Supervisory Health System Specialist (Business Office Manager)

Summary

At the Indian Health Service, Business Office Managers are essential to the success of daily operations. Guided by our mission to improve the health of American Indian and Alaska Native people, you will help ensure efficient business operations, financial integrity, and high-quality patient services. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).

Duties

Total Compensation Package - Check out IHS's outstanding total compensation package for this job: Health System Specialist Total Compensation | Pay (ihs.gov) Provide management oversight for Business Office operations and sometimes related administrative functions. Manage patient registration, admissions, eligibility determination, and benefits coordination. Oversee third-party billing, accounts receivable, collections, and revenue-cycle performance. Ensure compliance with IHS, CMS, Medicare, Medicaid, HIPAA, and federal regulations. Coordinate with clinical leadership to ensure documentation supports billing, reimbursement, and quality reporting. Analyze operational data and prepare reports on collections, productivity, and program performance. Incidental use of government owned vehicle may be required; therefore, employee must possess and maintain a state valid driver's license.

Requirements

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 and evaluation

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. Ability to lead and supervise, including managing staff performance, ensuring compliance and maintaining operation efficiency; performs long and short range planning, evaluating and analysis; and projection of future resource requirements; comprehensive knowledge of health care delivery systems and an understanding of their functional organization; the ability to apply analytical and evaluative methods and techniques to issues or studies concerning the efficiency and effectiveness of program operations carried out by personnel or substantive administrative support functions; Knowledge of qualitative and/or quantitative methods for assessment and improvement of Business Office processes and systems. 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: Ability to Lead or Supervise Planning and Evaluating Quality Assurance Technical Competence Click here to view vacancy questions: https://apply.usastaffing.gov/ViewQuestionnaire/13069362. All documents above MUST be received by 11:59 pm (Eastern Standard Time) of the closing date of, 10/09/2026, to be considered.

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/.

How to apply

To apply for this position, you must provide a complete Application Package. See required documents below. To begin, click the Apply Online button on the vacancy announcement. You will be directed to the Login.Gov screen, here will you sign in if you have an existing USAJOBS account or Create a Login.Gov account. If you have an account you will be directed to select a resume or create a resume. If you create an account you can create an resume. Click save and continue. Follow the prompts to upload your resume and/or supporting documents. Click the Apply To This Vacancy and complete all steps in the application process until the Confirmation indicates your application is complete. If you click Return to USAJOBS or get timed out prior to receiving confirmation, your application will not be submitted and cannot be considered for this job. Read and complete all Eligibility questions. Review the REQUIRED DOCUMENTS section of this announcement to determine which apply to you and must be submitted online. You may choose one or more of the following options to submit your document(s): Upload (from your computer) or USAJOBS (click the "USAJOBS" link to complete the transfer process). For additional questions please see our Frequently Asked Questions (FAQs) found here: https://www.ihs.gov/jobs/faq/. The IHS provides reasonable accommodations to applicants with disabilities. If you need a reasonable accommodation for any part of the application and hiring process, please notify the Human Resources Office (Tara Tsosie, Tara.Tsosie@ihs.gov, and/or 505-726-8733.) The decision on granting reasonable accommodation will be on a case-by-case basis.

Required documents

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. You must meet the requirements of the job by 11:59 pm (Eastern Standard Time) of the closing date: 10/09/2026

Additional information

Reasonable Accommodation (RA) Requests: If you believe you have a disability (i.e., physical or mental), covered by the Rehabilitation Act of 1973 as amended that would interfere with completing the USA Hire Competency Based Assessments, you will be granted the opportunity to request a RA in your online application. Requests for RA for the USA Hire Competency Based Assessments and appropriate supporting documentation for RA must be received prior to starting the USA Hire Competency Based Assessments. Decisions on requests for RA are made on a case-by-case basis. If you meet the minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email invitation to complete the USA Hire Competency Based Assessments, based on your adjudication decision. You must complete all assessments within 48 hours of receiving the URL to access the USA Hire Competency Based Assessments if you received the link after the close of the announcement. To determine if you need a RA, please review the Procedures for Requesting a Reasonable Accommodation for Online Assessments. (https://appsupport-usastaffing.opm.gov/hc/en-us/sections/45063131363475-Reasonable-Accommodation-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. This position has no promotion potential. IHS Selectees whose duties and responsibilities require them to work permanently, temporarily, or occasionally in an IHS healthcare facility must comply with the IHS Employee Immunization Policy related to vaccine-preventable diseases, consistent with recommendations for healthcare workers. Vaccine exemption requests may be available, as outlined in the IHS Employee Immunization Policy and facility guidance. 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. 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? In this role, how would you use your skills and experience to improve government efficiency and effectiveness? In this role, you will be expected to professionally and efficiently implement executive direction. Provide an example where you implemented leadership direction on a strategy or policy decision that differed from your own recommendation. 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).