Director, Integrated Development

The Foundation

We are the largest nonprofit fighting poverty, disease, and inequity around the world. Founded on a simple premise: people everywhere, regardless of identity or circumstances, should have the chance to live healthy, productive lives. We believe our employees should reflect the rich diversity of the global populations we aim to serve. We provide an exceptional benefits package to employees and their families which include comprehensive medical, dental, and vision coverage with no premiums, generous paid time off, paid family leave, foundation-paid retirement contribution, regional holidays, and opportunities to engage in several employee communities. As a workplace, we’re committed to creating an environment for you to thrive both personally and professionally.

The Team

Our Global Health division harnesses advances in science and technology to save lives in low-resource settings. We focus on health challenges that have a major impact in developing countries but often receive too little attention and funding. When effective tools exist, we support sustainable ways to improve their delivery; when they don’t, we invest in the research and development of new interventions such as vaccines, drugs, biologics, and diagnostics. Our work targets infectious diseases like HIV/AIDS, malaria, tuberculosis, neglected tropical diseases, enteric and diarrheal diseases, and pneumonia. These efforts are supported by cross-cutting teams specializing in Discovery & Translational Sciences, Vaccine Development & Surveillance, Integrated Development (IDev), and Innovation Introduction. The Integrated Development (IDev) team comprises four core domains: Regulatory Affairs, Decision, Analyze, Communicate (DAC), Global Health Integrated Development Expertise (GHIDE), and Chemistry, Manufacturing & Controls (CMC). IDev plays a critical role in advancing the development of global health products by providing specialized expertise and support to Program Strategy Teams across the Global Health division. IDev ensures that our product development investments are guided by robust data, regulatory insight, and operational excellence.

Application Deadline: Friday, November 13, 2026

Your Role

The Director, Integrated Development, serves as a foundation leader and owner of key strategic relationships, providing guidance and oversight on how the foundation engages with critical external partners across the product development ecosystem. This role leads a team that provides deep technical expertise in product development, manufacturing, clinical trial design and regulatory affairs, and partners closely with the foundation's product strategy teams (PSTs) to guide product pipelines from late discovery through registration. The Director provides state-of-the-art input across quantitative sciences and pharmacology, chemistry, manufacturing and controls (CMC), and regulatory strategy, and oversees a portfolio of investments (~over 400 total) that strengthen regulatory systems, advance model-based drug development, enable AI tools for product development, support novel formulation science and reduce the cost of manufacturing in support of foundation strategies. In this role, you will play a fundamental part in accelerating the development and delivery of life-saving health solutions. You will work closely with other IDev domain leaders and Program Strategy Teams to integrate IDev’s expertise into product development plans, streamlining efforts from early development through regulatory approval and introduction. By fostering strong partnerships both internally and externally, you will ensure that our investments move through critical decision points efficiently and align with the Foundation’s mission to improve health equity.

What You'll Do

Strategic Leadership

Own the development and execution of the Integrated Development strategy, including guiding implementation, delivery, and measurement of impact against the foundation's strategic objectives.

Lead execution of current strategy while directing annual updates and the development of future strategic direction.

Develop the strategy and engagement plan for key team initiatives.

Lead the annual strategy review, reflecting progress and refinements to strategic engagements; hold accountability for both the quality of the strategy and the execution of strategic outcomes.

Serve as a critical thought partner and the ultimate decision owner for all strategic decisions and directions within the function; provide functional expertise to PSTs on investment decisions.

Technical & Portfolio Oversight

Oversee the management of product pipelines from late discovery through registration (over ~100 candidates across disease states), providing expert input in quantitative sciences/pharmacology, chemical manufacturing (CMC), and regulatory strategy.

Oversee foundation investments in regulatory systems strengthening, pharmacology-focused model-based drug development, big data programs, novel formulations, and low-cost manufacturing.

Provide technical governance and quality assurance across the product development portfolio, ensuring rigor appropriate to program stage and risk.

Partnership, Communication & External Representation

Communicate with division and program staff regarding opportunities and progress on critical partnerships; develop reports, reviews, and summaries for key stakeholders, the division President, CEO, and board chair as needed.

Develop and maintain strong relationships with senior leadership across the foundation and with external partners to ensure the overall success of the strategic vision.

Represent the foundation externally on strategic and execution priorities within the assigned area, serving as a trusted voice with global partners, industry, and regulatory bodies.

People Leadership & Culture

Recruit, hire, and manage the talent needed to achieve the foundation's goals; direct and inspire staff and cross-functional teams across professional development, performance management, decision quality, and implementation.

Hold accountability for integration of and progress against organizational goals and division commitments.

Foster enabling conditions for talent to grow and develop; hold accountability for an inclusive team culture.

Model and coach equitable decision-making and inclusive behaviors and actions; address escalated issues in a timely and constructive manner.

Enable a rigorous but fun work environment with a healthy sense of humor undefined

Your Experience

M.D. required, with 20 years of comprehensive experience in health care product development across multiple therapeutic areas. Experience in pharmaceuticals and management, with a demonstrated track record of implementing initiatives at speed. Track record of building and sustaining senior-level partnerships with industry, product developers, regulators, and global health institutions. Significant experience leading highly technical, matrixed, cross-functional teams. Experience managing a large, complex portfolio of investments, grants, or R&D programs, including budget accountability and stage-gate or go/no-go decision-making.

Desired: Field-based or delivery experience, with a practical understanding of the challenges of program implementation, particularly in low- and middle-income country (LMIC) settings. Demonstrated experience in strategy development and execution. Expertise across the health care product development continuum (discovery through registration and launch). Desired: Understanding the strategic and operational aspects of regulatory systems in LMICs.

Demonstrated ability to inspire and direct staff and cross-functional teams, including recruitment, professional development, termination, time management, and portfolio management. Expert-level knowledge of strategy development and execution.

Excellent written and oral communication skills, with the ability to engage a broad audience representing diverse cultures and geographies.

Working knowledge of and practical use of Artificial Intelligence in product development.

Ability to travel 30% including international travel #LI-PA1

Salary Range

The salary range for this role is $423,200 to $677,000 USD. We recognize high-wage market differences in Seattle and Washington D.C., where our offices are located. The range for this role in these locations is $465,500 to $744,700 USD. As a mission-driven organization, we strive to balance competitive pay with our mission. New hire salaries are typically between the salary range minimum and midpoint. Actual placement in the range will depend on a candidate’s job-related skills, experience, and expertise, as evaluated during the interview process.

Hiring Requirements

As part of our standard hiring process for new employees, employment will be contingent upon successful completion of a background check.

Candidate Accommodations

We’re committed to providing an inclusive and accessible hiring experience for all candidates. If you have a disability or medical condition and need an accommodation at any stage of the application or interview process—such as an ASL interpreter, alternative interview format, or physical accessibility support—we’re happy to help. Please contact View email address on click.appcast.io with the position number and a brief description of your accommodation needs. Requests will be handled confidentially.

Inclusion Statement

We are dedicated to the belief that all lives have equal value. We strive for a global and cultural workplace that supports ever greater diversity, equity, and inclusion - of voices, ideas, and approaches - and we support this diversity through all our employment practices. All applicants and employees who are drawn to serve our mission will enjoy equality of opportunity and fair treatment without regard to race, color, age, religion, pregnancy, sex, sexual orientation, disability, gender identity, gender expression, national origin, genetic information, veteran status, marital status, and prior protected activity. Guided by the belief that every life has equal value, the Gates Foundation works to help all people lead healthy, productive lives.

In developing countries, we work with partners to create impactful solutions so that people can take charge of their futures and achieve their full potential.

In the United States, we aim to ensure that everyone- especially those with the fewest resources- has access to the opportunities needed to succeed in school and life.

Based in Seattle, Washington, the foundation is led by CEO Mark Suzman, under the direction of Bill Gates and our governing board.