Health System Administrator (CEO)

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.

Leadership & Operations

• Leads Service Unit operations; ensures compliance, efficiency, and improved outcomes
• Directs planning, implementation, evaluation, and overall program accountability

Clinical & Public Health Services

• Ensures quality, accessible care and proper credentialing
• Oversees preventive, therapeutic, and community health programs

Financial & Resource Management

• Develops and manages budget; ensures fiscal compliance and cost efficiency
• Oversees PRC program, revenue cycle, and third-party billing

Program Planning & Coordination

• Uses data to plan and evaluate programs
• Collaborates with Tribal, federal, state, and local partners

Tribal & Community Relations

• Builds partnerships with Tribal governments and community organizations
• Promotes health education and addresses community health needs

Workforce & Administrative Management

• Oversees staffing, HR functions, and labor relations
• Directs administrative services (procurement, facilities, property, logistics)

Environmental & Safety Programs

• Addresses environmental health issues and supports safety initiatives Special Programs & Compliance
• Supports IHS/Tribal initiatives and external partnerships - Ensures EEO compliance and promotes workforce diversity

Total Compensation Package - Check out IHS's outstanding total compensation package for this job:

Health System Specialist Total Compensation | Pay (ihs.gov)

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.

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.

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

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):

Applicants must meet one of the following Individual Occupational Requirements (IOR) for the Health System Administration Series, GS-0670:

Education:
Undergraduate or graduate degree from an accredited college or university with a major in hospital administration, public health administration, or a related field 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.

In addition, applicants 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 completion 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-13 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Directing and managing the operations of a healthcare organization or major clinical program, with responsibility for healthcare delivery systems, clinical services, and organizational performance outcomes; Duties may have included developing, planning, implementing, and evaluating short and long range goals; establishing and maintaining health care systems to meet internal and external quality standards; supervision and being accountable for appropriate obligations of funds, financial operations, including developing budgets, allocating resources, and monitoring expenditures to ensure fiscal accountability. Experience ensuring compliance with healthcare laws, regulations, and accreditation standards, and evaluating organizational performance through quality improvement and performance management activities.

Supervisory Abilities: This is a supervisory position. Applicants must demonstrate the ability or potential to lead, supervise, and manage personnel and programs effectively.

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 by 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 application process is complete, the first two pages of your resume and supporting documentation will be used to determine whether you meet the job qualifications.

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).

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.

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.

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

• Administration and Management
• Human Capital Management
• Leadership
• Quality Assurance

Click here to view vacancy questions: https://apply.usastaffing.gov/ViewQuestionnaire/12952490.

All documents above MUST be received by 11:59 pm (Eastern Standard Time) of the closing date of, 06/30/2026, to be considered.

USAJOBS Help Center - Update your resume now so it meets new resume requirements.

Resume: You are highly encouraged to visit the USAJOBS Help Center before submitting a resume. USAJOBS Help Center - Update your resume now so it meets new resume requirements

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.
• Licensure, Certifications: Applicants should list their license/certifications on their resume, along with the expiration date, if applicable. Certification of licensure/certification will be required after tentative selection and prior to issuing an official job offer.
• Superior Academic Achievement: If claiming eligibility for Superior Academic Achievement, candidates must provide copies of transcripts (official or unofficial) must be included at the time of initial application. If unable to obtain transcripts, candidates must provide sufficient evidence to validate courses completed and credit hours earned. Eligibility is based on one of the following:

1. Class standing - Applicants must be in the upper third of the graduating class in the college, university, or major subdivision and based on completed courses.
2. Grade-point average (G.P.A.) - Applicants must have a G.P.A. of: a.) 3.0 or higher out of a possible 4.0 (''B" or better) as recorded on their official transcript, or as computed based on 4 years of education, or as computed based on courses completed during the final 2 years of the curriculum; or b.) 3.5 or higher out of a possible 4.0 ("B+" or better) based on the average of the required courses completed in the major field or the required courses in the major field completed during the final 2 years of the curriculum.
3. Election to membership in a national scholastic honor society - Applicants can be considered eligible based on membership in one of the national scholastic honor societies listed here Association of College Honor Societies. Official transcripts may 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: 06/30/2026

Next steps