Health Director

Prepared on June 18, 2025

Department	Wellness Center
Reports To	Tribal Administrator
Type of Employment	Full-Time
FLSA Status	Exempt
Salary	110,000-125,000

Summary

Responsible for the administration of all Tribal and Community health care services on the Shoalwater Bay Reservation, Pacific County Service area and surrounding areas. This includes ongoing administration of the Shoalwater Bay Wellness Center and direct supervision of the activities of all Wellness Center staff and programs. The Health Director is responsible for the ongoing management and delivery of Contract Health Services in Pacific County, Washington. These duties will be carried out in close consultation with the Shoalwater Bay Tribal Administrator and the Tribal Council.

PERFORMANCE MEASURES: The performance of the Health Director will be based on his or her overall effectiveness and efficiency in the management of the Wellness Center and associated programs. This assessment will be made by the Shoalwater Bay Tribal Administrator, Tribal Council, based on a number of factors. To include Medical, Dental, Behavioral Health, Diabetes Education/Nutrition, Contract Health Services, patient satisfaction, including patient complaints, utilization of clinic and department services, program growth and development, implementation of new programs and communications with staff and the Tribal community at large.

Job Description

Essential Duties and Responsibilities

Plans, directs, implements, and manages the delivery of clinical and ambulatory health care services for Native and Non-Native clients of the Wellness Clinic and Shoalwater Bay Indian Tribe Contract Health Services in Pacific County.
Assures compliance with all applicable Federal, State and Tribal regulations.

Knowledge of the provisions of PL 93-638.
Indian Self Determination and Education Assistance Act Ensures that all program services meet all applicable rules, regulations, and ethical standards.

Provides leadership and direction towards the improvement of the Tribe’s health service delivery system including strategy, and strategic goals and objectives in accordance with all applicable tribal, state, and federal rules and regulations.
Annual review/revisions for clinical compliance with regulations and standards.
Revision of policies and procedures to be used in the administration and operation of the Wellness Clinic.

Behavioral Health- WAC/RCWs, Grants.
Medical-P&P, Grants.
Dental-P&P, Grants.
Wellness Center-P&P, Grants, special programs.

Supervises the daily work activities of Wellness Clinic staff.

May delegate direct day to day supervision to clinic coordinators and/or managers who report to the Health Director.

Directly hires and trains delegates or training of new personnel as deemed appropriate.
Recruits qualified Providers to maintain services.

Ensures that all providers are registered, certified, or licensed as required by Federal and State rules and regulations.

Recruits qualified employees to maintain services.

Ensure that all have proper training and certifications/licenses as required by the position.

Suspends and/or dismisses personnel as deemed appropriate, according to Tribal policy and procedures.
Reviews and implement revisions of job description as needed.
Implement/review Employee improvement plan as necessary.
Maintains close working relationships with Federal, State and local health agencies and other organizations and providers concerning matters affecting the health of the Tribal service population.

Public Health Emergency-DOH/Local Health Jurisdiction
Public Health Emergency Response for the Tribe.
Public Health Vaccine delivery/reporting.

Advocates for Tribe related to health care issues with State, Federal, Tribal entities.
Analyzes legislative, regulatory, policy and other industry changes; provides briefings to CFO, Tribal Council, and Health Board.
Administrator of the Behavioral Health Program according to Department of Health (DOH) and Health Care Authority (HCA) administration regulations.
Grant proposal, submission, retention, and oversight for program support of essential services.

Grant proposals.
Grant submission/addendums/retention.
Grant expenditures.
Grant reports.
Grant management and/or oversight.

Develop and implement programs that address Tribal community needs.
Proposals and grants to secure additional funding and grant monies for continuation and expansion of health delivery services.
Under the direction of the CFO, manages the Wellness Center’s operating budget and ensures the best and maximum utilization of resources is made.

This includes administration and approval of expenditures using available third-party billing resources.

Authorize/approves purchase orders for the Wellness Center according to the budget and tribal fiscal policies.
Responsible for ensuring that all State, Federal, Grant reports are completed on time, reviewed and provided to appropriate funding agencies.
Completes the submission of yearly paperwork and proposals necessary to the operation of Tribal health programs.

340B-Federal Drug Pricing Program.
HRSA-Health Resources System Administration.
NHSC-National Health Service Corp.
NPDB-National Practitioner Data Bank.
FQHC-Federal Qualified Health Center.
IHS- Indian Health Service loan repayment program.

Responsible for the contracting, administration, maintenance, and education of the Wellness Centers current Electronic Health Record systems (EPIC/RPMS/Dentrix).
Responsible for maintaining contracts with outside entities such as:

Radiologist.
Psychiatric care.
Nutritionist.
Laboratory (Medical/Dental).
Henry Schein (Medical/Dental).
McKesson (Medical).
Indian Health Services.
Commercial Insurance Companies.
Local entities for optimal health care delivery.

Responsible for maintaining the Wellness Center in optimal operating condition, including the capital equipment owned and operated by the Wellness Center.
Works in conjunction with the Shoalwater Bay Health Board to address:

Monthly updates regarding the Wellness Center.
Complaints regarding health services received.
Policy changes/revisions for the delivery of health care services within the Wellness Center.

Appoints Wellness Center committees to ensure that ongoing quality assurance, safety, and continuous monitoring and review of Tribal programs are carried out.
Serves as a public relations specialist for the Wellness Clinic.
Keeps the Shoalwater Bay Tribal Administrator, Health Board, Tribal Council, and Tribal community informed of policy changes or program developments.
Utilization of clinic and department services,

Program growth and development.
Implementation of new programs with staff.
Update the Tribal Community as necessary regarding changes.

Schedules and holds regular all-staff, clinic coordinator/manger meetings.
Report requirements:

Medicare Cost Report.
Review of Credit Balance Report.
Medicaid Administrative Match

a. Submission of data.

b. Quarterly Reports.

c. Monthly billing reports to the Health Board.

d. Review of Monthly Billing reports.

4. Grant reporting as required.

Responsible for designating an employee to ensure the HIPAA/OSHA compliance rules and regulations are adhered to for each department.
Appropriate training for staff.
Overall protection of the clients/customers of the Wellness Center by implementing appropriate safeguards.

Safety:

Demonstrates knowledge of CDC, Dept. of Health, OSHA standard as it applies to the clinic environment.
Adheres to universal precautions.
Maintains professional and technical knowledge by conducting research, attending seminars, educational workshops, classes, and conferences;

Reviewing professional publications.
Establishing networks.
Participating in professional societies.
Conferring with representatives of contracting agencies and related organizations.

ORGANIZATIONAL RELATIONSHIPS: Represents Shoalwater Bay Indian Tribe as delegate to NPAIHB (NW Portland Area Indian Health Board), AIHC (American Indian Health Commission), HCA (Health Care Authority), DOH (Department of Health), Behavioral Health Administration (BHA), Division of Behavioral Health and Recovery (DBHR), IHS (Indian Health Services), Center for Medicare & Medicaid (CMS), HRSA (Health Resources and Services Administration), SPIPA (South Puget Intertribal Planning Agency), Providence Health System (EPIC), Pacific & Grays Harbor County Local Health Jurisdiction and others. The Health Director supervises and manages the total Tribal health and Wellness services program. This individual works with a broad range of individuals and organizations, including ongoing supervision and management of staff activities.

Supervisory Requirements

Directly supervises employees of the Wellness Center. Carries out supervisory responsibilities in accordance with the organization’s policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees, including suspension and/or dismissal; addressing complaints and resolving problems.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Comprehensive knowledge of the principles and practices of modern health care administration.
Comprehensive knowledge of principles and practices of public administration or business administration.
Comprehensive knowledge of modern principles and practices of personnel administration, financial management and purchasing.
Comprehensive knowledge of Federal and State laws and regulations impacting the operation of the Wellness Center.
Ability to work under pressure.
Ability to multi-task.
Ability to prioritize.
Ability to gain cooperation and conformance from a diverse staff.
Ability to meet short deadlines.
Ability to promote public relations
Ability to read, analyze, and interpret the most complex documents.
Ability to read and interpret budget reports.
Ability to develop and enforce annual budgets.
Ability to respond effectively to the most sensitive inquiries or complaints.
Ability to write reports and other items using original or innovative techniques or style.
Ability to make effective and persuasive presentations on controversial or complex topics to management, public groups, state and county officials.
Ability to define problems, collect data, establish facts, and draw valid conclusions.
Ability to interpret an extensive variety of technical instructions dealing with abstract and concrete variables.
While performing the duties of this job, the employee is required to use a computer. Considerable knowledge of PC operations and software (Word, Outlook, and more) are required. Good typing skills, spelling and grammar, are also required.

Experience and Eduction

Master’s degree (M.A.) or equivalent in public health or health care administration from an accredited college or university preferred; and four to ten year’s related experience and/or training required; or equivalent combination of education and experience.

Skills

LANGUAGE SKILLS: Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents. Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to write speeches and articles for publication that conform to prescribed style and format. Ability to effectively present information to top management, public groups, and/or boards of directors.

MATHEMATICAL SKILLS: Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions and decimals. Ability to apply concepts such as fractions, percentages, ratios and proportions to situation. Ability to interpret statistical tables and formulas.

REASONING ABILITY: Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.

Essential Competencies

To perform the job successfully, an individual must demonstrate the following competencies:

Analytical – Synthesizes complex or diverse information; collects and researches data; uses intuition and experience to complement data; designs workflows and procedures.

Problem Solving – Identifies and resolves problems in a timely manner; gathers and analyzes information skillfully; develops alternative solutions.

Client/Customer Service – Manages difficult or emotional client/customer situations; responds promptly to client/customer needs; meet commitments.

Oral Communication – Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; responds well to questions; participates in meetings.

Written Communication – Writes clearly and informatively; edits work for spelling and grammar; varies writing styles to meet needs; present numerical data effectively; able to read and interpret written information.

Change Management – Develops workable implementation plans; communicates changes effectively.

Delegation – Delegates work assignments; matches the responsibility to the person; sets expectations and monitors delegated activities.

Managing People – Includes staff in planning, decision-making, facilitating and process improvement; makes self available to staff; provides regular performance feedback; develops subordinates skills and encourages growth; improves processes, products and services.

Quality Management – Looks for ways to improve and promote quality; demonstrates accuracy and thoroughness.

Business Acumen – Understands business implications of decisions.

Cost Consciousness – Work with approved budget; develops and implements cost savings measures; contributes to profits and revenue; conserves organizational resources.

Organizational Support – Follows policies and procedures; completes administrative tasks correctly and on time; supports organizations goals and values.

Strategic Thinking – Develops strategies to achieve organizational goals; adapts strategy to changing conditions.

Judgment – Displays willingness to make decisions; exhibits sound and accurate judgment; supports and explains reasoning for decisions, includes appropriate people in decision-making process; makes timely decisions.

Planning/Organization – Prioritizes and plans work activities; uses time efficiently; organizes or schedules other people and their tasks.

Professionalism – Approaches others in a tactful manner; reacts well under pressure; treats others with respect and consideration regardless of their status or position; accepts responsibility for own actions; follow through on commitments.

Quality – Meets productivity standards, completes work in a timely manner; strives to increase productivity; works quickly.

Safety and Security – Observes safety and security procedures; uses equipment and material properly.

Adaptability – Adapts to changes in the work environment; manages competing demands; changes approach or method to best fit the situation; able to deal with frequent changes, delays, or unexpected events.

Attendance/Punctuality – Is consistently at work and on time.

Dependability – Follows instructions; responds to management direction; takes responsibility for own actions; keeps commitments.

Initiative – Seeks increased responsibilities; takes independent action.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit, stand, use hands to finger, handle, or feel, reach with hands and arms and talk or hear. Specific vision abilities required by this job include close vision, depth perception and ability to adjust focus. The employee may occasionally lift and/or move up to 10 pounds.

Work Environment

The work environmental characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Common health care facility environment.

At-Will Employment

This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employee(s) will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments.

The employment relationship with Shoalwater Bay Indian Tribe is voluntary; there is no specified length of employment. Accordingly, either the Shoalwater Bay Indian Tribe or the employee may terminate the employment relationship at will, with or without cause, at any time, so long as there is no violation of applicable federal or state law.

This document does not create an employment contract, implied or otherwise.

INDIAN PREFERENCE: Indian preference will be exercised in the hiring of this position in accordance with Shoalwater Bay Indian Tribe’s policy 181 within the Tribes Employee Handbook.

Benefits

After 90 days of employment

Annual Leave accrual
Sick Leave accrual
Bereavement Leave
Military Leave
Jury Duty Leave
Paid Holidays

After 1 year of employment

401K contribution

Work Location	Work on Location Premises 2373 Tokeland, Rd Tokeland, Washington 98590
Job Posting Valid Through	Valid until filled
Position Start Date	Immediately