Employment Opportunities

Executive Director, AST Health System

This position is currently open.
Reports To: 
Absentee Shawnee Tribal Health Authority Board of Directors
Type of Position: 
Regular Full Time
Little Axe Health Center / 15951 Little Axe Dr. / Norman, OK 73026
Position will be within the Absentee Shawnee Tribal Health System with all clinics owned and managed by the Absentee Shawnee Tribal Health System. The incumbent is under the supervision of the ASTHA Health Board and performs the functions of strategic, financial, and operational oversight of the health programs. This position has supervisory responsibilities which includes all multi-site locations (Little Axe Clinic/Shawnee Clinic/PlusCare Clinic, and Resource Center as well as other supported/serviced grant programs co-located). The Executive Director advocates for the strategic viability of the health system and plays a significant role in developing, designing, and improving the system(s) that deliver the best patient care possible. The Executive Director is expected to take charge of implementing strategic initiatives that ensures a productive and compliant workforce and satisfy patient needs while balancing compliance with Federal, State, and Tribal program requirements. The incumbent’s goal is to maintain high standards of organizational excellence by effectively carrying out the health system's mission, to include the short and long-term profitability and growth of the health programs. The Executive Director works closely with the board of directors and tribal leadership to achieve programmatic stability and establishes budget targets to maintain good financial status while assuring high-quality patient services. Identifying ways to cut cost without compromising health outcomes is crucial for this position. This is a salaried position that is not eligible for overtime compensation.
  • Performs full range of executive level duties for oversight of the AST Health System to include financial, operational, clinical, and regulatory compliance.
  • Provides governing bodies with comprehensive reports and routine updates monthly or as necessitated.
  • Provides guidance and direction during formulation and implementation of strategic plans; conducts research and gathers health statistics, data, and other pertinent information related to I.H.S. healthcare, private health care delivery systems and other programs that provide health care that are necessary or constructive in reports or other memorandums to the Boards of Directors.
  • Actively engages Boards of Directors. Prepares agenda at direction of the Chairperson. Responsible for minutes and for monthly board meetings and other reporting required of the health boards or Executive Committee.
  • Directs and manages the overall fiscal/budget activities and exercises the necessary flexibility and management of operating funds regarding budgetary adjustments, when necessary, within the constraints of delegated authority.
  • Responsible for financial viability of enterprise through audited oversight of compacted funds, third party revenue, indirect cost (IDC) funding, and other related funding for health programs from the Centers for Medicare and Medicaid Service to also include grants and other related I.H.S. funding avenues. Coordinates closely with tribal finance ensuring reporting congruency of programmatic responsibilities.
  • Provides for clear accounting and fiduciary responsibilities during Annual Financial Audit of the Health Programs with the Annual Tribal Financial Audit. Reports results of audits to Health Boards, and coordinates final reports with I.H.S. and Oklahoma Department of State.
  • Maintains full compliance with: the Absentee Shawnee Tribe's Administrative Manual, Federal, State, Absentee Shawnee Tribe and any of their agencies, laws, licensing and certification requirements for the health system with a business office, a laboratory department, an X-ray department, a pharmacy, health care professionals and other various employees assigned to job duties at the health system.
  • Maintain reasonable assurance that employees located at health system are knowledgeable of the goals and objectives of the Tribe's Health Programs; the overall services available through the Health Programs; and the Tribe's various other programs. Complete assurance that such employees have the working knowledge and ability in following the appropriate methods that will allow such health care issues to be appropriately addressed.
  • Timely preparation and submission of all requested reports and/or documents which shall include but not be limited to the following: surveys, studies, budget requests, proposed budget modifications, acquisitions proposals, property management and inventories, monthly and quarterly reports, and Annual and Semi-Annual General Council Conference Reports.
  • Assurance of preparedness and cooperation by health system personnel for all the health system's evaluation activities; continuously meeting or exceeding the activities and specifications in the Quality Assurance Plan, as adopted, by the health system; and maintaining or exceeding any and all applicable accreditation levels that are binding on the health system, and its departments and employees assigned thereto, including AAAHC or other equivalent certification entity. Coordination and interaction of the various disciplines, programs and employees located at the health system to ensure the effective delivery of health care services.
  • Ensures informatics and other data is being collected into a viable and useful medium for analysis and discussion in decision making for population health programs and services.
  • Reviews and recommends to the Boards of Directors all grant applications related to health care.
  • Responsible for preparations with health legal, self-governance, the Executive Committee, and the health boards with supporting materials used in negotiations conducted between the AST Tribe and I.H.S. during compact negotiations.
  • Responsible for the total management and direction of the personnel functions, policies and procedures that affect facility employees in achieving strategic and other business goals as well as compliance with EEOC and other personnel programs.
  • Supervises and manages the provision of total maintenance and repair services for the facility, real and personal property, while complying with accrediting, statutory, and agency guidelines and requirements.
  • Directs Health response as part of Tribe’s Emergency Management All Hazards Plan. Ensures resources and manpower are available to support all programmatic activities of the plan.
  • Directs the overall management and organization of the Purchase Referred Care (PRC) program as established by availability of funds and priorities and initiates action to re-program priorities for fund expenditures through consultation with the Board of Directors, whenever existing priorities become obsolete or when deficiencies are identified.
  • Responsible for directing, managing and evaluating services, policies and practices, services quality and execution, of all or selected allied health professions and other para professionals along with the professional staff.
  • Responsible for all activities involving accreditation from the Accreditation Association for Ambulatory Health Care (AAAHC) and/or The Joint Commission (TJC) and other accrediting institutions that might survey the health facilities and/or programs.
  • Perform other duties as assigned by the ASTHA, Inc. Board of Directors.
  • Master's degree in related healthcare field preferred; degrees include: Leadership or Business Administration Field, Public Health Field, Behavioral Health Field, Nursing Field, or an equivalent graduate degree program that emphasizes (a) medical provider services, (b) health care clinic or hospital administration and/or (c) a combination of business and health administration.
  • A minimum of five (5) year’s management experience in a clinical setting with supervisory responsibility over a minimum of 15 employees.
  • A minimum of three (3) years’ experience is required in the following; (i) Federal and State laws and regulations concerning health care, including Medicare and Medicaid and (ii) the business aspect of effectively and efficiently operating an ambulatory health care or related clinic, including without limitation, the financial and cost accounting functions, the statistical gathering functions and all possible revenue generating functions.
  • Board Certified Fellow American College of Healthcare Executives (FACHE), Medical Practice Executive (CMPE), or other similar credential(s) preferred, but not required.
  • Ability to manage, plan, organize, and initiate a comprehensive quality healthcare program.
  • A minimum of five (5) years of experience working in or for federal and state programs related to the health industry.
  • A minimum of five (5) years of experience working with Native Americans in the area of health care.
  • A minimum of five (5) years of contract and/or grant management experience and supervisory experience required.
  • Must have in-depth knowledge of how tribes operate under Self-Governance.
  • Knowledge of all Federal, regulations, guidelines, and legislation related to the Indian Health Service.
  • Knowledge of pertinent rules, regulations, policies and procedures in administration that is applicable to a health program to include knowledge of CMS Conditions of Participation.
  • Ability to recommend and initiate program improvements and modifications to achieve mission goals.
  • Excellent verbal and written communication skills; effective management and supervisory skills that will include professional and non-professional staff.
  • Excellent public relation skills, including ability to interact with the person's immediate management, the Tribe's elected officials, the Tribe's citizens, Native populations and Federal and State officials.
  • Excellent problem-solving skills including the problems inherent to a health clinic setting sensitive to Native American and Tribal issues affecting population health and state of services/access to care.
  • Ability to supervise the work of others (clinical and administrative).
  • Must possess demonstrated technical writing abilities and research skills.
  • Must have demonstrated planning process skills and abilities, programming capabilities, and in-depth familiarity with Public Health/Tribal systems as well as successful grant and contract management skills. Should be able to construct budgets, cost analysis worksheets, and flow charts. Must have excellent computer skills.
  • Negotiation experience and training is required. Experience with federal budgetary processes, Tribal Self- Governance project, P.L. 93-638 Tribal contracting process and tribal budgets preferred.
  • Must possess a valid Oklahoma Driver’s License.
  • Must be able to pass a criminal background check and drug screen.
  • Must be able to sit, stand, stoop, bend or kneel for long periods of time.
  • Sitting or standing or walking for long period of time; occasional bending, squatting, kneeling, stooping; good finger dexterity and feeling; frequent repetitive motions; talking hearing and visual acuity.
  • Frequent lifting (up to 15 lbs)
  • Occasional lifting (up to 30 lbs)
Native American Preference/EOE/Drug Free Workplace/Smoke Free Workplace
Posted Date: 
1 year 1 month ago
Closing Date: 
Friday, October 14, 2022