Launched in January 2014, PIVOT now has a staff of more than 100 employees in the Ranomafana office (currently including seven expatriate staff members) and five in the U.S office. The leadership team is made up of 4 directors and an additional 10 managers who supervise the following teams: community, health center, hospital, medical referrals, social support, M&E, research, logistics, pharmacy, HR, and finance.

Our medical activities currently focus on maternal and child health and emergency care. HSS activities include health systems financing of patient medical expenses, an ambulance network, infrastructure reinforcement, capacity building through training and supervision, and HR reinforcement through a joint hiring with the Ministry of Health.

Ifanadiana district has one district hospital and 19 health centers; PIVOT currently supports the hospital and 4 health centers, and aims to support all 19 within the next 3-5 years. The annual operating budget is $4.3M including the research-granting arm of the organization and the U.S. office. Ranomafana is an 11-hour drive from the capital, Tana, and 1.5 hours from Madagascar’s fourth largest city, Fianarantsoa. PIVOT’s office operates in French with local employees speaking both French and Malagasy.

Job Description Overview
The Country Director is expected to couple visionary leadership and disciplined management with strong representation skills to ensure strategic implementation of PIVOT’s programs, which are being implemented in a challenging environment in rural Madagascar. Based in the capital, s/he will be directly involved in overall strategic project planning and priority setting, creating and strengthening national level partnerships, and liaising between the project and headquarters. The Country Director’s objective is to lead PIVOT to become a model partner to the government and other NGOs, and to direct organizational activites with the aim of replication at national level.
Specifically, the Country Director oversees the leadership team composed of the Deputy Country Director (coordinates local, regional and some national level partnerships, as well as PIVOT’s social, anthropological and environmental activities), the Medical Director (in charge of developing, designing and implementing all medical programs) and the Director of Operations (overseas internal logistics, pharmacy, HR and finance teams). The Country Director contributes actively to our monitoring and evaluation and research initiatives. A minimum of one week per month will be spent at PIVOT’s site in Ifanadiana district.
Key areas of our work focus on: building adequate health facility infrastructure, managing a procurement system, strengthening human resources, providing clinical oversight, improving programs through training, improving patient outcomes with community health workers, working in collaboration with partner organizations and institutions, using monitoring and evaluation to improve service delivery, supporting global health research initiatives, and representing the organization locally, nationally, and internationally. We seek a Country Director confident and competent to lead such a far-reaching organization.

Responsibilities:

• Oversee all programs at PIVOT Madagascar site:
• Contribute to strategy design and lead management of PIVOT ground operations
• Collaborate with site level leadership including directors of clinical programs, support teams, and serve as Antananarivo (Tana) office liaison
• Consult with international team members including U.S.-based Co-CEOs, Chief Development Officer, and Board of Directors
• Provide clinical oversight and direct mentoring to local and expat clinical staff
• Hold ultimate fiscal responsibility for the Madagascar-based budget, which is operating on a $2.3M USD budget for the 2016 fiscal year
• Orientate PIVOT’s M&E activities in relation to strategic planning
• Foster research arm of PIVOT with goal to have operational and population level research seen as a hallmark of the organization
• Manage organizational partnerships at national, and international level:
• Continue to develop PIVOT’s partnership with the Ministry of Health at all levels (district, region, and national). National level focus in areas of funding, shared programmatic development, and training, as well as public health policy, and national level strategies
• Develop and strengthen strategic alliances at national level and with international actors in Madagascar
• Represent PIVOT at conferences and stakeholder meetings with local government officials, high-level members of the government and other actors
• Represent PIVOT internationally
• Fundraising and development:
• Support fundraising and development operations for the organization, including liaising and hosting donors and other supporters in country and travelling to the U.S. to build relationships with Board of Directors and financial supporters

Qualifications:

• At least five years leadership experience in an international setting, preferably resource-poor setting.
• Master’s degree with graduate and clinical training (MD strongly preferred).
• Long-term commitment to living and working in Madagascar – minimum of two years. The role is divided with 50-75% based in Antananarivo, and will require between 25%-50% time in Ifanadiana district, with annual work commitments in Boston and New York. This post therefore calls for geographic flexibility and a willingness to travel on weekends. This time allocation will evolve over time.
• French and English language proficiency required : reading, writing and conversing. Office operates in French with government documents as well as internal PIVOT documents presented in French. Interactions with U.S. headquarters-based staff and documents in English.
• Malagasy language ability considered an extraordinary asset, as is any substantial experience in Madagascar or working with the Malagasy public health system.
• Ability to solve complex problems and deliver results on a deadline . The CD is chief decision-maker and required to problem solve through ingenuity, an understanding of people’s strengths and motivations, and streamlining processes. The commitment to delivering on deadlines, in spite of consistent unexpected problems, is key.
• Experience as a relationship builder . The CD will be perceived as the organization’s most identifiable leader. Thus, a substantial component of the position is to build relationships across a broad spectrum – including patients, staff, high-level partners in the government, global funding partners, our Malagasy chief advisor, as well as the Board of Directors.
• Ability to oversee work in multiple domains . The CD is leader and manager – responsible for setting direction and delivering results through staff in areas of programmatic growth, financial management, human resources, clinical care, and data/research.
• Exceptional communication skills, both oral and written. The CD is a central connector between our work in Madagascar and a broad global audience. S/he should be able to authentically capture the essence and importance of our work in order to motivate both staff internally and supporters externally.
• Demonstrated commitment to global health and social justice. It is critically important that the CD believe strongly in the work we do, advocate on behalf of our patients, and truly enjoy working to fulfill the PIVOT mission.

This is an excellent opportunity for a dynamic, driven and passionate individual to be part of an exciting and relatively new initiative that links access to quality health care to research in an ecologically important context.

Applications are being accepted on an immediate, rolling basis for Malagasy and international candidates.

Interested candidates should send a compelling cover letter with earliest start date, CV, and list of references to Tara Loyd atinfo(AT)pivotworks.orgwith “Country Director Application – Your Name” as the subject line in the e-mail. Please mention where you found the job advertisement in your introductory email.

Application available via Indeed