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County Manager

The Role

 The County Manager serves as head of office and supervisor for county team, and is accountable for the programs and operations teams including Implementation, RM&E, Community Engagement and Quality Assurance; Finance, Logistics, and Procurement to ensure high quality program at all levels; represents the Field Site on the SMT.

As Lead of the county Senior Leadership Team, the County Manager is required to regularly share reports with LMH leadership on progress towards scale and impact of targets; makes recommendations to the Program Director aimed at improving projects outcomes.

What You'll Do

  • Serve as head of office and supervisor for the County team.
  • Supervise the County Program Manager who supervises the County Program Team, including Implementation, RM&E, Community Engagement, Quality Assurance, Capacity Building Specialist and the HEAL Fellow.
  • Supervise the Operations Manager who supervises logistics and procurement team at field level.
  • Provide supervision for the finance team in its day-to-day operations.
  • Provide strategic direction for the county project and represent the Field Site on the Senior Management Team (SMT).
  • In conjunction with relevant Department Lead, develop plans; contribute to proposal writing and budgets of existing and new projects/extension of projects.
  • Regularly share reports with LMH leadership on progress towards targets and impact, and address any challenges that could compromise the meeting of those targets.
  • Represent LMH at high-level forums (i.e., County Health Sector Coordination meetings, County Development Steering Committee meetings, Pillar meetings, etc.), while keeping the SMT regularly updated.  
  • Review and approve all official communication emanating from the Field Site to partners as well as the CHT.
  • Maintain partnerships, both formal and informal, with collaborating NGOs and CBOs, and local government authorities across the county.
  • Ensure HR, finance and logistics systems in-county are in place and are adequate to support programmatic endeavors-maintain a good cash flow system.
  • Conduct regular weekly cash counts and approve requests for cash replenishment
  • Ensure LMH Safety and Security/Transport Policy are clearly communicated and strictly adhered to by team members.
  • Oversee the work of the team implementing the Community Health Assistant Program and other remote health programming.
  • Ensure county RM&E team timely collect and report quality monthly program data

What You'll Bring

  • Must be a RN/PA or BA/S in relevant field required such as public health, social science, management, or international development.
  • 5+ years field experience in health and development programs, including demonstrable success in managing development programs.

You'll Impress Us If

  • You have experience managing health project/program; bringing programs to scale, particularly in partnership with the government.
  • You have prior experience managing operating budgets; donor reports-writing
  • You have prior experience in a remote setting and willingness to travel to various program sites as needed.


About Last Mile Health

Last Mile Health (LMH) saves lives in the world's most remote communities by partnering with governments to bring critical primary care services to the doorsteps of people living in the last mile. LMH is a registered 501(c)3 non-profit organization with offices in Liberia, Boston and New York. For more information, visit

We are an equal opportunity employer and value diversity at LMH. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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