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Business Office Manager

Department of Health and Human Services
Indian Health Service
Various Locations.

Summary

We are pleased to announce an exciting opportunity for a dedicated Business Office Manager to join our healthcare team. This role offers a meaningful chance to deliver high-quality, patient-centered care while making a lasting impact within Native American communities. Begin your journey with purpose and contribute to improving oral health outcomes where it matters most.

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Overview

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Accepting applications
Open & closing dates
04/16/2026 to 04/29/2026
Salary
$67,970 - $88,356 per year
Pay scale & grade
GS 10
Locations
few vacancies in the following locations:
Salem, OR
Warm Springs, OR
Remote job
No
Telework eligible
No
Travel Required
Not required
Relocation expenses reimbursed
No
Appointment type
Permanent
Work schedule
Full-time
Service
Competitive
Promotion potential
None
Supervisory status
Yes
Security clearance
Other
Drug test
No
Position sensitivity and risk
Moderate Risk (MR)
Trust determination process
Financial disclosure
No
Bargaining unit status
No
Announcement number
IHS-26-HQ-12934654-ESEP/MP
Control number
865448700

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Duties

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  • Directs a program that identifies, tracks, bills, and collects from third party health plan carriers for inpatient/outpatient clients to recover maximum dollars.
  • Provides technical expertise in work of the office to subordinate staff who determine the availability and type of alternate resources for Contract Health referrals and available Medicare/Medicaid fund to upper management.
  • Ensures health insurance information is captured on all patients including interviewing patients; use of questionnaires, reviewing release information insurance inquiries, contacting alternate resources for claim information.
  • Performs common supervisory duties such as coordinate and distribute workload to accounting technicians, billing technicians, patient registration clerks; teaches and trains employees, performs annual appraisal, approves leaves, counsels' employees, keeps employees informed of changes.

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

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).

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.

MINIMUM QUALIFICATIONS:
Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks (experience that equipped you with the particular knowledge, skills and abilities to successfully perform the duties of this position).

Examples include supervisory experience in operation of health care financing and third party collections/reimbursement for health care; reimbursable insurance procedures and requirements including ability to interpret provisions of individual and group health plans; experience performing administrative functions in a healthcare setting, including comprehensive medical records management and health information handling.

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 the closing date of the announcement.

Education

There are no education requirements.

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 covered by a Bargaining Unit (Salem OR Location)
This position is ineligible for the Bargaining Unit. (Warm Springs OR Location)

Recruitment or relocation incentives may be authorized. At least a 6 month 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).

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.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

You will be evaluated for this job based on how well you meet the qualifications above.

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.
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:

  • Information Management
  • Managing Human Resources
  • Planning and Evaluating


Click here to view vacancy questions: https://apply.usastaffing.gov/ViewQuestionnaire/12934654.

All documents above MUST be received by 11:59 pm (Eastern Standard Time) of the closing date of, 04/29/2026, to be considered.

Indian Health Service

Become a part of an innovative, dynamic, nationwide organization of dedicated health care providers working to meet the individual health care needs of American Indians and Alaska Natives. Indian Health Service (IHS) employees are considerate in our care, creative in our approach, enthusiastic about our work and compassionate with our patients. Our lifestyle is adventurous, community oriented and focused on service and problem solving as part of a professional interdisciplinary team. Join us in improving the health outcomes of over 2 million American Indians and Alaska Natives.

Agency contact information

Norene Mills
Phone
503-414-7738
Email
Norene.Mousseau@ihs.gov
Address
Portland Area Indian Health Service
1414 NW Northrup Street Suite 800
Portland, OR 97209
US

Visit our careers page

Learn more about what it's like to work at Indian Health Service, what the agency does, and about the types of careers this agency offers.

http://www.ihs.gov

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