations for RSSB and government stakeholders.

4. Institutional Capacity & Reform Implementation

• Strengthen RSSB capacity to sustain reform implementation through embedded technical leadership, knowledge transfer, and development of analytical tools.
• Promote adoption of structured processes for benefit package review, provider payment monitoring, and financial performance management.
• Foster collaboration across CBHI units and partners to support coordinated implementation of financing reforms.

5. Stakeholder Leadership & Knowledge Translation

• Lead engagement with government institutions, development partners, and technical stakeholders to advance alignment around health financing reforms.
• Oversee development of strategic presentations, policy briefs, and reports that communicate reform progress and evidence to decision-makers.

• At least 8 years of experience in Designing and implementing health financing policies, conducting economic evaluations and cost analyses, analyzing health economics data to support decision making, supporting health financing projects or health systems strengthening.
• Experience in Sub Saharan Africa is highly preferred.
• Holds a master’s degree in health economics, or health Finance related field
• Experience working with government authorities in developing countries, with experience in sub-Saharan Africa;
• Strong quantitative, presentation and writing skills, including proficiency in MS Excel, PowerPoint and Word;
• Excellent working command of English language.

Advantages

• Experience in training and supporting teams in health financing practices
• Experience working in public health and with international organizations;
• Familiarity with a broad range of key global health issues, including Primary healthcare, health systems or health financing challenges in developing countries.
• Fluency in French or Kinyarwanda.

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