Accountable for operations within SSRHWC with specific emphasis to be placed on patient satisfaction, physician satisfaction, co-worker satisfaction, business growth and development, and quality.


Responsible for the financial performance of offices and the presentation of financials and budgets to department directors and board of directors, as well as the Tribal Council and membership as required.


The executive director will also be responsible for strategic operations and initiatives within SSRHWC such as market development, relations, acquisitions and development, patient safety, risk management and compliance, and to ensure that department policies and procedures, as well as clinic policies and procedures are updated on a regularly scheduled basis.


The position also requires the ability to communicate effectively with physicians, senior management, and co-workers. The position will require travel to health industry and IHS (Indian Health Service) related training, conferences and budget related meetings.


Must be able to work independently. This person will take an active role in the tribal and local communities in which services are provided. The executive director will integrate Professional Standards of Behavior and Conduct, and will performs his/her duties and responsibilities in a manner consistent with our mission, vision and values of the Tribe.


The Executive Director must have the ability to plan and direct medical programs for implementation in the IHS Health system, as well as the ability to develop and implement quality assurance, and assure high quality of patient care which will meet Federal standards





The Executive Director will participate in the hiring and evaluating of provider staff.
Must be available approximately eight hours per day to meet the requirements of the position.
Provide technical advice to Department Directors on matters of clinical judgment.
Provide consultation and peer review for all providers of the SSRHWC.
The Executive Director will review scheduling of patients, training of staff, workloads, job descriptions, procedures in accordance with health industry standards.
Review quality of care provided by medical personnel through periodic chart reviews.
The Executive Director will determine the need and arrange for continuing education opportunities for medical and dental personnel.
The Executive Director will assist the Health Board in establishing patient fee schedules.
The Executive Director will assist in the development of a specialized services and the development of referral list, and referral arrangements.
Meet with the Board of directors bi-monthly to define goals and review the progress of SSRHWC operations.
Collaborate with Department Directors regarding scheduling of providers for the clinic.
Track Physician supervisory forms monthly.
Prepare clinic budgets, key performance indicators for each department, provide the Health Board and the tribe forecast and projections annually, will monitor and manage the clinic budget.
Prepare various operational reports, to be presented to the Health Board and Tribe.
Conducts on an annual basis at least one review of the pricing, coding, collections, purchasing and personnel policies and performance of each clinic. These reviews will be completed with the assistance of the Quality Assurance/Compliance department within the SSRHWC.
Supports practices in understanding the data related to Tribal and non-tribal populations; identify opportunities for improvement in conjunction with larger Quality Health Service initiatives and help the practices (physicians and clinic personnel) understand how their operations and needs change in a competitive health service environment.
Develop professional relations and contractual arrangements with payers. Maintains strictest confidentiality.
Oversees the day-to-day operations of the clinic.
Implement inventory control systems.
Assume additional duties as required.





·         Advanced degree in Health Administration and/or MBA

·         Master’s Degree in Business or Health Administration

·         or

·         Bachelor’s Degree with 7-10 Years of proven Clinic Administration experience.



·         7-10 Years of Health Administration

·         Minimum of seven to ten years’ in a health care management.  Strong background in finance, physician compensation and reimbursement, billing and revenue capture.

·         Other: License and/or Certification


Knowledge, Skills, and Abilities:

·         Specific knowledge in planning, organizing and supervising a primary health care clinic

·         Strong verbal and written communication skills. Ability to communicate clearly and establish and maintain working relationships with physicians, staff and the public. Ability to organize. Able to meet deadlines. Self-motivated. Ability to analyze balance sheets, profit and loss statements and income statements.

·         Must be able to read, write, speak and understand English.



Shingle Springs Rancheria requires the successful completion of a drug screening of all potential Tribal employees prior to the scheduling of an interview.  The Tribe recognizes that the State of California has legalized the use of marijuana. The Tribe is located on federally owned trust land and complies with federal laws. Therefore, marijuana use is prohibited and all drug tests will include a screening for THC.


Shingle Springs Rancheria recognizes a zero tolerance drug and alcohol policy and employees will be required to sign a Consent to Drug and/or Alcohol Testing.  Employees may be selected for alcohol / drug testing upon reasonable suspicion, and upon any/all accidents.



Candidates for this position will be subject to criminal and character background checks and fingerprinting prior to the scheduling of an interview.  Verification of previous employment and education will be conducted after the interview if an offer of employment is being considered.



Confidentiality is an absolute requirement for this position and is cause for immediate termination if not followed to the highest standard.

Tagged as: management, medical