coefficientgiving - Program Officer / Senior Program Officer, Health Aid Transition
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Requirements
• Because of aid cuts https://www.oecd.org/en/publications/2025/06/cuts-in-official-development-assistance_e161f0c5/full-report.html from the largest donor countries, global health assistance is expected to face an unprecedented contraction over the coming years, with a projected 27% decline by 2030 https://www.healthdata.org/research-analysis/library/financing-global-health-2025-cuts-aid-and-future-outlook compared to 2024. The United States, historically the largest global health funder, cut funding https://www.cgdev.org/blog/usaid-spending-country-and-sector-level-what-happened-fiscal-2025 for HIV/AIDS, malaria, maternal and child health, and nutrition programs in 2025. • Alongside declining funding, there are also changes in how health services will be delivered. Donor-country policy changes – including the America First Global Health Strategy https://www.state.gov/wp-content/uploads/2025/09/America-First-Global-Health-Strategy-Report.pdf – put partner governments at the forefront of health service delivery, which may result in greater integration https://www.bushcenter.org/publications/one-system-greater-impact-how-integrating-health-systems-and-services-amplifies-u-s-global-health-investment?mc_cid=6d278e7b9a of disease-specific service delivery, changes to supply chains https://www.reuters.com/business/healthcare-pharmaceuticals/us-upends-global-supply-program-malaria-hiv-amid-warnings-gaps-2026-04-03/, and absorption of donor-funded human resources for health https://www.thinkglobalhealth.org/article/what-u-s-withdrawal-from-the-world-health-organization-means-for-africa.
Responsibilities
• Setting strategy and direction based on your own analysis of which thematic areas and/or geographies to focus on. • Soliciting and investigating new ideas or approaches, and continuing to build and update this strategy as conditions evolve. • Making grants ranging from rapid-response capacity support to multi-year "go big" health sector transformation bets in a select few countries. • Developing deep country-level intelligence on political economy and health systems. • Maintaining relationships with technical assistance providers (including CHAI, Tony Blair Institute, Delivery Associates, and PATH, among others), government officials, and funders including the Gates Foundation, the Susan T. Buffett Foundation, and CIFF. • Managing our existing portfolio of in-country grants responding to changes in the health aid system, including technical support units currently active in six countries (such as our grants to PATH https://www.givewell.org/research/grants/PATH-technical-support-unit-TSU-april-2025 and CHAI https://www.givewell.org/research/grants/clinton-health-access-initiative-chai-technical-support-units-tsus-april-2025, co-funded with GiveWell). • Leading a search for another hire, depending on the eventual size of our grantmaking. • WHO MIGHT BE A GOOD FIT • You might be a great fit for this work if you have: • 8+ years of experience working in the global health space, ideally across both health systems grantmaking and technical assistance — You know what makes TA drive real change versus what produces reports nobody reads. • Experience building credibility at the highest levels of government — You understand how to engage with government stakeholders such as Ministries of Finance or heads-of-state offices. • Strong relational skills — You can build trust and collaborate with a diverse range of stakeholders, including policymakers, bureaucrats, nonprofit leaders, potential grantees, and co-funders. • Willingness to spend significant time in focus countries, particularly in Africa - You should expect to travel frequently to focus countries (roughly 2-4 weeks per quarter) to build and maintain those local relationships and knowledge. • Strong analytical and quantitative skills — You can rigorously assess the cost-effectiveness of potential grant opportunities and to critically evaluate assessments by others. You should possess a willingness to acknowledge tradeoffs, and use evidence about impact and cost-effectiveness to update your views. • A high tolerance for ambiguity, and a hits-based approach https://coefficientgiving.org/research/hits-based-giving/ — Not every bet will pay off, and that's fine with you. • High ownership — You are self-directed, focused on outcomes, and excited to build a multimillion-dollar portfolio of grants. • Excellent communication skills, in writing and in person — You are able to clearly explain the case for proposed grants with strong reasoning transparency https://www.openphilanthropy.org/reasoning-transparency. • By default we will hire at the Program Officer level, but would hire at the Senior Program Officer level for candidates with particularly strong experience and deep relationships who also exhibit strong performance against the requirements above, both in their prior work and during the hiring process.
Benefits
• The baseline compensation for the Program Officer role is $196,000.00, which would be distributed as a base salary of $171,500.00 and an unconditional 401(k) grant of $24,500.00 for U.S. hires. • The baseline compensation for the Senior Program Officer role is $223,500, distributed as a base salary of $199,000.00 and an unconditional 401(k) grant of $24,500.00 for U.S. hires. • All compensation will be distributed in the form of take-home salary for internationally-based hires. • These compensation figures assume a remote location; there would be geographic adjustments upwards for candidates who are based in the San Francisco Bay Area or Washington, D.C., and are willing to work from our local office approximately two days per week or more. • There would also be an adjustment upwards for candidates based in New York who are willing to work from our coworking hub in Manhattan at least one day per week. • Time zones and location: We offer remote work in many countries. • We are open to hires outside the U.S., and particularly welcome candidates based in Africa or willing to travel there regularly. • Benefits: Our benefits package includes: • Excellent health insurance (we cover 100% of premiums within the U.S. for you and any eligible dependents) and an employer-funded Health Reimbursement Arrangement for certain other personal health expenses. • Dental, vision, and life insurance for you and your family. • Four weeks of PTO recommended per year. • Four months of fully paid family leave. • A generous and flexible expense policy — we encourage staff to expense the ergonomic equipment, software, and other services that they need to stay healthy and productive. This policy also includes a productivity benefit, which provides a set amount for staff to expense items that enhance their productivity. • A continual learning policy that encourages staff to spend time on professional development with related expenses covered. • Support for remote work — we’ll cover a remote workspace outside your home if you need one, or connect you with a Coefficient Giving coworking hub in your city. We currently have offices in San Francisco and Washington D.C., and multiple staff working from several other cities in the U.S. and elsewhere. • We can’t always provide every benefit we offer U.S. staff to international hires, but we’re working on it (and will usually provide cash equivalents of any benefits we can’t offer in your country). • Start date: We're anticipating a start date of October, though we are aiming to make final offers in August. • Deadline to apply: Please apply by 11.59 pm PT on Sunday, June 28, 2026 to be considered. • We will review applications as they come in, and encourage candidates to apply early if they are interested in the role.
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