Managing Director

FAME is an organization entirely focused on advancing quality medical care in rural Tanzania. From the beginning, we set out to give communities in the Northern Highlands of Tanzania a unique healthcare experience, one marked by patient-centered care and high-quality service. In that spirit, FAME works to meet the medical needs of ordinary Tanzanian people, including underserved populations in the most rural parts of the region.

FAME is located just outside the rim of Ngorongoro Crater. The hospital has an on-site laboratory, a radiology department with a CT scanner and X-ray machine, an outpatient clinic, an inpatient ward, operating rooms, an emergency room, and a maternal health wing. Our catchment area stretches 85 miles and reaches 2.9 million people, and our all-Tanzanian medical team sees more than 40,000 patients each year.

• Patient-centered care → You go above and beyond. Every dollar raised and every donor relationship ultimately serves a patient in Karatu. You take ownership of the outcome rather than just completing the task, and you go the extra step, like the personal follow-up that turns a first-time donor into a lifelong partner.
• High-quality service → You bring real expertise. You bring a proven fundraising track record and hold yourself to a high standard. You raise the bar for the Development Team, the Board and the systems that support our work.
• Equitable access → You're scrappy. FAME U.S. is a lean organization, because we direct every resource we can toward patient care. You find creative, practical ways to grow revenue and get things done with a small team and a modest budget.
• Life-long learning → You're up for new challenges. In a single week you might push a capital campaign, prepare a Board agenda and fix a donor database issue. You move easily between big-picture strategy and hands-on execution, and you see unfamiliar problems as a chance to grow.
• Local leadership → You work independently and keep the team informed. You run a broad role from Boston without close oversight while keeping the Board, Co-Founders and Tanzanian leadership in the loop. You make sure the story you tell U.S. donors reflects the voices and priorities of our Tanzanian staff.
• Community partnership → You hustle and handle ambiguity well. Fundraising rarely goes to plan. A grant falls through, a new opportunity appears and priorities shift. Across time zones, on fundraising tours and during trips to Tanzania, you stay steady, make sound decisions and keep things moving.

The U.S. Managing Director is the senior leader of FAME’s U.S. organization and leads its fundraising, development and broader organizational strategy. Fundraising is at the heart of the role: the Managing Director sets the strategy for revenue growth, builds and stewards relationships with major donors and institutional funders, leads the U.S. development team and works closely with the Board to ensure FAME has the resources to achieve its goals.

The role also provides leadership across Board partnership, communications, operations and team development.

The Managing Director works closely with FAME’s Co-Founders and Tanzanian leadership to ensure U.S. fundraising and engagement are closely connected to FAME’s work in Tanzania. This is an opportunity to take significant ownership of FAME’s U.S. growth, translate the organization’s impact for U.S. audiences and help shape how donors, volunteers and partners engage with the work. The ideal candidate will bring strong fundraising expertise, strategic leadership, excellent relationship-building skills and the ability to move comfortably between big-picture strategy and hands-on execution.