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: 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

CHAI’s Health Systems Strengthening group works with governments to build stronger, more resilient, and more equitable health systems, ensuring that everyone, especially the most vulnerable, can access high-quality primary health care. We support Ministries of Health and Finance to increase and optimize health spending, strengthen national systems (e.g., workforce, digital infrastructure, supply chains), and implement cross-cutting reforms that drive long-term improvements in service delivery and health outcomes. This includes work to improve the efficiency, equity, and impact of health financing systems—from resource mobilization and budgeting to strategic purchasing and public financial management.

This work often plays a key role in supporting and enabling teams across CHAI including Infectious Diseases, Non-Communicable Diseases and Assistive Technologies, Maternal and Newborn Health and Child Health.

Position Overview

CHAI’s Health Systems Strengthening (HSS) team supports governments to strengthen core health system functions and steward scarce resources more effectively, particularly in the context of declining external aid and increasing pressure on domestic health financing. Strong financial planning, grant management, and operational discipline are central to this work.

To support these efforts, CHAI is seeking a Finance & Operations Senior Analyst to join the Health Systems Strengthening cluster. This role will play a critical role in ensuring high-quality financial management across the team’s portfolio, supporting grant budgeting, financial reporting, and operational processes that enable effective program delivery.

Reporting to the Associate Finance Director for Health Systems Strengthening, the Finance & Operations Senior Analyst will contribute to the continued development and strengthening of the team’s finance and operations function. The role will work closely with technical teams, finance colleagues, and the Contracts department to support grant proposal development, track and analyze grant financial performance, ensure compliance with donor requirements, and maintain strong internal financial controls. This is a fast-paced, hands-on role well suited to a highly analytical, detail-oriented professional who is motivated by mission-driven work and collaborative problem solving.

Grant budgeting and financial planning

• Support the development of grant proposal budgets and departmental operating budgets in close collaboration with technical teams and finance leadership.
• Assist in aligning budgets with programmatic priorities, donor requirements, and internal financial policies.
• Maintain and update budget monitoring tools and grant tracking models to support effective financial planning and decision-making.

Grant financial management and reporting

• Support the preparation of accurate and timely grant financial reports for internal and external stakeholders.
• Monitor grant expenditures against approved budgets, identify variances, and flag risks or issues for follow-up.
• Analyze financial data and prepare summary analyses and reports to support management decision-making.
• Assist with monthly reviews of grant expenditures in the General Ledger and help coordinate any required reclassifications or corrections.
• Maintain records related to grant funds in the organization’s financial systems, ensuring data accuracy and completeness.

Compliance and coordination

• Collaborate with the Associate Finance Director and the Contracts Department to review financial components of grant agreements and contracts.
• Support compliance with organizational policies and donor requirements, including tracking reporting deadlines and financial conditions.
• Monitor cash flow and foreign exchange impacts across grants, flagging potential implications for budgets and forecasts.

Operational support

• Contribute to the development and refinement of finance and operations processes to improve efficiency, transparency, and consistency across the team.
• Coordinate and participate in special projects related to finance, operations, or grant management, as needed.
• Work collaboratively across teams to support a strong, service-oriented finance function and team-based culture.

Operational administration

• Plan, coordinate, and manage logistics for team conferences, summits, workshops, and retreats, including venue sourcing, agenda development, participant communication, and on-the-day execution.
• Manage scheduling and calendar coordination for the team, including facilitating cross-time-zone meetings, tracking key deliverable deadlines, and ensuring leadership is prepared for internal and external engagements.
• Maintain and organize shared team resources, including document repositories, templates, trackers, and standard operating procedures, ensuring information is accessible, up to date, and consistently applied across the team.
• Assist with travel coordination and expense processing for team members, including visa support, travel advances, and post-trip reconciliation.
• Support procurement and vendor management activities, including obtaining quotes, tracking purchase orders, and coordinating with suppliers to ensure timely delivery of goods and services.
• Proactively identify and take on ad hoc operational needs across the team, bringing a “go-getter” mindset to fill gaps, improve processes, and ensure the team runs smoothly day to day.

• BS/BA in Business, Finance, Accounting, Operations, or related field.
• 2-4 years of relevant experience (prior experience with an international non-profit/NGO is an advantage).
• Advanced Microsoft Excel skills, and strong financial analysis and modeling skills.
• Ability to pay close attention to detail with a high degree of accuracy.
• Dynamic individual with strong interpersonal, analytical and problem-solving abilities.
• Excellent written and oral communication skills.
• Self-motivated and capable of working independently as well as within a team.
• Ability to prioritize tasks while working in a fast-paced, limited-structured environment.
• Proven customer service orientation and ability to work collaboratively with diverse finance and non-finance groups.
• Highest ethical standards, a deep sense of collegiality, as well as a strong desire to create positive change on a big scale.

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