Clinical Specialist

Published September 15, 2022
Location Ranomafana, Madagascar
Category Health Care  
Job Type Full Time  



Pivot is an NGO that has been collaborating with Madagascar’s Ministry of Public Health (MSANP) since 2014 to upgrade the public health system in order to provide quality care to the population of Ifanadiana district. In partnership with the Malagasy government, we are building a health system model whose approach adapts and evolves according to its impact on the population. Our approach is based on the following actions at all levels of the health system - community, health center, district hospital: improving clinical care, upgrading the system’s capabilities, and scientific innovation. This model is in line with MSANP policies and aims to produce fast, consistent and sustainable outcomes for the population in terms of health and access to care, with a view to establishing Universal Health Coverage.


Pivot is seeking a new Clinical Specialist, to support clinical programs and patient management and follow-up.


Job Title: Clinical Specialist


Assignment Location: Ranomafana, Ifanadiana District


Department: Medical


Commitment: 2 years, renewable


Salary Range: $21,000 to $48,000 per year, commensurate with experience and qualifications.


Benefits: competitive with 35 days of vacation leave and comprehensive medical insurance.


Position Overview: PIVOT is seeking a new Clinical Specialist to support the implementation of clinical activities and to support patient care and follow-up.




Under the direct supervision of the Director of Medical Programs, the Clinical Specialist:


Is part of PIVOT’s Senior Management Team (SMT)

Works closely with the Assistant Director of Hospital Care.



  1. Support for program development


Help to develop and/or revise clinical care programs

Provide technical support for developing or updating project documentation (project proposals, logical framework, terms of reference, etc.)

Provide technical advice about strategic orientations and interventions on clinical issues

Support coordinating and implementing the clinical team's activities

Participate in developing the annual work plan and annual budgeting

Assist and support the managers in coordinating and implementing clinical projects

  1. Technical Support


Spearhead efforts to upgrade the quality of clinical care

Provide continuous learning and skills upgrading on clinical topics in line with organizational priorities

Participate in training health workers through proven curricula according to program needs

Support patient management

Supervise and support the quality of the clinical activities of the medical team

Coordinate the management of complex clinical cases (case-by-case support, chart review, etc.)

Improve patient follow-up

Facilitate holistic patient care - by linking the social and the clinical

  1. Other


Travel regularly to the districts where Pivot works;

Collaborate on the front line with representatives of the Ministry of Health and other partners to set up and manage activities

Collaborate closely with the PIVOT Science team on specific research projects

Qualifications required


Have at least three to five years of similar work experience

Physician with specialization required

A specialization in internal medicine is a plus.

Experience in project design and implementation is a plus

International experience in an under-resourced setting is a plus

Ability to work in French is mandatory, in English and Malagasy is a plus

Required qualities


Have a strong commitment to social justice and improving care for the poor in keeping with Pivot's values;

Adhere to Pivot’s vision, mission and values

Proactive, Rigorous, Available, Principled

How to apply

Documents to be provided:


Cover letter addressed to PIVOT’s Executive Director.

Detailed CV including email address and telephone number for quick contact;

Scanned copies (plain, uncertified copies) of diplomas and certificates;

Scanned copy of the national identity card;

Scanned copies (plain, uncertified copies) of work certificates and/or references proving prior employment.

Three professional reference persons (Name, Position, Email and telephone number),

Interested persons are requested to email their application package containing the above-mentioned documents with the subject line "Recruitment of Clinical Specialist,"

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