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Summary
This position serves as the Health System Administrator (Chief Executive Officer) for the Santa Fe Service Unit in Santa Fe, NM. The incumbent directs and oversees ambulatory healthcare operations, strategic planning, financial management, quality improvement, and healthcare delivery programs serving eligible Native American populations. Reports to the Area Director, Albuquerque Area IHS.
A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).
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Duties
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• Directs and oversees the overall operation of the Santa Fe Service Unit ambulatory healthcare facility and off-site outpatient services.
• Provides executive leadership for strategic planning, healthcare delivery, quality improvement, and accreditation compliance activities.
• Manages financial operations, budget development, and third-party revenue programs including Medicare, Medicaid, and private insurance.
• Supervises clinical and administrative managers, human resources activities, and organizational performance management.
• Collaborates with Tribal leaders, community organizations, and stakeholders to support healthcare programs and improve services for the Native American population served.

Requirements
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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, www.sss.gov
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.
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):
You must meet one of the following individual occupational requirements:

• Education: Successfully completed a bachelor's or higher degree with a major in hospital administration, public health administration, or a related field such as business or public administration that included course work in health care administration, OR
• Experience: Progressively responsible analytical, administrative, or clinical management or supervisory experience in the health care field. This work may be performed in an operating health care facility or at a higher organizational level 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. This experience provided me with (1) Knowledge of health care delivery systems, including missions, organizations, programs, and requirements; (2) Knowledge of regulations and standards of accrediting, regulatory, and credentialing organizations; and (3) Knowledge of administrative systems and requirements such as budget, personnel, and procurement. In addition, applicant must also possess:
  
  • Delegate authority, evaluate and oversee staff and programs, and adapt to changing priorities; and
  • Understand the relationships and interdependencies among clinical and administrative services and programs.

In addition to the Basic Requirements, you must also meet the Minimum Qualifications stated below.
MINIMUM QUALIFICATIONS:
GS-14: 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; Developing and implementing strategic and operational plans, policies, and organizational goals to meet regulatory requirements and stakeholder priorities; Integrating clinical and administrative functions, including supervising multidisciplinary staff and coordinating healthcare services to ensure efficient and effective operations; Managing financial operations, including developing budgets, allocating resources, and monitoring expenditures to ensure fiscal accountability; 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 within 30 days of the closing date of the announcement.
Education
This position has an education requirement. You are strongly encouraged to submit a copy of your transcripts or a list of your courses including titles, credit hours completed, and grades. Unofficial transcripts will be accepted in the application package. Official transcripts will be required from all selectees prior to receiving an official offer.
Only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education may be credited. Applicants can verify accreditation at the following website: https://www.ed.gov/accreditation.
If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit https://sites.ed.gov/international/recognition-of-foreign-qualifications/.
Additional information
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.
This position is ineligible for the Bargaining Unit.
Relocation incentives may be authorized. At least a 1-Year service agreement will be required.
You will be evaluated for this position in accordance with the OPM Merit Hiring Plan.
As part of the application process, you will be asked to provide short essay responses (200 words or less each) to the following four questions.

1. How has your commitment to the Constitution and the founding principles of the United States inspired you to pursue this role within the Federal government?
2. In this role, how would you use your skills and experience to improve government efficiency and effectiveness?
3. How would you help advance the President's Executive Orders and policy priorities in this role?
4. How has a strong work ethic contributed to your professional, academic or personal achievements?

• Your responses are optional and will not be scored.
• However, they may be reviewed by hiring managers and agency leadership (or designees) during the evaluation process.
• You will be asked to certify that your responses are written in your own words and that you did not use a consultant or artificial intelligence (AI) tool (such as ChatGPT or Copilot).

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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Benefits
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