Deputy Country Director – Health Financing & social Enterprise -(Re-Advertisement)
Marie Stopes International EthiopiaAbout This Role
This is a high-level strategic leadership role at Marie Stopes International Ethiopia, blending health systems strengthening with social enterprise business principles. Rather than managing clinical operations directly, the Deputy Country Director will focus on designing and implementing financial models that make reproductive health services sustainable and scalable. It suits a seasoned professional with experience in both public health strategy and commercial or social business structuring, likely someone who can navigate donor landscapes while also driving revenue-generating initiatives.
What the Requirements Say About This Role
The listed requirements signal a search for a leader who combines deep health financing expertise with proven ability to manage cross-functional teams in a complex, mission-driven organization. The emphasis on domestic resource mobilization and innovative financing suggests MSIE values candidates who can move beyond traditional donor dependency toward local partnerships, government engagement, and entrepreneurial models. This role likely demands prior experience in senior leadership within NGOs, social enterprises, or health systems consultancies, with a track record of translating strategy into measurable financial outcomes.
How to Approach This Application
Your application should demonstrate how you have previously designed or scaled health financing mechanisms—such as insurance schemes, performance-based funding, or social franchise models—in low-resource settings. Highlight any experience working with Ethiopian government health financing reforms, private sector partnerships, or revenue diversification in reproductive health. Be specific about your leadership in cross-functional strategy teams and your ability to balance social impact with financial sustainability. Avoid generic NGO management language; instead, use terms like "blended finance," "cost recovery modeling," and "domestic resource mobilization."
Who This Role Suits
This role is best suited for a senior professional with a strong background in health economics, public finance, or social enterprise leadership, ideally with prior experience in Ethiopia or similar contexts. Given the re-advertisement and the specialized nature of the position, competition may be moderate but highly selective—only candidates with concrete, results-oriented health financing experience will be shortlisted.
The Deputy Country Director (DCD) is a senior leadership role responsible for driving the integration of sustainable health financing within MSIE’s reproductive health and social enterprise programming. Reporting directly to the Country Director, the DCD provides strategic and operational leadership to strengthen health systems through domestic resource mobilization, innovative financing mechanisms, and financially sustainable service delivery models. As a key member of the Senior Leadership Team, the DCD ensures that MSIE’s hybrid social enterprise model effectively expands access to high-quality, affordable healthcare services.
Key Responsibilities
1. Strategic Leadership & Health Financing
Lead the design and execution of health financing strategies that advance the organization social enterprise model and sustainability approach.
Ensure health economics and sustainability principles are embedded in MSIE’s strategic planning and program design.
Identify strategic, programmatic, and financial risks, and implement mitigation strategies.
Conduct regular deep dives into client demographics to determine who can pay full price, who needs subsidies, and who require free care under our social business approach and donor funded projects.
Implement KPIs that track the "Self-Financing Ratio" (the percentage of operating costs covered by generated income) at the facility level.
2. Resource Mobilization & Partnerships
Serve as the lead interface with government institutions (including the Ministry of Health), donors, and development partners on health financing reforms.
Drive domestic resource mobilization and develop innovative financing mechanisms, including insurance and risk-sharing models.
Oversee government relations, including agreements, compliance, and alignment with national policies.
3. Operational Oversight & Delivery
Provide strategic oversight to the operation leadership, including Program Development
Ensure programmes are evidence-driven, cost-effective, and aligned with MSI global standards.
Oversee budget performance, including burn rates and resource allocation, in close collaboration with finance and program and operations teams.
Lead performance reviews to drive delivery against impact and sustainability targets.
4. Leadership & Organizational Development
Build and mentor high-performing teams, fostering a culture of accountability, innovation, and collaboration.
Strengthen internal capacity in health financing, insurance systems, and financial management.
Resolve cross-functional bottlenecks and promote integrated ways of working.
5. Strategic Sustainability & Social Business Leadership
Lead MSIE’s transition toward a financially sustainable social enterprise model.
Support the balance between donor-funded programs and revenue-generating service delivery channels
Identify and pilot new business opportunities, including social marketing of health products.
6. Strengthening Business & Financial Acumen
Champion a culture of financial discipline and business-oriented thinking across teams.
Build staff capacity to understand and manage key financial metrics, including unit costs, cost recovery, and return on investment.
Coach program leaders apply business strategies in diverse operational contexts.
7. Operational Excellence & Market Positioning
Oversee the expansion of social business networks and private sector engagement.
Promote market-driven innovations to improve efficiency, client satisfaction, and impact.
Monitor performance using both social impact indicators and financial sustainability KPIs.
Master’s degree (MBA, MPH, MSc) in Health Economics, Health Financing, Business Administration, or a related field.
Experience
Minimum of 10 years’ senior-level experience in health financing, health systems strengthening, or large-scale program leadership.
Demonstrated experience in managing complex donor-funded programs and leading financial sustainability or reform initiatives.
Core Competencies
Health Financing Expertise: Strong understanding of health insurance systems, provider payment mechanisms, and public financial management, ideally within Ethiopia or similar contexts.
Business Acumen: Ability to apply commercial and financial principles within a development or NGO setting.
Strategic Leadership: Proven ability to shape and deliver long-term strategic objectives.
Stakeholder Engagement: Strong negotiation and influencing skills with government, donors, and partners.
Analytical Skills: Ability to interpret financial and market data to inform decision-making.
Leadership & People Management: Track record of building and leading high-performing teams.
Communication: Excellent written and verbal communication skills in English.
Commitment: Alignment with MSI’s mission and values, including being pro-choice.
How To Apply
Interested candidates should submit a CV and motivation letter highlighting relevant experience in health financing and/or social enterprise within ten (10) days.
MSIE is an equal opportunity employer. Qualified women are strongly encouraged to apply.
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Deputy Country Director – Health Financing & social Enterprise -(Re-Advertisement)
Marie Stopes International Ethiopia
