Health Center Deputy Director

Gardnerville, United States

Position Title

Health Center Deputy Director

Job Type





E12 (34.88 - 52.32)




Position Summary

Under general supervision from the Health Center Director, the Deputy Director serves in a leadership position at the Washoe Tribal Health Clinic, a program operated by the Washoe Tribe with funding from the Indian Health Service. The Deputy Director will be responsible for the clinic-specific financial and Information Technology/Health Information Management System (HIMS) including direct supervision over Third Party Billing and Collections, Purchased and Referred Care (formerly Contract Health Services), and the IT/HIMS department, and will serve as the clinic’s fiscal liaison to the Tribal Finance Department. Performs complex financial, budgetary, statistical and other management analyses in support of the Clinic’s and Tribe’s financial management systems. Makes recommendations for action based on sound financial analysis of revenues and control of clinic expenditures. In the absence of the Health Center Director the Deputy Director assumes the role of Acting Director. Maintains confidentiality of all privileged information.
Minimum Qualifications
  • Bachelor of Science Degree in Public Administration, Accounting, or Business Administration from an accredited college or university plus four (4) years of experience in health care operations; or equivalent combination of education and experience.

  • Must possess and maintain a valid California or Nevada driver’s license or capable of obtaining one within thirty (30) days of employment.

  • Must be insurable by the Tribe’s driving policy.

  • Must be able to successfully pass a pre-employment drug/alcohol screen and background investigation.

  • Preference will be given to Qualified Native American Indians.

Essential Duties & Responsibilities
  • Works with clinic departments to compile accurate forecasts of revenues and expenditures. Works with individual department directors regarding appropriate methods to improve the accuracy of departmental billing and collections.

  • Develops and implements procedures and standards to ensure accurate reporting of the clinic’s financial position. Evaluates alternative courses of action and makes recommendations.

  • Prepares monthly adjusting entries to reconcile the clinic’s third party billing and collection activity to the Tribe’s general ledger.

  • Supervises Purchased and Referred Services (Contract Health Service), billing, and clinic fiscal staff.

  • Provides direct supervision to the clinic IT/HIMS department in accordance to HIPAA and ISSA standards.

  • Reviews and recommends modifications to the clinic fiscal systems and procedures.

  • Prepares the annual clinic budget through a collaborative process to include clinic department directors, Tribal Finance and the Health Center Director.

  • Records, monitors, and reports on all billing, third party collections, and manages Purchased and Referred Care obligations and payments.

  • Plans and organizes complex budgetary, statistical and other financial analyses. Prepares a variety of complex analytical, statistical, and narrative reports.

  • Tracks all grants awarded to the clinic, and monitors compliance with timelines for deliverables and outcomes, budget control, and timely reporting as required by award contracts.

  • Coordinates with the Tribe’s Grants Manager on grant applications to support operations at the clinic.

  • Works with the Health Center Director to determine the reasons for significant variances between budgeted revenues, expenditures, and overall financial performance.

  • Serves as the clinic’s designated compliance officer, insures that clinic operations are in compliance with applicable federal regulations, including but not limited to OMB, CMS and HIPAA.

  • Provides the highest possible level of service to clients.

  • Promotes teamwork and cooperative effort among employees.

  • Performs other duties as assigned.

Knowledge, Abilities, Skills, and Certifications
  • Knowledge in operations of a health care delivery system in a Tribal environment.

  • Knowledge of Corporate Compliance practices in a healthcare finance delivery system.

  • Knowledge of privacy and electronic security systems in a healthcare system with an emphasis in electronic records management.

  • Knowledge of principles, practices and methods of financial, administrative, budgetary, statistical, economic, and procedural analysis.

  • Knowledge of principles and practices of budget development and administration, forecasting of revenues and expenditures, and development of procedures and controls.

  • Knowledge of business computer user applications, particularly as related to health care delivery statistical analysis and record keeping.

  • Knowledge of applicable laws and regulations.

  • Knowledge of supervisory leadership, principles and practices in team building.

  • Skill in analyzing complex and sensitive financial forecasting, budgetary, and economic issues, evaluating alternatives and reaching sound conclusions.

  • Skill in collecting, evaluating and interpreting varied information and data, either in statistical or narrative form.

  • Skill in establishing and maintaining positive and effective working relationships with all staff, community members and others contacted in the course of the work.

  • Skill in interpreting and applying complex financial rules, regulations, ordinances, policies and procedures.

  • Skill in providing training and work review to staff.

  • Skill in preparing clear, concise and complete reports and other written materials.

  • Skill in maintaining accurate records and files.

  • Skill in exercising sound independent judgment within established guidelines.

  • Skill in analyzing, interpreting and reconciling complex financial data, reports, and transactions.

  • Skill in making accurate mathematic and statistical calculations.

Physical Demands
  • While performing the duties of this job, the employee regularly is required to sit; use hands to finger, handle, or feel; reach with hands and arms; talk or hear; and operate a motor vehicle. The employee frequently is required to walk. The employee occasionally is required to stand; and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds.

Work Environment
  • Work is generally performed in an office setting with a moderate noise level.