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Médecins Sans Frontières
Countries: Belgium, Côte d'IvoireOrganization: Médecins Sans FrontièresClosing date: 20 Aug 2026CONTEXTThe OCB Medical Department(OCB - Operational Center Brussels) plays a strategic role by defining the modalities of implementation of MSF’s medical strategy so that both coherence and quality can be safeguarded across operations. They provide strategic support throughout the project cycle, combining a normative function with technical guidance for implementation and follow-up. Additionally, they ensure knowledge transfer to the medical workforce and foster research and innovation by challenging current practices and exploring new approaches.It is composed of multiple specialists based across a network of units worldwide (Belgium, Brazil, Ivory Coast, Lebanon, Luxembourg, and South Africa) and works in close collaboration with operations, other OCB departments and MSF movement. We are also supporting the projects of MSF Western & Central Africa (WaCa).The Hospital Management Support Unit (HMSU) is hosted in the medical department and works interdisciplinary with relevant technical expertise to support the management of hospitals and larger outpatient departments or clinics in their proper context and in coherence with OCB strategic objectives. The HMSU is currently composed of 3 Hospital Management referents – one medical profile, one position on facilities management and this position more focused on resources management and MOH partnerships.The HMSU develops and enhances expertise in hospital management, in close collaboration with Operational Support Teams (Cells), Medical, Logistics and People and Workforce department departments to support the teams’ managing hospitals. Hospital management teams structure their support around seven key flows: patient, workforce, support services, equipment & material, medication & medical supply, information, and transversally quality improvement.As Hospital Management and MOH partnership Referent:You will be the focal point for MOH partnerships, you will lead coordinated efforts in collaboration with the Analysis and HR departments to develop a comprehensive framework, tools, and guidelines for working with Ministries of Health. The objective is to ensure hospitals in partnership are accessible to those made most vulnerable and excluded and achieve the desired quality of careYou will work closely with hospital management teams to provide strategic and operational support aimed at strengthening hospital systems, management practices, and quality of care by ensuring alignment with the project's medical strategy and fostering multidisciplinary collaboration.And you will play a key role in capacity building, mentoring hospital managers, and promoting sustainable management practices to enhance the overall performance of MSF health facilities. Specifically, you will bring your expertise in workforce and supportive services management as key components of hospital management.You will closely work together with your 2 colleagues in the HMSU to ensure multidisciplinary approach in support to the project teams as well as in the development of guidance documents and tools.MAIN RESPONSIBILITIESAs MOH partnership referent:Development of a MOH collaboration frameworkLead the work on developing a MoH collaboration framework with following elements:Design and maintain standardized guidance for MOH collaboration, including templates for Memoranda of Understanding (MOUs) and partnership protocolsDefine clear “red lines” in partnerships with MOHDefine and advise operations on decision-making criteria for when to engage or disengage with MOHDevelop frameworks and tools to support project teams in planning for transition or exit from MOH partnerships, ensuring continuity of care and minimizing risks to patientsIncentive PackagesIn collaboration with the People & Workforce department, develop clear guidelines on what constitutes incentives for MOH staff and partners, the overall packageDevelop guidance on models for incentive schemes (e.g., fixed vs. performance-based) and clarify what is indicated in which contextAddress challenges such as sustainability, equity, and the impact of incentives on behavior and quality of careNegociation capacity BuildingCreate, in collaboration with the Analysis Department, training materials and toolkits for country, project, and hospital management teams on negotiation skills and partnership managementOffer remote and on-site support during critical negotiations or partnership reviewsMonitoring & Evaluation ToolsDevelop systems for project teams to track, monitor, and evaluate MOUs and partnership effectivenessEnsure lessons learned and best practices are documented and shared across operational centersPolicy & Standards alignmentDraft guidance on balancing MSF standards with MOH protocols, including strategies for upgrading MOH standards and safeguarding an acceptable or desired level of effective and person-centered careEnsure that safeguarding and duty of care considerations are integrated into partnership frameworksCoordination & Knowledge SharingCollaborate with intersectional counterparts on MOH engagement strategies across different operational centersDevelop tools and a repository of actor mapping and contextual analysis for country teams to useMaintain a repository of MOU’s and used tools of partnership hospitalsSupport the project teams in this Collaboration with the Ministry of Health (MOH)Advise hospital management teams to ensure alignment with national hospital management-related policies and guidelines, whenever possible and considering MSFs values and principlesSupport project teams in the development of MOUs with the MOHAs Hospital Management referent:Development of ExpertiseEnhance hospital management expertise within OCB in collaboration with cells and medical department referentsDesign and develop governance, operational, and organizational tools for hospital management, including topics such as hospital capacity management (calculation of beds with necessary HR etc.)Develop guidance on the organization and functioning of clinical and non-clinical ancillary services in a hospital in collaboration with IPC and hospital facility managementContribute to the refinement and further development of the Hospital Management Team Training (HMTT), specifically by designing training packages on co-management (MoH & MSF) and deepening content related to workforce and support services managementAssess training needs and contribute to the integration of hospital management concepts into other internal training sessionsSupport project teamsProvide expert advice on operational efficiency, governance, and organizational processesGuide the development of action plans based on project findings and monitor progressConduct project visits to evaluate hospital configurations, procedures, and organizational structuresProvide on-site support, training, and recommendations for improving hospital operationsTransition Phase SupportAdvise hospital teams during project’s design and setup as well as during MSF’s exit or operational changesAssist in developing and monitoring transition plans aligned with medical prioritiesSupport handovers to enable independent hospital operations post-transitionMonitoring and EvaluationDevelop methodologies, tools, and indicators for hospital management in collaboration with HMSU and medical teamsImplement and utilize medical data management systems and dashboardsAnalyze hospital data (quantitative and qualitative) and recommend improvements based on evaluationsFinancial and Human Resource ManagementContribute to long-term resource management strategies aligned with hospital goalsAdvice on prioritizing spending to enhance patient care while controlling costsAdvice on workforce planning, organizational setups, and organogramsPropose HR strategies and training programs to enhance staff skills and leadership capacitiesREQUIREMENTSEducation & ExperienceMinimum 2 years of professional experience in management of hospitals or in coordinating positions involving a part of hospital management is mandatory (project coordinator, medical project coordinator, Head nurse, etc.) is mandatoryMinimum 2 years of MSF international experience in different contexts (or equivalent experience in medical humanitarian organisations managing projects with hospital components) is mandatoryExperience in working with Ministries of Health in low-resource settings is mandatoryA degree in Management, Hospital management, Healthcare management, Health Policy, International relations is a strong assetExperience in developing guidance and training materials is a strong assetCompetenciesStrategic and analytical: able to turn complex challenges into practical tools and actionable plansExcellent communication (diplomacy), facilitation skillsTeam collaboration and Building Relationships across multi-disciplinary teams, multi-stakeholders and different contextAutonomy and adaptabilityBehavioral Flexibility and stress managementResults and Quality OrientationPlanning & organisational skillsCross cultural awarenessLanguagesProficiency in English and French, both written & spoken is mandatoryOther MSF Operational Languages are an assetCONDITIONSExpected starting date: As soon as possibleLocation: Abidjan (Ivory Coast) or Brussels (Belgium)Contract type: Fixed-term contract – full-timeContract duration: 2 years (potentially extendable)Mobility: 30% MSF project visits per yearSalary according to MSF- OCB salary gridPossibility to work from home according to MSF PolicyMeal Vouchers - Hospital Insurance (DKV) – Pension Plan – 100% reimbursement for public transportation costsAdhere to the MSF principles and to our managerial values: Respect, Transparency, Integrity, Accountability, Trust and EmpowermentAdhere to the MSF Behavioral CommitmentsDeadline for applications extended until: 20th of August 2026How to applyHow to apply?Submit your application via the 'Apply here' button on the vacancy pageYou will be directed to the online application form for this positionIt should take 5-10 minutes to complete. Thank you in advance for having your CV and motivation letter ready to upload (in pdf format)Only shortlisted candidates will be contactedMSF values diversity and is committed to creating an inclusive working environment. We welcome applications from all qualified candidates regardless of disability, gender identity, marital or civil partnership status, race, color or ethnic and national origins, religion or belief, or sexual orientation.The protection of your personal data is important to MSF. By submitting your application, you consent to MSF using your personal data. For more information, consult our privacy notice to job applicants.
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