Paul Auxila has over 30 years of experience in international development, global health, and international operations and management. As MSH's former executive vice president and chief operating officer, he successfully led the organization through key transformations and pioneered many aspects of its business from its technical portfolio to its decentralization agenda and its country operations. Before assuming the COO role at MSH, Paul occupied several positions, including country representative, senior corporate officer, project director, and senior technical advisor supporting or overseeing projects and operations in more than 30 countries. With funding from USAID, the World Bank, DANIDA, and others, Paul has worked extensively with both the public and private sectors and with colleagues and counterparts from the highest levels of government and donors, to academia, to business leaders, service providers and community workers. His work ranges from national level strategic planning, policy and governance to project management, management systems design, organizational development, leadership and management, health systems strengthening, results-based financing, etc. Paul is passionate about systems dynamics and design, global health, leadership and management, and international development. He earned a management certificate from the Senior Executive Program of the Sloan School of Management at the Massachusetts Institute of Technology (MIT) (1994), and a B.S.I.E. in Industrial (Systems) Engineering (magna cum laude) from the University of Puerto Rico at Mayaguez in 1982.