Director, Donor & Award Compliance; US or Ghana

Overview

This role was posted on January 13, 2026. Please note that we will review applications on a rolling basis.

At Last Mile Health (LMH), we are all stewards of our reputation and resources. Do you have progressive experience working with institutional donors, and are you skilled at designing and implementing donor compliance functions? If so, you may be our next Director, Donor & Award Compliance!

Reporting to the Chief Financial & Operating Officer, the Director of Donor & Award Compliance will oversee the organization’s awards administration and donor compliance function. They will provide subject matter expertise and support in the interpretation and application of donor regulations and related internal policies. The Director will lead the design and implementation of policies, procedures, tools, and other resources to promote accountability, transparency, efficiency, and donor compliance.

As the organization s portfolio grows, the Director will play an essential role in helping formalize our award management function. This includes designing and implementing systems related to award workflows, as well as collaborating closely with program teams, finance, legal, and other stakeholders to ensure alignment with donor expectations, drive compliance initiatives, and mitigate risk.

This role is open to candidates based in Accra, Ghana; the Eastern Seaboard of the United States; or International candidates willing to relocate to Ghana.

• Design and oversight of LMH’s Donor Compliance Function

• Interpret and offer clear organizational guidance on the intricate rules, regulations, and standard terms and conditions applicable to diverse award instruments such as grants, contracts, and cooperative agreements. This includes those issued by esteemed entities like the US Government, European agencies (GIZ, FCDO, EU, etc.) foundations (Gates Foundation, etc.), and other international donor agencies (Global Fund, GAVI, UN, etc.).
• Develop and implement systems, processes, and tools to ensure overall compliance with award terms and conditions, regulations, and LMH policies; recommend improvements to award-related workflows.
• Identify gaps in existing award management systems and capacity and develop standard training, templates, and terms and conditions for sub-awards, contracts, and other types of agreements.
• Remain current on changes within the industry through resource sites, publications, and continuing education, and provide training and refresher sessions on pertinent topics.
• Maintain high ethical standards of integrity and respect confidentiality in representing LMH.
• Maintain an up-to-date resource library for grants and sub-grants management, procurement/acquisition, and other necessary subjects, based on industry standards.
• Work to identify areas for improving knowledge management, sharing tools, and improving field focus for awards management.

• Grant, Sub-grant, and Contract Administration

• Provide expert support and guidance on donor rules, regulations and policies, LMH policies, management of prime or sub-awards, and other award administration activities as needed.
• Support the contracting lifecycle, including proper start-up and closeout of awards, with responsibility for legal and compliance-related tasks, including orienting relevant team members to award terms and compliance requirements as needed.
• Lead in addressing contractual disputes, recommending possible courses of action, and working with relevant staff to ensure the resolution.
• Provide remote and on-site award administration support focused on building the capacity of country teams.
• Coordinate with Program staff to develop, analyze, revise, amend, review, and support awards, including via period compliance assessments of active awards and the production of findings, recommendations, and any remedial measures
• Provide guidance on the most appropriate grant/contracting mechanisms to achieve project objectives when issuing awards and sub-awards under donor-funded projects.
• Identify and support teams/projects that have challenges in issuing and managing contracts and grants.

• Proposal Development

• Work with programs and fundraising teams to…