Chief Operations Officer at Maluti Adventist Hospital

Details

Maluti Adventist Hospital – Chief Operations Officer (COO)

Organisation: Maluti Adventist Hospital (MAH)

Position: Chief Operations Officer (COO)

Location: Lesotho

Reports To: Chief Executive Officer (CEO)

Employment Type: Full-time employment with benefits

Contract Duration: Five (5) years – Fixed-term contract

Salary Grade: Grade I

Closing Date: 20 November 2026 at 12:00 noon

1. About Maluti Adventist Hospital

Maluti Adventist Hospital is one of Lesotho’s significant healthcare institutions, serving communities across the Maluti Mountain region and providing critical healthcare services to a largely underserved population.

As the hospital continues its transformation journey, it seeks an exceptional Chief Operations Officer (COO) to partner with the CEO, Executive Team and Board in strengthening operational excellence, modernising infrastructure, improving institutional capability and building a financially sustainable healthcare organisation capable of delivering world-class patient care.

This is an opportunity for a visionary operational leader passionate about healthcare, organisational transformation, community impact and the development of sustainable healthcare systems in challenging environments.

2. Purpose of the Role

The COO will serve as the hospital’s senior operational executive, responsible for translating strategy into execution and ensuring alignment across clinical, support, infrastructure, quality, information, procurement and administrative functions.

Reporting directly to the CEO and working closely with the Board and Executive Committee, the COO will provide leadership across the organisation, driving operational performance, service quality, governance, capability development, financial discipline and capital improvement initiatives.

The successful candidate will play a pivotal role in leading the hospital’s transition towards private-sector levels of operational effectiveness, infrastructure readiness, service excellence and workforce capability, while preserving its mission of serving vulnerable communities.

In addition to leading day-to-day operations, the COO will act as the CEO’s strategic partner and may assume executive leadership responsibilities in the CEO’s absence.

3. Key Functional Outputs and Responsibilities

A. Strategic Leadership and Transformation

Partner with the CEO and Board in executing the hospital’s strategic vision and long-term transformation agenda.

Drive organisational alignment between strategy, operational priorities, budgets and service delivery.

Lead large-scale improvement initiatives aimed at modernising hospital operations, infrastructure services and support functions.

Develop and monitor strategic and operational plans, ensuring delivery against agreed objectives.

Foster a culture of accountability, continuous improvement, innovation and service excellence.

B. Operational Excellence

Provide executive oversight of all operational functions, including:

Facilities and infrastructure.

Engineering and maintenance.

Transport services.

Security services.

Laundry and housekeeping.

Catering and hospitality services.

Health information management.

Quality improvement.

Procurement.

Additional responsibilities include:

Ensure effective coordination and integration across clinical and non-clinical departments.

Establish operational standards, performance measures and governance systems that support excellence in service delivery.

Drive operational efficiency, process optimisation and resource utilisation across the institution.

C. Infrastructure and Asset Management

Plan and lead the development and execution of infrastructure renewal and maintenance programmes.

Oversee preventative maintenance systems and asset management practices.

Ensure facilities, equipment and support services are fit for purpose and support high-quality healthcare delivery.

Drive initiatives aimed at elevating hospital facilities to contemporary healthcare standard