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As part of DAI's Technical Support Programme for Health (P4H), we are seeking to fill a range of positions to support Designing a New Provider Payment Mechanism for Service Level Agreements (SLA) in Malawi. The primary aim of this assignment is to design a feasible, evidence-based SLA Provider Payment Mechanism (PPM) that promotes equitable access to essential health services for women, newborns, and children in Malawi. The assignment will generate value-for-money cost estimates (including both per-service and per-capita costs for MNCH), analyse the current SLA model to improve efficiency and equity, and assess alternative payment options to recommend a blended PPM, particularly for rural and underserved areas. It will also estimate fiscal implications (including Budget Impact Analysis) and develop a governance framework and implementation roadmap, including rate setting, performance verification, and dispute resolution. Assignment Duration: Approximately 5-7 months, starting early July 2026. Individual assignment lengths are varied, based on the position. Please indicate the role(s) that you are applying for in the cover letter (max 1-page) and the city and country where you will be based during the assignment period. All team members must demonstrate: Strong interpersonal and diplomacy skills, with demonstrated ability to engage effectively with senior Government officials and diverse stakeholders Proven relationship-building and facilitation skills, including the capacity to manage sensitive policy dialogue Good understanding of political economy and reform dynamics in low-income countries, including navigating institutional constraints without undermining Government ownership Excellent written and verbal communication skills, with the ability to produce clear, policy-relevant outputs in plain language accessible to decision-makers POSITION 1: TEAM LEADER (HEALTH ECONOMIST/PFM SPECIALIST) Level of Effort (LoE): Close to full time Key Responsibilities Lead the design and delivery of a blended Provider Payment Mechanism Steer technical components, driving stakeholder co-design Navigate local political economy Coordinate a small multidisciplinary team, including a partnership with CHAI who are providing the Ministry with long-term embedded support Conduct and interpret analyses including provider payment modelling, health service costing, Excel-based fiscal simulations and budget impact analysis, strategic purchasing analytics, financial flow analysis, and PFM compatibility assessments Qualifications and Experience Advanced degree in health economics, public health, health policy, economics, public finance or related field Minimum 12–15 years' experience in health systems strengthening and policy advisory, preferably in sub-Saharan Africa Minimum 8–10 years' experience in health economics, costing, and provider payment mechanisms Demonstrated leadership of complex, multi-stakeholder assignments, including Government and development partners Proven ability to manage teams, deliver high-quality outputs, and facilitate policy dialogue Strong understanding of health financing and strategic purchasing Strong expertise in budget impact analysis, financial modelling, and VfM analysis Experience with public financial management systems, including budgeting, funds flow and expenditure tracking Advanced quantitative and Excel modelling skills POSITION 2: SERVICE DELIVERY / MNCH EXPERT Level of Effort (LoE): Approximately 15-20 days throughout the period of the assignment (Tentative) Key Responsibilities Provide technical expertise in the design, organisation, and quality of maternal, newborn, and child health (MNCH) services Work as part of a multi-disciplinary team that brings together complementary strengths in health financing, public financial management (PFM), institutional governance, and RMNCAH service delivery Qualifications and Experience Advanced degree in public health, medicine, nursing or related field Minimum 8–10 years' experience in RMNCAH service delivery in low-resource settings Practical understanding of facility-level operations, quality of care, and access barriers Experience in equity- and gender-responsive programming Ability to link financing reforms to service delivery realities POSITION 3: HEALTH ECONOMIST – PFM & GOVERNANCE EXPERT Level of Effort (LoE): Part-time throughout the period of the assignment (50-70% LoE tentative) Key Responsibilities Work with the Team Leader on stakeholder engagement, facilitating co-design, and navigating the MoHS/CHAM political economy to ensure institutional implementability Collaborate within a small multidisciplinary team, providing health economics and governance expertise Design governance arrangements and conduct complex analyses, including provider payment modeling, health costing, financial flow tracking, and Excel-based fiscal simulations Qualifications and Experience Advanced degree in public administration, economics, business administration or related field Minimum 8 years' experience in institutional analysis, governance frameworks and accountability systems Experience analysing health sector public financial management systems, including budget execution, reimbursement systems, IFMIS, and funds flow bottlenecks Experience designing contracting, verification, audit and dispute resolution mechanisms in the public sector Familiarity with health sector governance and working with non-state providers Strong analytical and facilitation skills Application Procedure for All Positions: Application Link: workforcenow.adp.com Only shortlisted candidates will be
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