Hi Sai! Thanks for taking the time to answer question! I am working on a high-impact career pivot from traditional US Healthcare (non-profit health systems and payer roles) into the global health space. A couple of questions:
- What do you see as the most transferrable skills from for-profit business into the global health grantmaking space? What skills have proven most valuable in grantmaking and are most sought after by GiveWell?
- How do you view mental health as a potential cause area for GiveWell either as a standalone or contributing factor to overall health? We know mental health increases medical costs, increases mortality, and diminishes quality of life and ability to address the most pressing social determinants of health, however it is rarely a topic I hear about in action-oriented EA conversations.
Thanks!
Hi Sai - Thanks for doing this. I'd love your meta-level perspective on building operations functions for rapidly scaling organizations, given what GiveWell has built. (Disclosure: I lead an organization that receives GiveWell funding.)
A few related questions:
Many organizations in the sector, including ours, are thinking hard right now about how to build absorptive capacity for scale. Since so much of this comes down to people and structures rather than just funding, I think there's a lot to learn from a more mature operations function like GiveWell's. Any general advice would be great!
Heya Tony, thanks for the questions! To be honest I do not feel particularly qualified to answer them, certainly not for any organization other than GiveWell. I tend to be pretty skeptical of off-the-shelf advice about how to build an organization!
One thing I'll share that has worked for me is to be as opportunistic as possible. When an organization has a lot of gaps -- like if you are building across a bunch of different functions (legal, people, finance, tech) for the first time -- it's probably not possible to fill them all at once. So then one heuristic that I've found useful is to ask, "what is the gap I can fill the fastest?" Where is my low-hanging fruit? Maybe I know and trust someone from a prior organization I can call, or I think I can get a strong referral for someone, who can come in and fix one of my problems. I think it can be really tempting to over-plan; you might make a list of everything that needs to be built, stack-rank them in order of priority, and then go down the list one at a time, because that is what feels optimal. But building organizations is messy and almost never optimal! So for me, I have tried to find ways to get quick wins / bring in fast, trusted help, and then that can help build momentum (and resources!) to tackle the harder problems.