Business Office Manager Opportunity with the Indian Health Service in Warm Springs, Oregon

Are you an experienced healthcare administrator seeking a fulfilling career that combines leadership, financial management, and public service? The Indian Health Service (IHS), an agency under the U.S. Department of Health and Human Services, is currently accepting applications for a Business Office Manager (GS-10) in Warm Springs, Oregon.

This position plays a critical operational role in maintaining the financial integrity and administrative standard of healthcare facilities serving Native American communities. In this comprehensive guide, we examine the responsibilities, qualification standards, salary structure, benefits package, and application strategies required to successfully land this position.

About the Agency: Indian Health Service (IHS)

The Indian Health Service (IHS) is an innovative nationwide organization dedicated to providing comprehensive, culturally acceptable personal and public health services to over 2 million American Indians and Alaska Natives.

Working for IHS offers professionals an opportunity to engage in community-oriented, adventurous healthcare delivery as part of an interdisciplinary team. Employees are dedicated to improving health outcomes, solving complex administrative challenges, and restoring financial resources into tribal healthcare programs through efficient revenue cycle management.

Job Responsibilities & Core Duties

As the Business Office Manager, you will lead the business office team and manage administrative and financial functions that directly impact facility operations. Key duties include:

Revenue Cycle Management: Direct programs responsible for identifying, tracking, billing, and collecting reimbursements from third-party health plan carriers (commercial insurance, Medicare, Medicaid) for inpatient and outpatient clients.
Technical Leadership & Advisory: Serve as the technical expert advising upper management and staff regarding alternative resource programs, Contract Health referrals, and federal reimbursement rules.
Patient Registration Oversight: Ensure robust procedures for capturing patient insurance details during intake, including managing client questionnaires, release forms, and third-party claim verifications.
Supervisory Administration: Manage day-to-day operations for a team of accounting technicians, billing technicians, and patient registration clerks. Key responsibilities include distributing workloads, approving leave, conducting annual performance appraisals, and delivering staff training.

Key Qualification Requirements

To qualify for the GS-10 grade level, candidates must meet specific experience standards set by the Office of Personnel Management (OPM) and IHS.

Specialized Experience

Applicants must possess at least one (1) year of specialized experience equivalent to at least the GS-09 grade level in federal service or equivalent private sector work. Qualifying experience includes:

Supervisory management of healthcare financing, billing, and third-party insurance collections.
In-depth knowledge of health insurance policy interpretation, reimbursement mechanics, and claim management.
Executive oversight of healthcare administrative activities, medical records processing, and health information management systems.

Critical Application Rule: The 2-Page Resume Limit

IMPORTANT: IHS utilizes a multi-hurdle technical assessment process. Subject Matter Experts (SMEs) evaluating candidate eligibility will ONLY review the first two (2) pages of your resume. Ensure that your specialized experience, supervisory roles, and healthcare finance background are clearly detailed within pages one and two.

Additional Background Checks & Suitability

Child Contact Vetting: Covered under Public Law 101-630, candidates must pass extensive character background checks verifying no history of disqualifying crimes involving children.
Financial Suitability: Applicants must be in good standing with creditors. Unresolved federal/state tax liabilities, defaulted federal student loans, or unpaid court-ordered support may lead to an unsuitable determination.
E-Verify & Real ID: Selected candidates must complete E-Verify checks and possess Real ID compliant identification.

Salary Overview & Pay Scale

The position is graded at the GS-10 level with a competitive base pay structure.

Position Title	Grade Level	Minimum Annual Salary	Maximum Annual Salary	Pay Interval
Business Office Manager	GS-10	$67,970	$88,356	Per Year (PA)

Note: Step increases within the GS-10 grade level occur over time based on satisfactory job performance and longevity.

Federal Employee Benefits & Incentives

Federal service offers robust, comprehensive benefits designed to support long-term career growth and personal well-being:

Health Insurance: Choice of multiple plan designs under the Federal Employees Health Benefits (FEHB) program.
Retirement Package: Dual-component retirement covering the Federal Employees Retirement System (FERS) pension and Thrift Savings Plan (TSP) with up to 5% agency matching.
Leave Accrual: Earn 4, 6, or 8 hours of annual leave per bi-weekly pay period depending on total years of creditable service (non-federal experience may be evaluated for higher accrual rates).
Paid Time Off: 11 paid federal holidays per year plus separate sick leave accrual.
Incentives: Recruitment or relocation financial incentives may be authorized for top candidates, requiring a minimum 1-year service agreement.

Step-by-Step Application Guide & Tips

Follow these steps to submit a complete application package before the closing date of November 16, 2026:

Prepare Your Resume: Keep your resume concise, structured, and focused. Ensure key accomplishments and specialized experience are fully visible within the first 2 pages.
Gather Required Documents:
- Indian Preference: Form BIA-4432 (properly signed by Tribal/BIA official).
- Veterans Preference: DD-214 (Member 4 copy) and Form SF-15 if claiming 10-point preference.
- Federal Status: Latest SF-50 (Notification of Personnel Action).
Apply Online: Log into USAJobs via Login.gov, navigate to the vacancy portal, upload your documents, and complete the applicant questionnaire.
Address Optional Essays: Complete the four short essay prompts regarding constitutional service, efficiency, leadership implementation, and work ethic. Write these responses yourself—do not use generative AI or writing consultants.
Confirm Receipt: Ensure confirmation of submission is generated before 11:59 PM EST on the closing date.

Frequently Asked Questions (FAQ)

Q: Where is this position physically located?

This role is located at the Indian Health Service health facility in Warm Springs, Oregon.

Q: What happens if my resume exceeds two pages?

HR specialists and technical SMEs will ignore page three and beyond. Any qualifying experience documented past page two will not be evaluated.

Q: Can non-Native Americans apply for this vacancy?

Yes. The position is open under multiple hiring paths including Competitive Service, Excepted Service, Veterans, Individuals with Disabilities, and CTAP/ICTAP eligibles. Indian Preference rules apply during final selection selection pools under ESEP.

Q: Is telework or remote work available for this role?

No. This position is listed as non-telework and non-remote, requiring full-time on-site presence in Warm Springs, OR.

The Business Office Manager role with the Indian Health Service in Warm Springs, Oregon, presents a fantastic opportunity for healthcare management leaders to drive financial strength and administrative excellence within Native American healthcare. By tailoring your resume to highlight specialized financial and supervisory experience within the two-page limit, you can position yourself as a top candidate for this rewarding federal role.

Why This Business Office Manager Job Matters

Lead healthcare administration efforts and elevate patient care services as a Business Office Manager with the Indian Health Service in Warm Springs, Oregon.

Business Office Manager Job Overview

The Indian Health Service (IHS), an agency within the Department of Health and Human Services, is seeking a qualified Business Office Manager (GS-10) in Warm Springs, Oregon. This supervisory role oversees vital administrative and revenue operations, including patient registration, medical records management, third-party billing, and insurance reimbursements. Candidates will manage a dedicated team of accounting technicians, billing staff, and registration clerks, ensuring operational efficiency and compliance while supporting healthcare delivery across Tribal communities.

Requirements for Business Office Manager

United States Citizenship is required.
Must undergo and successfully pass a federal background investigation (Moderate Risk).
Must satisfy financial suitability requirements, showing clean standing regarding delinquent federal/state taxes, student loans, and legal financial obligations.
Position falls under Public Law 101-630 (Indian Child Protection and Family Violence Prevention Act), requiring child contact background vetting.
Subject to a mandatory one-year supervisory probationary period.
Must participate in the E-Verify employment eligibility verification system.
Direct deposit registration is mandatory for payroll processing.
Selective Service registration required for males born after December 31, 1959.
Subject to the strict 2-page resume assessment rule during initial candidate evaluation.

Preferred Qualifications for Business Office Manager

Minimum of one year of specialized experience equivalent to the GS-09 grade level in federal service or equivalent private sector experience.
Demonstrated background in supervisory management within healthcare financing and third-party collection operations.
Strong expertise in interpreting private, group, Medicare, and Medicaid insurance plans and reimbursement provisions.
Comprehensive working knowledge of healthcare administrative functions, medical record handling, and health information management systems.
Proven track record of managing personnel, distributing administrative workloads, performing performance reviews, and training staff.

Federal Benefits & Perks

✓Competitive federal salary under the General Schedule (GS-10) pay scale.
✓Comprehensive health, dental, and vision insurance coverage options.
✓Federal Employees Retirement System (FERS) pension and Thrift Savings Plan (TSP) with agency matching.
✓Annual leave accrual starting at 4 to 8 hours per pay period depending on federal service tenure.
✓Paid federal holidays and sick leave accrual.
✓Potential authorization of recruitment or relocation incentives (service agreement required).
✓Creditable non-federal or military service evaluation for higher annual leave accrual rates.

💡 How to Apply Business Office Manager Job & Insider Tips

Application Steps for Business Office Manager Job

Access the official position vacancy via USAJobs and verify eligibility.
Prepare a targeted resume ensuring critical technical qualifications are detailed within the FIRST TWO PAGES.
Gather supporting documentation, including BIA Form 4432 (if claiming Indian Preference), DD-214/SF-15 (if claiming Veteran Preference), and current SF-50 forms (if current/former federal employee).
Click 'Apply Online' on the vacancy posting to log in or create a Login.gov account.
Complete the online questionnaire, upload all required documentation, and answer optional short essay prompts regarding public service ethics and efficiency.
Verify submission confirmation prior to 11:59 PM Eastern Time on the closing date of November 16, 2026.

💡 General Tips

STRICT RESUME LIMIT: Subject Matter Experts will ONLY review the first two pages of your resume. Ensure all relevant supervisory, billing, and administrative duties are prominently placed on pages 1 and 2.
Indian Preference: If claiming Indian Preference, submit a fully executed Form BIA-4432 verified by a Tribal Representative or BIA Official alongside your application.
Financial Preparation: Address any unresolved financial delinquencies (e.g., defaulted student loans, unpaid taxes, child support arrears) prior to applying to pass the financial suitability review.
Custom Prompts: Take time to answer the optional 200-word essay questions authentically without using generative AI, as hiring officials evaluate these during selection.

Frequently Asked Questions

What is the salary range for the Business Office Manager role in Warm Springs, OR?

The position offers a salary ranging from $67,970 to $88,356 per year at the GS-10 grade level.

Is there a specific limit on the resume length for this job application?

Yes. Subject Matter Experts evaluating technical qualifications will review ONLY the first two (2) pages of your resume. Information beyond page two will not be considered.

What are the financial suitability requirements for this federal position?

Applicants undergo a financial background check. Outstanding delinquent debts, defaulted federal loans, unpaid taxes, or court-ordered fee delinquencies may render an applicant unsuitable for employment.

Does Indian Preference apply to this vacancy?

Yes. Applicants claiming Indian Preference under the Excepted Service Examining Plan (ESEP) must attach a completed, signed Form BIA-4432 to receive consideration.

Are relocation or recruitment incentives available?

Recruitment or relocation incentives may be authorized for this vacancy, subject to agency approval and a minimum one-year service agreement.