The Senior Manager, Country Operations, Global Responsibility serves as the primary subject matter expert and implementation coordination lead for country-level activities across Breakthrough T1D's Global Responsibility portfolio, including ALIGN-T1D-a multi-stakeholder global alliance platform advancing equitable access to comprehensive care, quality supplies, and system-level solutions for people living with type 1 diabetes (T1D) in low- and middle-income countries (LMICs).

As ALIGN-T1D evolves from an early-stage initiative into a mature global alliance with dedicated Secretariat functions, this role provides leadership for country engagement, implementation readiness, stakeholder coordination, and operational planning across participating countries and Bodies of Work. The Senior Manager serves as a key liaison among Ministries of Health, implementing partners, technical collaborators, alliance members, and other stakeholders to advance country-level implementation and strengthen alignment between global strategy and local execution.

This position contributes critical public health expertise and implementation insight to support concept note development, governance engagement, implementation planning, monitoring and learning activities, and future alliance growth. The role requires extensive experience working in LMIC settings, strong stakeholder engagement capabilities, diplomatic judgment, and the ability to navigate complex, multi-stakeholder environments with professionalism and cultural sensitivity.

SPECIFIC RESPONSIBILITIES:

Country Operations & Implementation Leadership

• Serve as the primary operational and subject matter lead for country-level implementation activities across ALIGN-T1D participating countries and Bodies of Work.
• Liaise with Ministries of Health, implementing partners, country writing teams, technical advisors, and alliance stakeholders to support development, refinement, and implementation of country concept notes and implementation plans.
• Provide subject matter expertise related to health systems strengthening, implementation planning, stakeholder engagement, and operational realities within LMIC contexts.
• Coordinate country-level follow-up activities related to Strategy Steering Group (SSG) recommendations, implementation planning, and funding readiness.
• Support alignment among country stakeholders, implementing partners, and alliance leadership to facilitate effective implementation and long-term sustainability.
• Identify implementation barriers, operational risks, stakeholder concerns, and coordination challenges and elevate issues appropriately to Global Responsibility leadership.
• Support development and maintenance of stakeholder maps, implementation plans, milestones, and country-level operational planning tools.

Stakeholder Engagement & Alliance Coordination

• Serve as a primary liaison between ALIGN-T1D and country-level stakeholders, including government agencies, implementing organizations, technical partners, and community representatives.
• Lead external communications and engagement activities related to country participation, Expressions of Interest, and implementation planning processes.
• Support relationship management across participating countries and alliance partners to promote collaboration, transparency, and alignment.
• Work closely with Global Responsibility leadership to identify priority updates, stakeholder concerns, and engagement opportunities across the alliance.
• Facilitate communication and information flow among alliance partners, implementing organizations, and country stakeholders.

Governance & Secretariat Support

• Support operational coordination related to ALIGN-T1D governance structures, including the Strategy Steering Group (SSG), Strategic Advisory Group (SAG), and related working groups.
• Prepare country updates, implementation summaries, briefing materials, and technical content for governance discussions and alliance decision-making processes.
• Contribute country-level implementation perspectives and operational insights to governance and strategic planning discussions.
• Support proposal review processes, country selection activities, and implementation readiness assessments as needed.
• Assist in maintaining alignment between governance decisions and country implementation activities.

Monitoring, Evaluation & Learning Support

• Provide operational and implementation input related to monitoring and evaluation frameworks, indicators, dashboards, and learning activities.
• Support coordination of implementation data, reporting activities, and performance monitoring processes across participating countries.
• Contribute implementation insights and country-level perspectives to learning, adaptation, and continuous improvement activities.
• Support transition planning and long-term sustainability of monitoring and evaluation systems across ALIGN-T1D Bodies of Work.
• Collaborate with technical and implementation partners to ensure monitoring and learning activities remain relevant, feasible, and actionable within country contexts.

Strategic Planning & Future-State Development

• Support operational planning and implementation readiness for future phases of ALIGN-T1D expansion and country engagement.
• Contribute subject matter expertise to the development of implementation strategies, country engagement frameworks, and alliance operating approaches.
• Participate in planning activities related to Secretariat maturation, implementation transitions, and future operational models.
• Assist in developing tools, processes, and resources that strengthen country implementation effectiveness and alliance sustainability.
• Support special projects and strategic initiatives as assigned.

EXPERIENCE & REQUIREMENTS:

• Minimum of 7 years of progressively responsible experience in global health, international development, public health implementation, health systems strengthening, or related fields.
• Significant in-country experience working in low- and middle-income countries (LMICs) required.
• Demonstrated experience supporting complex, multi-stakeholder health initiatives involving governments, implementing partners, technical collaborators, and funders.
• Extensive experience coordinating country-level implementation activities, stakeholder engagement processes, or health systems strengthening initiatives.
• Strong understanding of public health systems, implementation science, partnership development, and operational realities within resource-constrained environments.
• Demonstrated ability to navigate complex stakeholder environments involving Ministries of Health, technical agencies, implementing organizations, alliance partners, and funders.
• Experience supporting governance structures, alliance coordination, or multi-partner implementation initiatives strongly preferred.
• Excellent written and verbal communication skills, including experience preparing technical materials, implementation updates, governance briefings, and stakeholder communications.
• Demonstrated ability to collaborate effectively across cultures, organizations, and stakeholder groups.
• Strong diplomatic judgment, adaptability, and ability to operate effectively in evolving implementation environments.
• Proficiency with Microsoft Office Suite, Teams, SharePoint, and project management or collaboration platforms required.
• Professional proficiency in French or Spanish strongly preferred.
• Experience supporting NCD, diabetes, chronic disease, or global health access initiatives preferred.
• Ability to travel domestically and internationally as required.

EDUCATION:

• Master's degree in public health, global health, international development, or a related field preferred

Salary: $130K

Essential Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands or fingers, handle or feel objects, tools or controls. The employee is occasionally required to stand, walk, sit, reach with hands and arms, climb or balance, and stoop, kneel, crouch or crawl.

The employee must occasionally lift and/or move up to 25 pounds, and infrequently up to 50 pounds. Specific vision abilities required by this position include close vision, distance vision, color vision, peripheral vision, and the ability to adjust focus.

The noise level in the work environment is usually moderate.

Benefits:

Breakthrough T1D offers competitive benefits, including medical, dental, and vision coverage, a 403(b) retirement plan, voluntary benefits, flexible spending and commuter benefit accounts, an employee assistance program (EAP), life and disability insurance, performance-based bonuses, and generous paid time off. Benefits may vary by job level and full time or part time status.