Chief Executive Officer

Clarification from the agency

The IHS is required by law to give absolute preference to qualified applicants who meet the Secretary of the Interior's definition of Indian for appointment to vacancies within the IHS in accordance with established IHS policy as outlined in the Indian Health Manual Part 7, Chapter 3.

• Develops, establishes, and directs the implementation of execution of and compliance with overall Agency policies and procedures for the administration and operation of a healthcare delivery system.
• Identifies the changing needs of the beneficiary population and initiates program improvements and modifications to align with the needs to achieve Agency goals and objectives.
• Works in concert with Tribal governments and Tribal health departments in planning and implementing overall health care policies and systems.
• Supervision and management of staff, activities, and workflow including timeline adherence, training on job responsibilities, workforce development, performance management, and ongoing support.
• Provides orientation of key personnel to tribal partnership building and political acumen and collaboration with other federal agencies, private sector, and state officials.

A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).

Conditions of employment

Selectee may be subject to a probationary period
ESEP appointees typically serve a two year trial period
U.S. Citizenship is required
Selective Service Registration is required for males born after 12/31/1959

This is a designated position covered by Public Law 101-630, requiring contact or control over Indian children. Due to this requirement, the agency must ensure that persons hired for these positions have not been found guilty of or pleaded nolo contendere or guilty to certain crimes.

A one-year supervisory/managerial probationary period may be required upon selection/placement.

Confidential Financial Disclosure Form required.

Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit www.dhs.gov/E-Verify/.

You will need to set up direct deposit so we can pay you.

Background Investigation Requirement:

This position requires the successful completion of a federal background investigation as a condition of employment.

A background investigation is a standard process used by the Federal Government to verify an individual's identity, employment history, education, and other relevant information to determine suitability for Federal service.

Upon receipt of instructions, applicants must complete all required background investigation forms within five (5) calendar days of issuance. Timely completion is critical to avoid delays in processing or a determination of unsuitability.

Applicants are strongly encouraged to prioritize this requirement and to maintain regular communication with their assigned Personnel Security Specialist throughout the process.

Financial Suitability Requirement:

This position requires a review of the applicant's financial history as part of the personnel security and suitability determination. Applicants must demonstrate financial responsibility, maintain good standing with creditors, and satisfy all legal financial obligations prior to applying.

Individuals with substantial delinquent or unresolved financial obligations-including, but not limited to, delinquent federal or state tax liabilities, defaulted federal student loans, court-ordered fines or fees, or child support arrears-may be deemed unsuitable for employment with the Indian Health Service (IHS).

Prior to the appointment, candidates must present two valid forms of identification. If one of the documents is a state-issued ID or driver's license, it must be REAL ID-compliant.

Qualifications

To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week.

BASIC REQUIREMENT(S):
Individual Occupational Requirements
Education: Undergraduate or graduate education with a major study in hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration; OR
Experience: Progressively responsible analytical or administrative, or clinical management or supervisory experience in the health care field. This work may have been performed in an operating health care facility or a higher organizational echelon with advisory or directional authority over such facilities. Work must have involved a close working relationship with facility managers and analysis and/or coordination of administrative, clinical, or other service activities, and provided knowledge of the following:

• Missions, organizations, programs, and requirements of health care delivery systems;
• Regulations and standards of various regulatory and credentialing groups; and
• Government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement.

Applicant must also possess:

• Management ability to delegate authority, evaluate and oversee people and programs, recognize and adapt to changing priorities; and
• Knowledge of the interrelationships and interdependencies among various medical and administrative services and programs.

Special Provision for Inservice Placement: Successful complete of an agency-sponsored on-the-job training program may be substituted for qualifying experience, provided it included a formal individualized training plan. Such a training program must have been conducted in an operating health care system and included:

• Assignments providing a knowledge of basic health system administration philosophies, practices, and procedures, and basic government administrative policies and requirements;
• Practical assignments providing an opportunity to apply health system administration skills and principles (as the individual progresses, work assignments must be characteristic of the grade level to which he or she is assigned); and
• Oversight by an experienced health system administrator with periodic evaluation of the individual's progress and appropriate adjustment of the training program.

In addition to the Basic Requirements, you must also meet the Minimum Qualifications stated below.

MINIMUM QUALIFICATIONS: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-14 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Working in clinical systems and healthcare management focusing in a hospital and/or ambulatory health care environment; Working with requirements of various regulatory and credentialing groups to assure regulatory compliance; Develops, establishes, and directs the implementation, execution of, and compliance with overall Agency policies and procedures for the administration and operation of a healthcare delivery system; Value-minded with experience implementing patient centered models and practices, by reducing operation and care delivery costs and; Leadership engagement and focus that drive improvements, safe and quality patient care, and saves money; Application of the science of improvement and innovation, encompassing new models for redesigning care systems for efficiency and effectiveness; experience and application of change management theories and principles. Leadership experience with people in meeting the organizational vision, mission and goals. Creates an environment of learning and teamwork.

Time In Grade
Federal employees in the competitive service are also subject to the Time-In-Grade Requirements: Merit Promotion (status) candidates must have completed one year of service at the next lower grade level. Time-In-Grade provisions do not apply under the Excepted Service Examining Plan (ESEP).

You must meet all qualification requirements within 30 days of the closing date of the announcement.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

You will be evaluated for this job based on how well you meet the qualifications above.

Once the announcement closes, we will conduct a review of your application package to verify your eligibility and qualifications. If you are found qualified, your application will move forward to additional phases of the review process.

Structured Resume Review: Subject matter experts (SMEs) will review your resume to determine your technical qualifications for this position based on the required competencies. SMEs will review ONLY the first two (2) pages of your resume. SMEs will not review additional information beyond your resume (e.g., cover letter, links embedded in your resume).

To ensure a fair and consistent hiring process, IHS uses a multi-hurdle assessment process. Each "hurdle" must be passed before moving to the next step. This helps us evaluate applicants based on job-related qualifications, competencies, and experience.

Below is what applicants can expect:
________________________________________
1. Minimum Qualifications Review - Hurdle 1
HR reviews your resume to confirm you meet the eligibility and minimum qualifications for the position (education and/or licensure (if applicable), listed above).
Note: the first two pages of your resume and supporting documentation will be used to determine whether you meet the minimum qualifications.
If you meet eligibility and minimum qualifications, you move to the next hurdle.
2. Technical Assessment (Subject Matter Expert Resume Review) - Hurdle 2
A panel of subject matter experts (SME) will review your resume to determine whether you clearly show the required specialized experience listed below.
Note: SMEs will review ONLY the first two (2) pages of your resume. SMEs will not review additional information beyond your resume (e.g., cover letter, links embedded in your resume).

This assessment is Pass/Fail.

Applicants who demonstrate the required experience will advance.

Working in clinical systems and healthcare management focusing in a hospital and/or ambulatory health care environment; Working with requirements of various regulatory and credentialing groups to assure regulatory compliance; Develops, establishes, and directs the implementation, execution of, and compliance with overall Agency policies and procedures for the administration and operation of a healthcare delivery system; Value-minded with experience implementing patient centered models and practices, by reducing operation and care delivery costs and; Leadership engagement and focus that drive improvements, safe and quality patient care, and saves money; Application of the science of improvement and innovation, encompassing new models for redesigning care systems for efficiency and effectiveness; experience and application of change management theories and principles. Leadership experience with people in meeting the organizational vision, mission and goals. Creates an environment of learning and teamwork.

Demonstration of these specialized experience statements ascertain your competency in the following:

• Creative Thinking
• Health Care Management
• Human Capital Management

Click here to view vacancy questions: https://apply.usastaffing.gov/ViewQuestionnaire/12987302.

All documents above MUST be received by 11:59 pm (Eastern Standard Time) of the closing date of, 06/24/2026, to be considered.

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Required as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements:

• Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Indian preference will not be given unless a properly signed and dated form is submitted with your application, including any verification by an authorized Tribal Representative or BIA Official of tribal enrollment records. For detailed instructions, see form BIA-4432. Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
• Veterans Preference: If claiming Veteran's Preference provide a copy of your DD214 Form (Member 4 copy). To claim 10-Point Veterans Preference, submit a SF-15 Application (http://www.opm.gov/forms/pdf_fill/SF15.pdf) along with the appropriate supporting documentation. For additional information regarding Veterans Preference visit: http://www.fedshirevets.gov.
• Career Transition Assistance Program (CTAP)/Interagency Career Transition Assistance Program (ICTAP): If you are claiming CTAP/ICTAP, follow the instructions below: http://www.opm.gov/policy-data-oversight/workforce-restructuring/employee-guide-to-career-transition/ctap_guideline.pdf.
• Current or former Federal employee: Include your most recent SF-50 or if Reinstatement eligible include your Career SF-50.
• Noncompetitive eligibles: Submit additional documents to prove your eligibility to apply to this vacancy.
• Transcripts: You are encouraged to submit copies of transcripts (official or unofficial) although not required at the time of application. You must list your courses including titles, credit hours completed, and grades. Official transcripts will be required after tentative selection and prior to issuing an official job offer.

You must meet the requirements of the job by 11:59 pm (Eastern Standard Time) of the closing date: 06/24/2026

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