This role was posted on October 20, 2026. Please note that we will review applications on a rolling basis.

About Last Mile Health

Last Mile Health saves lives in the world's most remote communities. Our vision is a health worker within reach of everyone, everywhere. We partner with governments to recruit, train, equip, and integrate professional community health workers into national health systems, equipping them to deliver quality primary care in rural and remote communities. Founded in Liberia in 2007, we now operate programs in Ethiopia, Liberia, Sierra Leone, and Malawi. Our global offices are located in Accra, Ghana and in the United States. We are looking for mission-driven leaders to join us as we work to ensure no patient is out of reach.

About the Ethiopia Program

The Ethiopia team works in partnership with Ethiopia’s Ministry of Health to strengthen the country’s flagship Health Extension Program, a globally recognized model for delivering primary healthcare through more than 40,000 Health Extension Workers. Led byAbraham Zerihun, the team works to upskill the Health Extension Workers through blended learning that combines digital and in-person training. It also advances digital innovation through HEP Assist, an AI-powered clinical decision-support tool that helps Health Extension Workers provide evidence-based care at the point of service. The team's portfolio spans maternal, newborn, child health, nutrition, and non-communicable diseases, including hypertension, diabetes, eye care, and stroke prevention and management, while strengthening health systems through sustainable community health financing, resource mapping, and strategic planning to support long-term government leadership and program sustainability. 

The Role

At Last Mile Health, we go as far as it takes for our patients. Do you have a strong clinical background and experience in field implementation, clinical quality assurance, and coordinating health programs? If so, you may be the next Technical Coordinator, HEP Assist AI at Last Mile Health in Ethiopia.

The Technical Coordinator will play a critical role in coordinating, clinically monitoring, and technically supporting the different stages of implementation of the HEP Assist AI project in Ethiopia. This role serves as the bridge between the field operations, clinical safety mechanisms, and government stakeholders. The Coordinator ensures that the transition from a human-operated to an AI-led clinical decision support service is safe, effective, and culturally/linguistically adapted. Requiring a strong clinical background, the role involves supervising field teams, monitoring live AI performance, intervening clinically when necessary, overseeing language performance (specifically in Amharic and Afaan Oromo), coordinating data collection and quality checks, and ensuring robust adherence to HEP protocols.

This is a 24 month fixed-term position, with the potential of renewal. We are currently seeking to fill two (2) positions. The role is based onsite in Addis Ababa, Ethiopia, and is open only to candidates currently residing in Ethiopia who are authorized to work in the country.

What You’ll Do

Research Compliance and Data Collection 

  • Participate in the development, submission, and approval of all IRB materials (protocols, tools, consent forms) and ensure all research activities follow approved procedures.
  • Provide technical responses during IRB review and manage amendments/continuations.
  • Develop, continuously refine, and review key project tools (data collection tools, quality checklist, supervision/follow-up checklists).
  • Manage and supervise data collection teams, ensuring high-quality data collection, verification, and timely submission.

Document review and HEP scope 

  • Review basic and reference documents used as source of knowledge and making sure it aligns with the ministry of health  program scope 
  • Recommend and communicate with domain experts on the reduction, amendment and update required on the documents 
  • Rearrange reference and basic documents based on defined sets of criteria and continuously communicate with the MOH for updates.

Language adaptation and training  

  • Oversee and directly support the transcription and translation of clinical consultations and AI interactions, ensuring absolute clinical and contextual accuracy in Amharic and Afaan Oromo.
  • Translation and transcription of recorded conversation to ensure proper data analysis and validation. 
  • Provided human-in-the-loop feedback and training data to optimize speech-based AI models. 

Clinical Monitoring & AI Quality Assurance 

  • Conduct clinical monitoring of the AI tool in the field; monitor live and recorded consultations to ensure clinical accuracy, patient safety, and appropriate danger sign detection.
  • Evaluated retrospective clinical data, supplying domain-expert feedback and follow-up prompts to guarantee the clinical safety and accuracy of model responses.
  • Intervene clinically during AI-HEW interactions (especially in Stages 2 and 3) if the AI stalls, misinterprets data, or requires human clinical judgment to prevent patient harm.
  • Monitor call volume, user flow, and performance data from the Automated AI Call Center and HEP Assist App, providing structured feedback to HEWs, call center agents, and the AI engineering team.
  • Conduct quality checks of recorded calls to ensure compliance with Ministry of Health protocols and HEW scope of practice.

Field Implementation & Follow-up 

  • Develop and manage implementation schedules, field plans, and activity timelines for the 4-stage AI rollout.
  • Lead and supervise HEW implementation of the AI tool (both app-based and feature phone tracks) in selected woredas.
  • Conduct on-site supervision, training, provide proactive problem-solving, and ensure strict adherence to project and safety standards.
  • Facilitate woreda-level HEW review meetings, capture field feedback to improve the AI's prompts and workflows, and follow up on logistical/payment processing.

Coordination With Government Stakeholders 

  • Communicate regularly with Regional Health Bureaus (RHB), Zonal, and Woreda Health Offices regarding data collection, supervision feedback, and AI implementation progress.
  • Communicate research timelines and collaboratively resolve operational and connectivity issues .
  • Prepare concise progress updates and reports for internal stakeholders and government partners.

What you’ll bring:

  • Bachelors degree in Medicine, Nursing or Health Officer is required.
  • A clinical background is mandatory to safely monitor and intervene in patient consultations.
  • Demonstrated professional experience in one or more of the work areas highlighted in the job summary. 
  • Native or full professional fluency in both Amharic and Afaan Oromo, with the ability to accurately transcribe and translate complex clinical terminology.
  • Demonstrated experience working within the national and/or sub-national health system, particularly with the Health Extension Program (HEP) and HEWs.
  • Ability to clinically monitor patient consultations and safely intervene during high-risk cases.
  • Familiarity with the Community Health Information System (CHIS) and DHIS2.
  • Ability to diplomatically navigate complex stakeholder dynamics (RHBs, Woredas) and resolve field-level operational bottlenecks.
  • Comfortable working independently in the field under pressure, meeting tight deadlines.
  • Proven knowledge management skills, including the advanced use of MS Office applications and Google Suite.

You’ll impress us if you have

  • Master’s in Public Health or a related field.
  • Prior experience implementing or monitoring digital health, telemedicine, or AI-based health interventions.
  • Experience leading field data collection for IRB-approved operational research.
  • Facilitation of training and capacity strengthening for adult learners (specifically HEWs).

We're looking for someone with many of the qualifications listed above, but we know no one meets every requirement. If you're excited about our mission and believe your experience aligns with this role, we encourage you to apply.

Compensation information

At Last Mile Health, we are committed to equitable and transparent compensation. Employees are paid using a clear, consistent methodology that is fully transparent and accessible to everyone. We look forward to answering any questions you may have during the hiring process. Before applying to this role, please take a moment to learn more about our approach to compensation and how compensation works in each of the countries where we operate. Please find the link to our compensation model and benefits overview below:

OVERVIEW OF LAST MILE HEALTH’S COMPENSATION MODEL

Compensation for this position:

The Band for this position: ETH - 2

ForEthiopia, the range is $13,094 USD to $24,733 USD per annum, depending upon experience doing an equivalent role. Please note that this compensation is subject to statutory taxes. To learn more about our salary setting methodology, please refer to page 11&12 of the Last Mile Health Compensation Model.

Benefits:

  • Healthcare: Comprehensive health insurance and wellbeing support for you and your dependents.
  • Save for retirement: Retirement options with a 3% employer match, varying by location.
  • Paid time off: Generous paid time off, sick leave, quarterly company holidays, and approximately one week of office closure at the end of the year.
  • Family support: Generous parental leave for employees welcoming a child through birth or adoption.
  • Professional development: Access to technical and leadership development opportunities to support your growth.
  • Mental healthcare: Counselling and resilience services to support employees and their dependents through life’s challenges.

We are an equal opportunity employer and value diversity at Last Mile Health. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Last Mile Health is a registered 501(c)3 non-profit organization. For more information, visit www.lastmilehealth.org.

At Last Mile Health, we are committed to creating a safe and inclusive environment for everyone. If you require assistance or a reasonable accommodation due to a disability during the selection process, please inform the People Operations team member you are engaging with. Any disclosure related to a disability will be kept strictly confidential and used solely to determine appropriate accommodations. Disclosure is entirely voluntary and will not influence hiring decisions or employment opportunities.

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Before applying, please make sure that you have read the requirements for the position and that you qualify. Applications from non-qualifying applicants will most likely be discarded by the recruiting manager.