Summary Position uses knowledge of management of a health care delivery system in a hospital, large outpatient clinic, community-oriented health care delivery system to plan, direct, coordinate services at a Patient-Centered Care (ambulatory) health center that offers medical, dental, optometry, pharmacy, laboratory, podiatry services. Maintains accreditation through the Accreditation Association for Ambulatory Health Care and Medical Home. Reports to the Area Director. Responsibilities Serves as primary leader to respond to local health care needs which may be unique in nature and to design and maintain a comprehensive health care system especially designed to meet the changing health needs of the community. Shares leadership responsibility with a Deputy Director and Clinical Director (a physician). Assess and evaluates the operational environment and makes sound judgment and decision making to resolve problem areas and provide overall health services direction. Plans, organizes, evaluates, and revises functional administrative/management areas of the clinical services, allied health services and coordination with the Tribal operated Managed Care Program. Monitors and evaluates a service unit wide system of internal review and quality improvement. Ensures conformity with standards of accreditation, quality improvement plans, Executive Committee by- laws, medical by-laws, especially pertaining to credentialing and privileging of providers and ongoing changing regulation requirements for Medicare/Medicaid certification. Responsible for appropriate obligation of advised funds and directing and managing the overall fiscal year budget. Provides financial management expertise to the Business Office, especially in formulating solutions to problems which require negotiations with third party payers and manages alternate health delivery resources (i.e., Medicare/Medicaid and Private Insurance collections) to contain costs. Monitors all personnel management activities within the Service Unit health care system. Establishes and maintains cooperative, ongoing relationship with tribal, local, city, county and state governments for the purpose of promoting an understanding of the agency mission, legal status, and health care objectives as they relate to Native American beneficiaries. Requirements Conditions of Employment Selectee may be subject to a probationary/trial 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. Adherence to the IHS Employee Immunization Policy, SGM 21-04, and the IHS Circular 2016-04 requiring Measles and Rubella, COVID-19, and seasonal influenza immunizations for staff working in Indian Health Service health care facilities OR an exemption request will need to be submitted. 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: If you are selected for this vacancy, you must undergo a pre-employment fingerprint check and background investigation. Fingerprint results and background investigation documentation must be cleared prior to hire. After you begin your employment, your continued employment is contingent upon the outcome of a complete background investigation as determined by the sensitivity level of your position. The investigation must find that you are suitable for Federal employment in your position. If you are found not suitable, you will be terminated after you begin work. If you make a false statement in any part of your application, you may not be hired; you may be fired after you begin work; or subject to possible criminal charges. You may be subject to a credit check as a part of the background investigation process. 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 MINIMUM QUALIFICATIONS: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector. Individual Occupational Requirements Specialized Experience Individual Occupational Requirements Specialized 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. Under the Individual Occupational Requirements, 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. In addition to the minimum qualification requirements, the following selective placement factor has been determined to be essential to perform the duties and responsibilities of this position. SELECTIVE PLACEMENT FACTOR: Your resume must include experience that demonstrates full line responsibility for the administrative management of a health care delivery system in a hospital, large outpatient clinic, community-oriented health care delivery system such as the Indian Health Service's service units and/or a similar health care delivery system in non-federal health care delivery system. Full line responsibility is overseeing all aspects of a health care delivery system in a hospital, large outpatient clinic, community-oriented health care delivery system, from high-level strategies to day-to-day operation sufficient to ensure smooth operations, patient satisfaction, compliance with laws, and managing challenges such as staff shortages and crisis. Applicants who do not meet this selective factor are ineligible for further consideration. 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. Education There is no education requirement or substitution of education for experience for the GS-14 grade level. Additional Information This position is eligible for workplace flexibilities which may include remote work or telework options, and/or flexible work scheduling. These flexibilities may be requested in accordance with the HHS Workplace Flexibilities policy. https://www.hhs.gov/about/agencies/asa/ohr/hr-library/990-1/index.html. Additional selection(s) of candidates may be possible within 240 days from the date the certificate of eligibles was issued for this announcement. Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. IHS may offer newly appointed Federal employees' credit for their directly related previous non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. Recruitment or relocation incentives may be authorized. At least a 6-month service agreement will be required. This position meets the criteria specified in pillar number one of the five pillars of the PHS Commissioned Corps. PHS Commissioned Officers interested in performing the duties of this position within the Commissioned Corps MUST apply online under the merit promotion announcement indicated above in order to receive consideration. For more information on PHS Commissioned Corps, visit the website at: https://www.usphs.gov/. The Indian Health Service (IHS), National Health Service Corps (NHSC), and the Health Resources and Services Administration (HRSA) have student loan repayment programs for qualifying health disciplines. This is a competitive process separate from the hiring process. Opportunities for LRP are based on agency hiring priorities and availability of funds. For additional information please visit: For IHS - http://www.ihs.gov/loanrepayment/ For NHSC - https://nhsc.hrsa.gov/loanrepayment/ For HRSA Nurse Corps - https://bhw.hrsa.gov/loansscholarships/nursecorps