Senior Program Manager, Financial Operations, HIV Access Program

Clinton Health Access Initiative

22h

About The Position

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 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 and Role Overview: Across the Hepatitis, HIV, and TB (HHT) Cluster, CHAI serves as a global leader in expanding and accelerating access to key commodities, reducing the cost of drugs and diagnostics, and strengthening government capacity to deliver services. Through our partnerships with national governments and affected communities, CHAI’s Hepatitis, HIV, and TB programs address key landscape challenges to catalyse transformational impact by optimizing access to innovation, delivering high-quality and efficient services tailored to user needs, and sustaining country-led programs through locally driven solutions. As donor funding becomes more constrained and less predictable, programs must make increasingly complex trade-offs between scale, speed, and sustainability. Strong financial leadership is central to protecting impact and ensuring programs remain operationally and financially viable. The Senior Manager, Program Finance, serves as the primary finance lead for the HHT cluster. The role functions as a senior strategic partner to program leadership, translating financial data into clear operational guidance and supporting major programmatic decisions, both operational and strategic. The Senior Manager is responsible for portfolio-level financial planning, risk management, and donor stewardship, ensuring resources are allocated effectively, and that program decisions reflect both strategic priorities and financial realities. Working closely with the Vice President and Cluster Program Directors, the Senior Manager oversees all financial management across the cluster, including proposal budgeting, forecasting, reporting, compliance, and audit readiness across multiple donors and countries. Once recruited, the role will also supervise a Senior Associate responsible for day-to-day grant financial operations, ensuring high-quality execution while maintaining ownership of financial strategy, stakeholder engagement, and complex problem-solving. This position is flexible to being based in one of CHAI’s program countries pending country leadership approval and subject to the ability to obtain work authorization. See where we work here.

Requirements

7–10 years’ experience in financial planning, grant management, or portfolio finance (international NGO strongly preferred)
Advanced degree; Master of Business Administration (MBA) or Master of Public Administration (MPA) a plus. Bachelor’s degree and relevant work experience can be considered in lieu of an Advanced degree.
Strong familiarity with financial systems, budgeting, accounting best practices, expense recording and reporting
Experience managing complex multi-donor grants across multiple, matrixed teams concurrently
Strong quantitative skills in financial modelling and forecasting, including use of advanced Excel features
Self-motivated and capable of working independently as well as within a team
Experience supervising or mentoring staff
Ability to translate financial information into strategic guidance
Excellent written and verbal communication skills to deliver high quality, actionable feedback on various complex issues to senior stakeholders, donors, and partners
Strong judgment, initiative, and proactive problem-solving ability
Commitment to CHAI mission and values
Ability to travel, including internationally, 3–4 times annually

Responsibilities

Serve as the senior finance lead to the Vice President, HIV, Hepatitis, and TB, and Program Directors by leading the financial management of projects across the cluster portfolio
Lead portfolio-level forecasting, expenditure analysis, funding gap identification, and financial planning, translating findings into clear recommendations for senior management to support timely and effective programmatic decision-making
Support strategic planning, fundraising, and program prioritization, including identifying financial risks and implementing mitigation strategies
Standardize financial practices across disease programs within the cluster
Drive continuous improvement of financial operations by identifying inefficiencies, strengthening documentation and institutional knowledge, and standardizing best practices across grants and teams
Enhance financial visibility through consistent reporting, improved workflows, and clearer portfolio-wide financial tracking
Lead development of comprehensive budgets for proposals and new grants, and annual re-budgeting aligned with CHAI and donor requirements
Serve as primary finance focal point for donors and external partners, participating in donor discussions and negotiations as needed
Review donor contracts, agreements, and amendments, with specific attention and analysis of anticipated cash flows, reporting requirements, approved budgets, and other key financial implications
Coordinate with CHAI HQ finance, contracts, and audit teams to ensure compliance with donor requirements and CHAI policies including review of contracts or grant agreements with contracts team prior to signing, working with the audit team during donor and CHAI internal audits, and working with HQ Finance teams including AP, accounting, payroll, etc. to access supporting documentation.
Lead development of donor financial reports, including financial narratives and justifications, working directly with grant leads and relevant CHAI country, global, and finance teams
Serve as a focal point for the External Audit teams and CHAI HQ, including Internal Audit, to ensure all grant-related and CHAI audit requirements are met
Oversee grant financial close-out
Lead annual budget development and reforecasting for program teams across the cluster, ensuring full funding coverage and alignment of financial projections with programmatic goals fully funded and projections align with programmatic goals
Lead the monthly financial review cycle including providing salary allocations to HQ Finance, reviewing the incurred expenses for accuracy, working on GL adjustments if inaccurate, and conducting variance analysis for any budget deviations
Develop and maintain portfolio reporting tools and dashboards to ensure alignment of financial and programmatic planning across teams
Manage and develop a high-performing team, providing coaching, mentorship, and technical capacity building
Build financial management capacity among program staff, including developing training, tools, and guidance for non-finance staff
Performs other programmatic and operational duties as required