About eFiche

eFiche is a Rwanda-based digital health company deploying AI-enabled clinical tools across an expanding network of primary health care facilities in Rwanda. Our tools support nurses and midwives with real-time decision support, ambient documentation, and risk flagging — embedded directly into the clinical workflows they use every day. Getting these tools into the hands of frontline health workers, and ensuring they are genuinely adopted and used, is at the heart of what we do.

As we scale to more facilities across multiple districts, we are looking for an experienced Implementation & Deployment Manager to lead this rollout with the operational rigour and health system knowledge it demands.

Purpose of the Role

The Implementation & Deployment Manager owns the end-to-end facility rollout process — from site readiness assessment through to activation, training coordination, and post-deployment adoption monitoring — serving as the primary operational bridge between eFiche's technical team and Rwanda's district health system.

Key Responsibilities

• Lead phased facility rollout planning and maintain the site activation tracker across all targeted health centres
• Conduct and document facility readiness assessments covering connectivity, hardware, digital health system usage, and staffing
• Coordinate cascade training delivery with the Clinical Trainer and district-level trainers (ToTs, hub sessions, facility-level rollouts)
• Work directly with MoH district QI committees and supervisory teams to embed AI workflows into existing quality improvement processes
• Manage change management SOPs at facility and district level, supporting transition away from paper-based workflows
• Oversee the user support system (ticketing, WhatsApp groups, weekly engagement sessions) and ensure SLA compliance
• Coordinate field visits and supervise Field Support & Adoption Officers
• Report on rollout progress, adoption metrics, and facility-level issues to the Program Manager

Required Profile

• 7+ years of experience in health system implementation, digital health deployment, or health programme management
• Demonstrated experience managing multi-site rollouts or field operations in Rwanda or comparable contexts
• Strong understanding of Rwanda's district health system structure and MoH workflows
• Experience with change management, provider training, and health worker engagement
• Comfort with digital tools (EMRs, dashboards, project management software)
• Prior experience with Rwanda's national digital health platforms is a strong advantage
• Clinical background (nurse, clinical officer, or equivalent) with health informatics experience is an advantage

• Lead phased facility rollout planning and maintain the site activation tracker across all targeted health centres
• Conduct and document facility readiness assessments covering connectivity, hardware, digital health system usage, and staffing
• Coordinate cascade training delivery with the Clinical Trainer and district-level trainers (ToTs, hub sessions, facility-level rollouts)
• Work directly with MoH district QI committees and supervisory teams to embed AI workflows into existing quality improvement processes
• Manage change management SOPs at facility and district level, supporting transition away from paper-based workflows
• Oversee the user support system (ticketing, WhatsApp groups, weekly engagement sessions) and ensure SLA compliance
• Coordinate field visits and supervise Field Support & Adoption Officers
• Report on rollout progress, adoption metrics, and facility-level issues to the Program Manager

• Change management
• Provider training
• Health worker engagement
• Digital tools (EMRs, dashboards, project management software)
• Rwanda's national digital health platforms (advantage)
• Health informatics (advantage)

• 7+ years of experience in health system implementation, digital health deployment, or health programme management
• Demonstrated experience managing multi-site rollouts or field operations in Rwanda or comparable contexts
• Strong understanding of Rwanda's district health system structure and MoH workflows
• Clinical background (nurse, clinical officer, or equivalent) (advantage)