Deputy Director, HIV Delivery at Bill & Melinda Gates Foundation

Your Role 

• As Deputy Director, HIV Delivery, you will provide strategic and operational leadership across the full continuum of product introduction and delivery, with a focus on primary and secondary prevention, including HIV testing, treatment, and viral suppression. 
• Your role bridges the gap between innovation and impact—ensuring new prevention and treatment technologies are introduced efficiently and effectively, and that delivery platforms are prepared to scale them in a sustainable, equitable way. You will focus on high-burden geographies, notably South Africa, Malawi, Mozambique, Zambia and Zimbabwe, where the need for impact is greatest. 
• The role is based in Johannesburg. You will report to the Director, Health, Africa, with a dotted-line relationship to the Director, HIV & TB Delivery, to ensure implementation strategies are data-driven and outcome-oriented. 

What You’ll Do 

• Lead the design and execution of a unified HIV product introduction and delivery strategy, focused on accelerating the uptake of innovations and achieving measurable reductions in HIV incidence and mortality through re-imagining the delivery platform for maximum efficiency and impact. 
• Oversee the country-level introduction and scaling of new prevention and treatment technologies, such as long-acting ARVs, novel diagnostics, and digital adherence tools supported by AI applications. 
• Align with ministries of health, implementing partners, and community actors to integrate new products into national health systems, guidelines, and service delivery platforms. 
• Partner with the Deputy Director, Evidence Generation, to ensure that strategy development, investment planning, and implementation monitoring are anchored in robust data and modeling. 
• Strengthen coordination across internal foundation teams (e.g., diagnostics, gender, PHC) to enable comprehensive, people-centered delivery models. 
• Provide strategic guidance to HIV Delivery team members and assist them in executing their portfolios with discipline and impact. 
• Shape investment portfolios that support market readiness, delivery systems, and implementation science; develop and manage grants and contracts that advance strategic priorities. 
• Represent the foundation externally with public and private sector stakeholders; contribute thought leadership to regional and global HIV delivery dialogues. 
• Facilitate learning and adaptation through regular portfolio reviews, partner engagement, and integration of implementation insights. 

Your Experience 

• We seek a proven HIV delivery leader who brings experience in both product introduction and health system implementation, especially in sub-Saharan Africa, ideally with deep technical expertise in prevention and treatment programs.  

Required Qualifications

• PhD, MD, or equivalent in a related field.
• Minimum 15 years’ experience in global health delivery, preferably including HIV program management and innovation introduction.
• Demonstrated success introducing and scaling new health technologies within public and private health systems. 
• Familiarity with regulatory, policy, supply chain, and provider training considerations for product introduction.
• Experience developing and managing large-scale investment portfolios and consortia. 
• Strong analytical skills, comfort working with data and modeling, and an ability to translate technical insights into strategic decisions. 
• Experience influencing government and donor stakeholders at regional and national levels. 
• Excellent communication, leadership, and cross-functional collaboration skills.

Preferred Attributes

• Expertise in integrated service delivery or differentiated care models. 
• Familiarity with the innovation-to-impact pipeline in global health, including implementation science. 
• Experience with HIV prevention and treatment service delivery among high-risk populations (e.g., adolescent girls and young women, key populations). 
• Strong commitment to equity, inclusion, and decolonized global health practices.

Other Attributes

• Comfortable in a wide range of cultural, geographic and operational situations, demonstrating culturally sensitive behaviour with a diverse range of people and a deep commitment to development issues and high standards of personal integrity.
• Up to 50% travel may be required, depending on program needs.