Chief of Staff

Scheduled Hours

Full Time

Salary Range

$175,000.00-$290,000.00

Location

Remote, USA

Position Summary:

Reporting to the Chief Executive Officer, the Chief of Staff serves as a senior leader, strategic partner, and trusted advisor to the President and CEO, operating as an extension of the CEO's leadership across the organization.

Operating at the intersection of strategy, execution, governance, and communication, the Chief of Staff ensures alignment, accountability, and disciplined follow-through on enterprise priorities.

As an enterprise integrator, the Chief of Staff strengthens executive team effectiveness, coordinates and accelerates cross-functional execution, and supports strong internal and external partnerships-advancing IHI's mission, global impact, and long-term sustainability.

Role Clarification

This is a senior strategic Chief of Staff role designed to strengthen the effectiveness of the CEO and executive team by improving alignment, decision-making, communication, and follow-through on enterprise priorities. The role requires exceptional organization, preparation, judgment, discretion, and attention to detail, and its primary focus is on strategic partnership, enterprise coordination, and executive decision support rather than day-to-day administrative support. The Chief of Staff position is also not intended to be a standalone transformation leadership role or a Chief Operating Officer position. The Chief of Staff works through influence, trusted relationships, executive partnership, and cross-functional enterprise coordination rather than direct operational ownership of functions or teams.

Position Responsibilities:

Responsibilities include but are not limited to the following:

Executive Leadership & Strategic Advisory

• Serve as a primary strategic advisor and thought partner to the CEO on enterprise priorities, organizational performance, and critical decisions
• Drive enterprise-wide alignment on strategy, culture, and outcomes in partnership with the CEO and executive team
• Manage the flow of strategic issues and decisions, ensuring CEO focus on highest-value priorities
• Synthesize complex information into clear insights, risks, and actionable recommendations
• Prepare and position the CEO for high-stakes engagements, decisions, and stakeholder interactions
• Represent the CEO and, as appropriate, the organization, in internal and external engagements
• Act as an enterprise integrator-surfacing risks, resolving tensions, and ensuring alignment across leadership priorities

Enterprise Priorities & Cross-Functional Execution

• Drive and support enterprise-wide priorities and transformation efforts in partnership with accountable executive owners
• Translate strategy into coordinated action, measurable outcomes, and sustained impact
• Apply strong executive, business, and financial acumen to inform decisions and evaluate tradeoffs
• Coordinate and accelerate cross-functional execution, proactively surfacing barriers and managing interdependencies
• Monitor enterprise initiatives, risks, and key performance indicators, elevating issues and recommending course corrections
• Support organizational change by aligning leadership, shaping implementation approaches, and promoting adoption

Executive Operating Model & Enterprise Decision Enablement

• Design and manage executive leadership processes, meeting structures, and decision-making forums
• Establish and maintain operating cadences, dashboards, and accountability mechanisms
• Drive clarity of decisions, ownership, and follow-through across the executive team
• Strengthen alignment across leaders on priorities, tradeoffs, and enterprise commitments
• Shape leadership norms and promote a culture of accountability, collaboration, and high performance
• Ensure clarity, accountability, and disciplined follow-through on executive decisions and enterprise commitments

Governance & Board Engagement

• Partner with the CEO and Board leadership to support effective governance, Board engagement, and strategic oversight
• Lead preparation of high-quality Board and committee materials and communications
• Ensure clear tracking of Board decisions, action items, and organizational follow-through
• Advance governance practices by helping ensure decision clarity, risk visibility, preparation, and follow-through
• Partner with the CEO and appropriate governance leads to develop Board agendas, annual calendars, and committee workflows

Strategic Communication & Stakeholder Engagement

• Provide executive-level communication leadership, shaping narratives for internal and external audiences
• Ensure clarity, consistency, and alignment of leadership messaging across the organization
• Serve as a credible and trusted voice, representing leadership perspectives with confidence and clarity
• Build and sustain strong relationships with internal teams and external stakeholders, including funders, customers, and collaborators
• Shape and advance high-priority stakeholder engagements, ensuring alignment, preparation, and follow-through

Organizational Leadership in Complex Environments

• Lead and influence cross-functional and matrixed teams in complex, fast-paced environments
• Mobilize teams and initiatives with and without direct authority through influence and alignment
• Strengthen organizational effectiveness through improved coordination, decision-making, and ways of working
• Mentor and support emerging leaders and teams contributing to enterprise priorities
• Promote clarity, consistency, and alignment during periods of change and uncertainty

Special Initiatives & Enterprise Problem Solving

• Lead high-priority, ambiguous, or sensitive initiatives requiring executive sponsorship and cross-functional leadership
• Coordinate enterprise-level problem solving on emerging issues and strategic opportunities
• Support improvements to operating rhythms, coordination practices, and executive-level processes to enhance effectiveness and efficiency
• Address complex challenges that cut across teams, functions, or geographies

Position Knowledge, Skills and Abilities:

• Enterprise orientation and strategic judgment, with the ability to connect organizational priorities, risks, decisions, and implications
• Executive-level synthesis skills, including the ability to turn complex, ambiguous, or sensitive information into clear insights, options, and recommendations
• Strong advisory capability, including the ability to offer candid counsel, sound judgment, and practical solutions to senior executives
• Knowledge of organizational effectiveness, operating models, change management, performance improvement, and executive team ways of working
• Excellent written and verbal communication skills, with the ability to adapt messages for executive, Board, staff, partner, funder, customer, and public audiences
• Strong facilitation and process design skills, including the ability to structure decision forums, meeting cadences, governance workflows, and follow-up systems
• High degree of organizational and political acumen, with the ability to navigate complexity, build trust, and align stakeholders with differing perspectives
• Ability to interpret financial, operational, performance, and risk information and frame tradeoffs for executive decision-making
• Strong relationship-building and influence skills, including the ability to mobilize leaders, teams, and stakeholders without relying on direct authority
• Sound judgment and discretion in handling sensitive matters

IHI Values and Culture

• Commitment to IHI Values of courage, love, equity, trust and impact
• Commitment to equity, anti-racism, and the improvement of societal systems

Position Qualifications:

Required

• Bachelor's degree in business administration, public health, health care administration, organizational leadership, public policy, communications, or a related field; equivalent senior-level experience may be considered in lieu of a degree
• Minimum of 10 years of progressively responsible experience in executive office leadership, enterprise coordination, strategy execution, organizational effectiveness, or cross-functional leadership
• Demonstrated success serving as a trusted advisor, chief of staff, senior strategy or operations leader, or comparable partner to a CEO, president, executive director, or C-suite executive
• Experience translating enterprise priorities into coordinated action plans, measurable outcomes, clear accountability structures, and sustained cross-functional follow-through
• Experience driving complex organizational initiatives, including transformation efforts, operating model changes, change management, or performance improvement, in partnership with accountable leaders
• Strong executive presence and communication skills, with experience preparing leaders for high-stakes meetings, decisions, Board interactions, staff communications, and external stakeholder engagements
• Experience supporting executive leadership teams, Board or committee processes, governance workflows, decision forums, meeting cadences, and follow-up on commitments and action items
• Strong business, financial, and analytical acumen, with the ability to use data, performance indicators, budgets, and risk information to inform decisions and evaluate tradeoffs
• Demonstrated judgment, discretion, and confidentiality in handling sensitive organizational, personnel, financial, governance, or stakeholder matters

Preferred

• Senior leadership experience in health care, public health, health care improvement, patient safety, health equity, global health, or a related mission-driven field
• Experience working in a nonprofit, NGO, philanthropic, academic, or global organization with multi-country programs, partnerships, or stakeholders
• Advanced degree, such as an MBA, MPH, MHA, MPA, or other relevant graduate degree
• Experience supporting executive leadership in a mission-driven organization undergoing growth, transformation, strategic repositioning, or operating model change
• Experience using project, portfolio, CRM, ERP, financial, collaboration, or performance management tools to support executive decision-making and enterprise execution

Physical Attributes:

• Ability to Sit for Extended Periods: Capability to work at a desk for long durations
• Manual Dexterity: Proficiency in using a computer, including typing, mouse handling, and other office equipment
• Visual Acuity: Ability to read and view a computer screen for extended periods
• Hearing and Speaking: Clear communication over phone and video calls
• Environment Setup: Access to a quiet, professional home office setup conducive to focused work and virtual meetings
• Lifting: Occasionally requires lifting up to 25 lbs as needed

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list or comprehensive inventory of all duties, responsibilities, skills, and qualifications required.