Health Sector Public Financial Management & Fiduciary Risk Assessment
Posted 11 Sep 2026
Advertised as “Lead, Health Sector Public Financial Management & Fiduciary Risk Assessment”
BranchFactor Summary
The original posting with the fluff stripped out
- Expected experience
- 10+ yrs
- Management level
- People management
No salary listed for this role.
Field of studyHealth Economics, Public Health, Public Policy (or related)
Study levelBachelor's
Study levelMaster's or higher
ThinkWell Uganda is seeking a Lead, Health Sector Public Financial Management (PFM) & Fiduciary Risk Assessment to be based in Kampala, Uganda.The Lead will provide senior technical leadership across ThinkWell’s work on PFM and health financing in Uganda. The role will have an immediate focus on strengthening the assessment and management of financial and fiduciary risk as health financing increasingly flows through government systems, while contributing to other PFM and health financing initiatives as ThinkWell’s Uganda portfolio evolves.
The Lead will bring deep understanding of how public financial management systems work in practice and the judgment to determine where risks lie, why they matter, and what can realistically be done about them. They will work across national institutions, local governments, health facilities, and other health-sector entities, combining financial, institutional, and operational evidence to support better financing and risk-management decisions.
This role requires someone who can connect detailed PFM analysis with the wider objectives of health financing and health-system performance—and help government institutions develop practical, sustainable approaches to managing public resources.ThinkWell Uganda is seeking a Lead, PFM & Fiduciary Risk Assessment to be based in our Kampala office. Reporting to the Chief of Party (COP), the Lead will be a technical, managerial, and strategic leader for ThinkWell’s growing portfolio in health financing, systems strengthening, and policy in the country. They will be an exceptional technical thinker and analyst, superb communicator, motivating mentor, and effective diplomat and champion for ThinkWell’s work.
Responsibilities
Technical and thought Leadership (60% of LOE)
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Lead the design and application of practical, evidence-based approaches to assessing PFM and fiduciary risk in the health sector, including assessment criteria, evidence requirements, risk scoring, materiality judgments, and escalation thresholds.
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Analyze health-sector funds flows and PFM arrangements to identify material risks across budgeting, fund release, expenditure, procurement, accounting, reporting, internal controls, and audit, distinguishing institution-specific weaknesses from systemic constraints.
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Lead technical judgments on financial management readiness and fiduciary risk, determining where existing evidence is sufficient, where further assessment is warranted, and what safeguards or actions are proportionate to the risks identified.
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Support planning and monitoring of Government Co-Financing Arrangements
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Lead the triangulation and synthesis of existing PFM, fiduciary, and institutional assessments at national and subnational levels to inform G2G readiness, risk assessment, and verification priorities.