Job Title: Director of Medical Programs

Assignment Location: Ranomafana, Ifanadiana District, Madagascar

Department: Medical

Commitment: 2 years, renewable

Salary and Benefits: Pivot offers competitive salaries and benefits to our employees and their families.

Position Overview: Pivot is seeking a new Director of Medical Programs, who will oversee the implementation of the operating plan, specifically spearheading the development and implementation of clinical and primary-care program activities.


The Director of Medical Programs is responsible for the direct implementation of the following programs:

  • Maternal and Reproductive Health
  • Child, Adolescent, and Young Adult Health
  • Infectious Diseases
  • Noncommunicable Diseases
  • Community Health
  • Assurance of Quality Services
  • Clinical Care and Referral
  • Social Support

Under the direct supervision of the National Director, the Director of Medical Programs:

  • participates as a member of the Pivot Leadership Team
  • collaborates with the Director of Health Resources and Policy (DHRP), who is also part of the Medical Department
  • directly supervises 6 program managers, 1 clinical specialist, 1 site coordinator, and 1 deputy director



  • Develop and lead the organization’s Medical Department strategy in close collaboration with the DHRP
  • Handle the execution of the Strategic Plan and the clinical goals of the operating plan
  • Plan and organize the implementation of the different program based on available resources (human, material and financial)
  • Maintain effective communication with various implementation partners
  • Collaborate with frontline representatives of the MoPH and other partners to set up and manage activities

2. Technical Support

  • Lead and continue to contribute to developing and/or revising primary care and clinical programs
  • Handle the development or updating of project documentation (project proposals, logical framework, terms of reference, etc.)
  • Spearhead efforts to upgrade the quality of primary and clinical care in public health facilities in Madagascar
  • Provide continuous learning and capacity-building in program areas relevant to his/her management for both Pivot and MoPH staff
  • Handle the coordination of complex clinical case management in collaboration with the Clinical Coordinator

3. Management & Leadership

  • Coordinate and implement the Medical Department’s activities
  • Lead the development of the annual work plan and budget of his/her teams according to current operating and strategic plans
  • Develop and implement project management modalities with program managers
  • Ensure effective and efficient use of resources dedicated to medical programs
  • Directly manage the relevant program teams and oversee to the proper management of human resources
  • Support the development of leadership and management skills within his/her team
  • Ensure that meetings are held and periodic reports are prepared in a timely manner by his/her team

4. Other

  • Travel regularly across the districts where Pivot works
  • Collaborate closely with the Monitoring & Evaluation and Pivot Science teams on specific research projects
  • Work closely with the Engagement department especially to support fundraising


  • At least five years of work experience, including two years in a leadership role
  • Physician or Paramedic with training in public health (MPH or other equivalent degree required)
  • Advanced experience in project design and implementation required
  • Certified project management training is a plus
  • Diverse experience in a variety of areas is a plus
  • International experience in an under-resourced setting is a plus
  • Ability to work in French is mandatory, in English and Malagasy is a plus

Required qualities

  • Have a strong commitment to social justice and improving care for the poor
  • Ability to uphold Pivot’s vision, mission, and values
  • Proactive, rigorous, and principled

Documents to be provided:

  • Cover letter addressed to Pivot’s Executive Director.
  • Detailed CV including email address and phone number for quick contact
  • Scanned copies (plain, uncertified) of diplomas and certificates
  • Scanned copy of the national identity card
  • Scanned copies (plain, uncertified) of work certificates and/or references proving prior employment
  • Three professional references (name, organization, position, email, and phone number)

How to apply

Interested persons are requested to email their application package containing the above-mentioned documents to [email protected] with the subject line “Recruitment of Director of Medical Programs” by midnight on 22 avril 2023

Only shortlisted candidates will be contacted for tests and interviews.