Kenaitze Indian Tribe
  • Dena'ina Wellness Center - Administration
  • Kenai, AK, USA
  • Full Time

Executive Director of Health Systems

Dept./Program: DWC Administration

Division: Health Systems

Reports To: Health Board

Supervises: Medical Director, Optometry Director, Primary Care Director, Dental Director, Wellness Director, Behavioral Health Director, Family and Social Services Director, Health Systems Executive Assistant

Employment Status: Full Time

FLSA Status: Exempt Executive

Schedule: 40+ Hours Exempt

Preference: TERO Ordinance 2017-01, P.L. 93-638

Revision Date: 08/03/2018

Job Summary

The Executive Director of Health Systems acts in a key leadership role within Kenaitze Indian Tribe. Primary responsibility is the oversight of the Dena'ina Wellness Center's (DWC) business operations and facilitating the integration of care model.   Provides guidance to the Health Board and Tribal Council in planning health & wellness strategies, integration of care, goals, initiatives and structure in alignment with the Tribe's values and vision.  Directly reports to the Health Board and makes reports to the Tribal Council upon request, responds to budgetary and performance measures, achievement of goals and strategies, and results of monitoring functions.   Responsible for the design and delivery of efficient, high quality health care services that meet the needs of our customer (un'ina). This position prepares a budget for Health Operations that includes revenue and expense targets and financial management methods to meet both budget targets. This position is responsible for continuous improvement for health systems processes and employee performance.

Essential Functions

  • Collaborates with the Executive Director of Tribal Administration.
  • Leads Optometry, Primary Care, Medical, Dental, Behavioral Health, Wellness and Family & Social Services divisions to optimize health outcomes and integrate programs.
  • Ensures a work environment promoting patient (un'ina) and employee safety at all times.
  • Prepares and executes DWC strategic and annual planning for the improvement of Health Care Services.
  • Adheres to Health Board Bylaws by serving as a professional advisor and liaison to the Health Board and Tribal Council.
  • Develops and adheres to Tribal and DWC operational policies and procedures.
  • Evaluates and monitors key performance dashboards and development of designs and executes actions to improve dashboard metrics.
  • Identifies grant opportunities and assists in the preparation of grant applications.
  • Explores clinical expansion, specialty clinics and other opportunities for DWC services.
  • Administers grant awards and ensures funding compliance.
  • Achieves and maintains operations that meet accreditation that may include CARF, AAAHC, FAHQ, ACHC or equivalent and recognized standards.
  • Champions the implementation of integrated care through proven and innovative un'ina care models and best practices.
  • Directs, mentors, and supervises DWC Leadership Staff and assures that Leadership Staff executes effective supervision of all staff.
  • Responsible for Revenue Cycle Management and Purchased and Referred Care.
  • Works with DWC directors, managers and supervisors to identify and meet the needs of the staff for licensing, credentialing, education and training.
  • Collaborates with staff to ensure the Tribe's representation at essential local, state, and federal health & wellness program meetings and activities.
  • Responsible for DWC internal and external customer service, quality assurance, and process for resolution of un'ina concerns, complaints and grievances in a timely manner.
  • Ensures workplace safety guidelines are followed for staff, vendors, and un'inas.
  • Responsible for meeting healthcare regulatory requirements to include risk management, infection control, and customer safety.
  • Responsible for working with the Health Board and the appropriate staff on contract service negotiations (i.e., IHS Annual Funding Agreement, Central Peninsula Hospital, Southcentral Foundation, Alaska Native Tribal Health Consortium, and other outside agencies as needed).
  • Assesses and reviews progress of integration of care through the Dene' Philosophy of Care, and reports findings to the Health Board and Tribal Council.
  • Communicates to Health Board and Tribal Council about DWC events.
  • Communicates to staff Tribal updates, events, and activities.

It is the intent of this job description to highlight the essential functions of the position; however, it is not an all-inclusive list.  The incumbent may be called upon and required to follow or perform other duties and tasks requested by his/her supervisor, consistent with the purpose of the position, department and/or the Kenaitze Indian Tribe's objectives.

Working Conditions

Lifting Requirements

Sedentary work Exerting up to 10 pounds of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body.  Sedentary work involves sitting most of the time.  Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.

Physical Requirements

Stand or Sit (Stationary position)

Use hands/fingers to handle or feel (Operate, Activate, Use, Prepare, Inspect, Place, Detect, Position)

Talk/hear (Communicate, Detect, Converse with, Discern, Convey, Express oneself, Exchange information)

See (Detect, Determine, Perceive, Identify, Recognize, Judge, Observe, Inspect, Estimate, Assess)

Repetitive Motion

Hazards and Atmospheric Conditions


OSHA Categories

Category II Normal routine involves no exposure to blood, body fluid or tissue, but exposure or potential for exposure may occur

Equipment and Tools

List Equipment used for job:  Computer, fax, scanner, copier and other office equipment.

Drives KIT or Personal Vehicle: Personal





Comments: Travel required for training and meetings.



  • Bachelor's degree in Healthcare Administration, Clinical or directly related field.
  • Master's degree in Healthcare Administration, Public Policy or directly related field preferred.


  • Seven (7) years of healthcare operations experience with oversight of over five direct managerial reports.
  • Non-Degree equivalency is five years managerial experience directing a budget of more than $10M and a minimum of three supervisory direct report positions during those five years.
  • Experience in the development of health program strategies and service delivery.
  • Experience in policy and procedure development & implementation.
  • Experience with the development of quality assurance standards, and quality improvement.
  • Experience working with Alaska Native/American Indian people.


  • Have a valid Alaska driver's license or obtain within 90 days and remain insurable under Kenaitze Indian Tribe's policy.

Special Skills

  • Solid working knowledge of budgeting and grants management.
  • Solid working knowledge of health accreditation standards and implementation.
  • Knowledge of primary care, dental, behavioral health operations, service delivery and an integrated model of care.
  • Knowledge of healthcare regulatory requirements, risk management and privacy compliance.
  • Knowledge of change management techniques.
  • Excellent interpersonal, communications, public speaking, and presentation skills.
  • Aligned with Kenaitze Indian Tribe's history, governance structure, subsistence, Tribal enrollment, and cultural heritage, as well as factors impacting sovereignty and self-governance.
  • Knowledge of legal, political, social, cultural and economic issues of the Kenaitze Indian Tribe.
  • Knowledge of the Alaska Tribal Healthcare System, Indian Health Service and Self-Governance.
Kenaitze Indian Tribe
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