Senior Technical Advisor, Clinical Services & Health Systems Transformation

Resolve to Save Lives (RTSL) works with governments and partners to strengthen and transform primary health care (PHC) to improve health and save lives. Our approach focuses on making PHC more prioritised, proactive and accountable for outcomes, and strengthening how care is organised, delivered, financed and measured. Drawing on expertise across RTSL's portfolio, we bring together solutions in health system resilience and epidemic readiness, digital health and data-driven decision-making, performance measurement and improvement, and sustainable health financing. We apply these capabilities to address priority health challenges, including cardiovascular health, maternal survival and sexual and reproductive health, while strengthening health systems to deliver more equitable, effective and resilient care.  

Position Purpose

The Senior Technical Advisor, Clinical Services & Health Systems Transformation will provide senior-level technical expertise to strengthen how health services are organised, managed and delivered, with an initial focus on improving maternal survival and reproductive health outcomes. Drawing on deep clinical experience and specialized expertise in health systems strengthening, systems thinking, and change management, the role leads complex technical initiatives and supports governments and country teams in identifying systemic barriers to quality care, designing and implementing practical improvements, and strengthening the institutional capabilities needed to sustain results.

Reporting to the Director, Maternal & Reproductive Health, the Senior Technical Advisor works across RTSL's technical programmes to translate evidence and programme learning into effective service delivery improvements. The role exercises significant independent technical judgment in developing and adapting implementation approaches, guides multidisciplinary teams and partners through complex health system challenges, and contributes expertise and learning to strengthen RTSL's broader approaches to more proactive, reliable, and accountable health care.

Work Location: 100% Remote with travel as stated. Eligible for candidates based in the US, UK, Nigeria, Ethiopia, Rwanda, India, France and DRC.

Duration: Full-time employment for a fixed term of 24 months.

Core Duties and Responsibilities

Health Systems and Service Delivery Transformation

• Apply systems thinking and health systems transformation approaches to identify and address systemic barriers to quality health care, drawing on service delivery assessments and analysis of health system performance.
• Provide strategic and technical advice to national and subnational governments on health system and service delivery reforms, supporting the translation of national policies and priorities into effective service delivery models and implementation approaches.
• Provide expert technical guidance to governments and country teams on redesigning clinical care pathways, referral systems, workflows and service delivery models to improve the quality, reliability and continuity of care.
• Translate findings from maternal death reviews, routine performance data and other sources into prioritised, feasible improvements in clinical care, service delivery and wider health system capabilities.
• Guide multidisciplinary collaboration with technical specialists across clinical care, digital health, financing and measurement to develop integrated solutions to complex, priority service delivery challenges.

Change Management and Institutional Strengthening

• Lead the development and adaptation of change management and implementation approaches to enable government and health facility teams to introduce, adapt and sustain improvements in service delivery.
• Provide strategic accompaniment and coaching to strengthen government leadership, management and institutional capabilities, including decision-making processes, performance management, accountability mechanisms and continuous improvement practices.
• Design and guide practical implementation approaches, including change management plans, improvement processes, team-based coaching and mechanisms to address barriers to implementation.
• Promote government ownership and sustainability by embedding improved practices, management routines and accountability processes within existing health systems.

Country Implementation and Technical Support

• Provide senior technical guidance to country programmes and government partners, supporting the design, implementation and adaptation of health system and service delivery improvements, identifying emerging challenges, and recommending course corrections.
• Work closely with country teams, government counterparts and implementing partners to identify priorities, address operational challenges and support effective programme delivery.
• Provide technical leadership on country assessments, programme design and implementation planning, ensuring interventions respond to demonstrated system bottlenecks and country priorities.

Learning, Evidence and Innovation

• Guide the application of data, implementation learning, and performance measurement to assess the effectiveness of service delivery changes, identify emerging challenges, and inform course correction.
• Document and synthesise implementation experience, developing practical tools, approaches and lessons that can be adapted and applied across countries and other priority health areas.

Qualifications

Education

• Clinical qualification in medicine, nursing, midwifery or a related health profession, with experience in clinical service delivery. An advanced degree in public health, health systems, health management or a related field is desirable.

Experience

• At least 10 years of relevant experience in clinical service delivery, health systems strengthening and service delivery transformation, including substantial experience in low- and middle-income countries.
• Demonstrated experience working with government institutions and health service managers to strengthen institutional capabilities, embed new ways of working and sustain improvements beyond individual projects.
• Experience using routine performance data, quality improvement methods, and implementation learning to inform technical decisions, assess results, and adapt interventions.

Skills & Abilities

• Expertise in applying systems thinking, change management and health systems transformation approaches to diagnose complex service delivery challenges, design practical solutions, and achieve measurable improvements.
• Proven track record of leading or supporting the implementation of complex health service delivery reforms, including changes to clinical pathways, care models, management practices or health system processes.
• Deep, nuanced understanding of clinical quality and patient safety, including the organisational, workforce and system factors that influence the reliability and effectiveness of frontline health services.
• Strong technical leadership, facilitation, coaching, problem-solving, and relationship management skills, with the ability to influence stakeholders, navigate resistance to change and work effectively across clinical, technical and management teams.
• Excellent communication skills, with the ability to translate complex health systems challenges into clear, actionable recommendations and to influence diverse technical, clinical, government and management stakeholders.
• Willingness to travel internationally, approximately 30%.

Compensation and Benefits

Resolve to Save Lives prides itself on cultivating a supportive, connected remote team doing work that matters. We do everything possible to ensure our employees are connected and set up for success. 

The salary range for applicants based in the US is $120,000 to $135,000 annually. The exact offer will be determined by various factors, such as the candidate's skills and experience relative to the requirements of the role. For applicants based outside the US, salaries are set according to national labor rates for the international NGO sector.  

In addition to a competitive salary, Resolve to Save Lives provides a generous package of benefits, including: 

• Health insurance for you and your dependents 
• Contributions toward retirement  
• Paid annual leave and sick leave, in addition to public holidays 
• Two paid, week-long organization-wide breaks at mid-year and end-of-year  
• Professional development and home office setup benefits 
• Up-to-date computer equipment 

Anticipated Application Deadline: 27 November 2026 (This position may close earlier if a high volume of applications is received before the stated deadline)