Senior HIV/AIDS Clinical Advisor

Website United States Agency for International Development (USAID)

Senior HIV/AIDS Clinical Advisor

Job Description

Duties and Responsibilities:

The Senior Advisor, working with the Health Office Director, will serve as the subject matter expert and technical leader within USAID/DR for the HIV clinical continuum including community and facility based HIV case-funding, linkage to treatment, and continuity of treatment and viral suppression services. In addition s/he will oversee the health systems strengthening activities that serve to remove operational bottlenecks and/or strengthen clinical care activities. S/he will provide technical and managerial support on programs providing testing, linkage to treatment, and continuity of treatment and viral suppression for those at risk of HIV and those living with HIV/AIDS. S/he will be a subject matter expert on how to best reach and retain vulnerable and priority populations living with stigma and discrimination. S/he will also work with technical representatives of other USG agencies, GoDR counterparts, Office of the Global AIDS Coordinator (S/GAC), international donors, and other key development partners. Finally, S/he will take a lead role on COVID-19 and health system strengthening activities related to emerging and re-emerging global health threats.

Statement of duties to be performed:

Technical Leadership

  • Provide on-going leadership, technical assistance, technical direction, and consultation to direct staff, the broader USAID HIV team, interagency PEPFAR team, the Government of DR (GoDR), and implementing partners on the development and implementation of the continuum of HIV clinical, support services, and systems strengthening in accordance with global, PEPFAR, and USAID guidance.
  • Supervise a clinical team of up to four local staff comprising technical and administrative support specialists.
  • Build technical and management capacity of Health and HIV Office staff to lead different components of HIV/AIDS and other health programming through training, mentorship, and ongoing performance management.
  • Conduct data and trend analysis, and provide technical recommendations to improve the performance of clinical care and treatment programs at the national, provincial, site and community levels. Lead the HIV clinical team to analyze routinely reported program results across the clinical cascade and use data to redirect implementation as needed. Identify areas of weakness on a regular basis, at least monthly, and devise improvement plans.
  • Provide USAID expert technical and programmatic advice on the planning, design, implementation, and monitoring and evaluation of HIV and AIDS programs, particularly those for adult care and treatment.
  • Lead clinical inputs to the USAID and PEPFAR business processes- quarterly data review presentations and country operational plan inputs.
  • Analyze, synthesize and disseminate findings and best practices to the Mission, Government of the Dominican Republic, and its partners.
  • Participate in the review and evaluation of existing policies and guidelines on continuum of HIV clinical services and other relevant policies/guidelines, providing recommendations and suggesting modifications to existing policies/guidelines or the creation of new policies/guidelines to support and/or enhance USAID HIV activities.
  • Provide USAID expert technical direction and programmatic management on the planning, design, and implementation, and monitoring and evaluation of health emerging and re-emerging global health threats.
  • Develop and deliver relevant presentations, reference materials, speeches and prepare reports and other documents as required.

Project Management

  • Serve as Activity Manager and/or Agreement Officer’s Representative (AOR)/Contract Officer’s Representative (COR) for assigned USAID awards and activities.
  • Provide support in managing HIV clinical contracts, grants or cooperative agreements, including work plan development, monitoring of budgets allocated to USAID clinical partners; review of budget for appropriateness, monitor the use of funds for adherence to proposed activities, quarterly review of budget status and outlays, and providing advice for realignment of budget, and accruals.
  • Provide technical advice and direction to grantees and contractors on management and implementation of grants, contracts and/or cooperative agreements to ensure consistency with PEPFAR policies and GODR policies and regulations.
  • Review the technical quality of projects in the field by conducting site visits, meeting with program planners and managers in the field, providing expert technical assistance, monitoring progress, and reviewing and analyzing results.
  • Provide regular status reports on progress for all projects under his/her responsibility and prepare the required reports on clinical care issues. This will include mandated quarterly country operational plan (COP) reports and briefings to the PEPFAR Oversight and Accountability Response Team (POART) on results, as well as weekly and monthly partner data reviews.

Administrative Management

  • Ensure the maintenance of files, including all site visit reports, progress meeting reports, and other reports. Ensure up to date clinical information, including PowerPoint presentations, success stories, site visit reports, data quality sheets and other documents are kept as required.
  • Maintain financial and expenditure spreadsheets and track all treatment, testing and care expenditures to ensure compliance with PEPFAR guidelines.

Partner Relationships and Coordination

  • Develop collaborations with counterparts in USG (i.e. CDC, DOD and S/GAC), international agencies (esp. Global Fund), and Government of the Dominican Republic (i.e. Ministry of Health, National Health System, National AIDS Council, etc.).
  • Serve on relevant PEPFAR, COVID-19, and health system strengthening interagency and/or National Working Groups and participate in other related collaborations within USAID and interagency.


Candidates will be evaluated and ranked based on the following selection criteria:

Prior Work Experience:

  • Experience in providing clinical care to HIV/AIDS patients
  • Minimum ten(10) years of experience in public health programs with emphasis on infectious diseases and HIV, with at least three (3) years of experience working on health care delivery in an international or resource challenged setting. Experience in PEPFAR and/or LAC countries preferred.
  • Minimum of three years supervisory experience.


  • MD/DO/MBBS/MBCHB or equivalent medical degree with experience in international health care and support delivery.
  • Master’s in Public Health or a related field with an emphasis on infectious diseases preferred.

Language Proficiency:

Excellent communication skills in English and Spanish.


  • Ability to develop and monitor clinical components of HIV strategic plans, develop innovative solutions and meet targets
  • Knowledge of and familiarity with international treatment initiatives and organizations and the ability to interact successfully with senior level representatives and high level government officials of international and host country governmental and nongovernmental agencies, multilateral and bilateral organizations.
  • Knowledge of the issues involved working in limited resource environments.
  • Knowledge of U.S. Government legislation relating to development assistance and USAID programming policies, regulations procedures, and documentation.
  • General knowledge of public sector health systems and its affiliated agencies, donors, and related private sector programs.

Skills, and Abilities:

  • Strong interpersonal skills and the ability to work cross-culturally with diverse teams.
  • Ability to work in a fast-pace environment
  • Supervision, performance management, and mentorship skills
  • Excellent analytical written and oral communication skills
  • High degree of judgment, maturity, ingenuity and originality to interpret strategy, to analyze, develop and present work and to monitor and evaluate implementation of programs
  • Willingness to travel approximately 30% of the time
  • Strong skills in the operation of computers and software program applications authorized for use (including Excel, PowerPoint, and Word and related logistics software for management, forecasting, etc.) are required
  • Excellent communication skills in English and Spanish.
  • Excellent interpersonal skills, tact and diplomacy, required to establish and maintain a wide range of senior-level and working-level contacts with HIV/AIDS programs in government, nongovernmental, and private-sector circles.
  • Ability to work effectively within team and interagency environments.


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