Clinical Manager

The incumbent will be responsible to provide strategic and technical leadership for the clinical design and implementation of person-centered, integrated care models focused on drug-resistant tuberculosis (DR-TB), chronic respiratory illnesses, and other common comorbid conditions in Sindh. This role emphasizes clinical quality assurance, advanced case management, and evidence-based protocol implementation in alignment with international standards. The Clinical Manager will represent the program in technical working groups, support the adaptation and scale-up of novel DR-TB regimens, and strengthen systems for drug resistance surveillance and longitudinal care monitoring. RESPONSIBILITIES

Lead the design and implementation of integrated treatment strategies with a primary clinical focus on drug-resistant TB (including MDR, pre-XDR, and XDR-TB), ensuring alignment with WHO and national guidelines. Provide technical leadership on the case management of complex DR-TB cases, integrating person-centered care approaches with optimized treatment regimens, including WHO-approved newer and shorter regimens, in consultation with pulmonologists, infectious disease specialists, and DR-TB clinical care groups. Oversee the clinical rollout and ensure fidelity to protocolized care pathways, including baseline assessments, adverse event monitoring, pharmacovigilance, and treatment adherence interventions across decentralized treatment sites. Supervise a multidisciplinary clinical team to ensure timely diagnosis, linkage to care, and clinical follow-up, while developing context-specific SOPs for case detection, household contact screening, and management of comorbidities such as diabetes or chronic lung disease. Develop and manage a Respiratory Disease Expert Panel (RDEP) comprising specialists and consultants to effectively monitor and manage complex conditions and multi-morbidity cases. Participate in technical working groups and consortia, providing clinical insight on the implementation of new drug regimens, resistance surveillance, and operational research. Strengthen systems for drug resistance monitoring, including collaboration with laboratory networks, contribution to surveillance data interpretation, and feedback loops into policy and practice. Collaborate with M&E teams to ensure rigorous clinical data capture, enabling real-time treatment outcome monitoring, adverse event reporting, and trend analysis for adaptive program management. Work closely with grants and program leads to prepare clinical progress reports, regulatory submissions, technical briefs, and scientific abstracts for dissemination to donors, government, and academic audiences. Design and implement a model to build clinical capacity in Sindh for improved management of drug-sensitive and drug-resistant TB, as well as other chronic respiratory conditions. Provide ongoing mentorship and capacity-building to field-based clinical staff, ensuring adherence to clinical governance principles, rational prescribing, and infection prevention and control (IPC) standards. Coordinate with logistics and operations teams to ensure the timely supply of medications, diagnostics, and PPE, and to support the operational needs of remote clinical teams. Required Qualification MBBS with at least 3–5 years of clinical experience. Master’s degree in Public Health, Health Systems, Global Health, or a closely related technical discipline (preferred) Required Experience Minimum 5+ years in a supervisory or clinical management role, leading multidisciplinary teams and overseeing complex clinical operations, preferably within non-profit, development, or public health settings. Proven experience working in rural or resource-constrained environments, with demonstrated expertise in clinical quality assurance and strong engagement with public sector stakeholders. Required Skills Advanced knowledge of drug-resistant TB diagnosis, treatment regimens, and programmatic management. Familiarity with national and global DR-TB treatment guidelines, clinical algorithms, and pharmacovigilance frameworks. Strong clinical acumen in managing complicated, co-infected, or treatment-refractory TB patients. Experience in case-based discussion forums, expert panels, or DR-TB technical working groups. Demonstrated ability to integrate clinical practice with surveillance, M&E, and research functions. Technical writing experience (protocols, SOPs, case summaries, manuscripts). Effective leadership and capacity-building skills in low-resource and decentralized settings. Strong engagement with public sector health stakeholders and experience working in partnership with NTPs. Commitment to ethical, culturally sensitive, and patient-centered care models. Fluency in Sindhi (strongly preferred); willingness to travel frequently across field sites (required). 16 Raffles Quay, #16-02, Hong Leong Building, Singapore

#J-18808-Ljbffr