DUTIES & RESPONSIBILITIES: • Administrative management responsibilities for all medical programs. • Collaborates with medical and community health staff to establish, implement, evaluate and develop departmental programs, goals, policies and procedures. • Assists departmental directors to develop and implement disease management programs to address high risk populations. • Responsible for developing, presenting, and justifying program budget requests. Monitors budget and funding provided for department operations. • Participates in the recruitment and selection of participating health care professionals and other ancillary staff. • Oversees compliance with federal regulations and Contract/grant program guidelines. • Responsible for development and presentation of department reports • Assures that adequate staff and resources are contracted for the provision of medical and behavioral health services. • Member of Health Board and Medical Trustees • Works with Indian Health Service, local, state and Public Health Service agencies. • Attends regularly scheduled local, state, and national conferences. • Works cooperatively with other departments of the Fort McDowell Yavapai Nation • Meets regularly with Clinical and Behavioral Health Staff, Health Board, Medical Trustees, General Manager, Tribal Council and the Community to develop and implement department programs and evaluate program outcomes

Fort McDowell Yavapai Nation 

Responsible for the day to day operation of a multi-provider health center. Oversees medical care, and treatment to patients of the Wassaja Memorial Health Center, and oversees quality and appropriateness of healthcare services provided at both the clinic and by outside vendors.

SKILLS, ABILITIES & KNOWLEDGE: • Knowledge of the principles and practices of medical diagnosis, treatment and prescribing drugs; • Knowledge of accreditation and performance improvement requirements and duties; • Knowledge of available medical services and programs; • Knowledge of Indian Health Service. • Knowledge of medical research techniques and sources utilizing research systems; • Knowledge of basic principles of budget development and presentation; • Knowledge of the principles of management/supervision/administration, personnel management, record keeping; • Knowledge of grant and contract funding • Skill in effectively and efficiently managing a high patient care team consisting of a variety of medical, nursing and allied healthcare staff; • Skill in utilizing a computer with word processing, database, and spreadsheet software; • Skill in establishing and maintaining effective and cooperative working relationships with other departments of the Fort McDowell Yavapai Nation, other local, state and Federal agencies, contractors, vendors, patients, their families and other interested parties. • Skill in development of annual budgets and monitoring expenses. • Skill in policy and procedure development. • Skill in accreditation compliance and maintaining high standards of care throughout WMHC. 

MINIMUM QUALIFICATIONS & EDUCATION: Degree: Masters in Healthcare, Nursing, Public Health, Business, or a related field. Applicants must have 5 years experience. Some examples of this qualifying experience are: • Experience in making decisions relative to consultation with members of medical and healthcare staff. • Experience in oversight of clinical care, interviewing prospective physicians and mid-level practitioners, supervising Physicians, and evaluating patient care through an ongoing quality improvement program that identifies problems and their resolution. • Experience in providing clinical oversight and is responsible for all health care delivered. • If applicable, credit will be given for paid and unpaid experience. To receive proper credit, you must show the actual time (such as the number of hours worked per week) spent in activities. • Working knowledge of Indian Health Service, federal, state and local health regulatory policies and guidelines preferred

Medical Center Director

Fort McDowell Yavapai Nation
Human Resources Department
Attn: Recruiter
P.O. Box 17779
Fountain Hills, AZ 85269
Phone: 480-789-7138
Fax: 480-816-0419
recruiter@ftmcdowell.org

Leads, plans, and implements the Nation’s community and economic development strategies in alignment with Tribal Council priorities.
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Provides executive direction to the Tribal Housing Department, ensuring safe, accessible, and culturally appropriate housing programs and long-term community planning.
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Oversees the Public Works Department to support the planning, construction, and maintenance of critical infrastructure, roads, facilities, and utilities.
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Directs the Environmental Department in implementing sustainable practices and compliance with tribal, state, and federal environmental regulations.
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Guides the Project Management Office to ensure timely, efficient, and cost-effective execution of capital improvement and community development projects.
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Proactively researches and evaluates economic opportunities; conducts feasibility studies and cost-benefit analyses related to development projects.
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Develops, submits, and manages federal, state, and private grants, ensuring programmatic and fiscal compliance with applicable laws, deadlines, and reporting requirements.
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Maintains effective working relationships with funding agencies, regulatory bodies, and stakeholders.
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Establishes and updates department policies and procedures to align with tribal priorities, legal requirements, and best practices.
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Provides high-level strategic guidance to department staff to improve operations, efficiency, and team morale.
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Promotes an inclusive and supportive working environment, taking appropriate actions to resolve personnel issues in a timely and professional manner.
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Oversees preparation of departmental budgets; monitors expenditures to ensure alignment with goals and grant conditions.

Ensures departmental compliance with tribal, federal, and state laws, codes, and ordinances.
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Coordinates with Tribal Council, legal counsel, and community representatives on project planning and policy development.
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Represents the Nation on local, state, and national committees and task forces.
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Leads the recruitment, development, and performance evaluation of departmental staff, ensuring accountability and professional growth.
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Identifies and removes barriers to development, including outdated local ordinances, zoning issues, or infrastructure limitations.
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Prepares comprehensive reports and presentations to Tribal Council on departmental activities, proposals, and outcomes.
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Able to work nights, weekends, and holidays as needed.


Under the general direction of the General Manager, the Community and Economic Development Director (CEDD) provides strategic leadership and oversight for economic planning, community development, and resource acquisition for the Fort McDowell Yavapai Nation. The Director is responsible for securing and managing federal, state, and private grants, maintaining regulatory compliance, updating and developing policy, and promoting a positive and accountable work culture. In addition, the Director provides executive-level leadership over the Tribal Housing Department, Public Works Department, Environmental Department, and Project Management functions—ensuring that each division supports the Nation’s vision for sustainable growth, community well-being, and infrastructure excellence. The ideal candidate will have a demonstrated track record in leadership, policy development, fiscal management, grant administration, and creating collaborative working environments.

KNOWLEDGE/SKILLS:
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Expert knowledge of modern principles and practices in economic and community development, tribal governance, public administration, and grant management.
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Strong working knowledge of federal grant compliance requirements, including 2 CFR Part 200 (Uniform Guidance).
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Demonstrated success in securing and managing multimillion-dollar grant awards.
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Broad understanding of housing, public infrastructure, environmental sustainability, and capital project planning within a tribal government context.
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Ability to develop and revise policies that enhance operational effectiveness and community benefit.
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Exceptional interpersonal and communication skills with the ability to lead diverse teams and build consensus across stakeholders.
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Advanced analytical and organizational skills with the ability to manage multiple complex projects simultaneously.
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Strong understanding of tribal sovereignty, jurisdictional issues, and intergovernmental relations.
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Demonstrated success fostering a positive, ethical, and results-driven team culture.


1) Master’s degree in Economic Development, Planning, Public Administration, Business Administration; 2)And/ or Minimum of six (6) years of progressive leadership experience in project management, economic development, or construction management, preferably within a tribal government or public-sector setting.3) Proven experience writing and managing grants, with documented compliance and successful outcomes.4) At least three (3) years of supervisory experience, with a strong record of building positive and productive working environments. 5) Knowledge and experience in tribal governance, sovereignty, and community engagement strategies. 6)Must possess a valid AZ driver’s license and able to meet FMYN insurance requirements.


CEDD Director 

Responsible for the overall operations and reporting of all FPSHD department objectives which include but is not limited to administration, tenant selection, construction, property management, finance, home ownership, modernization, maintenance, rental assistance, resident services, regulatory oversight, public safety and public outreach.

Plan, direct and coordinate activities of the FPSHD which include but not limited to housing programs consistent with NAHASDA, the approved Indian Housing Plan or any other FPSHD funded programs to ensure that the goals and/or objectives are accomplished within the prescribed time frame and funding parameters, that all reporting requirements are met within the mandated timeframes and all activities to conform to all applicable Tribal, State and Federal laws.

Oversight of all FPSHD employees and departments but not limited to completing personnel actions as outlined by FPSHD policy, establish employee performance expectations, monitor employee performance, provide guidance to insure efficient and effective service to FPSHD participants.

Performs the functions of “Contract Officer” for the FPSHD to ensure progress on all approved FPSHD contracts, monitors activities of FHSHD contracted personnel, receives bids, and supervises all construction/modernization activities. Insures all contract activities are in compliance with all applicable Tribal, State or Federal law(s).

Maintain a working relationship with the Housing Committee and FBC, provide regular updates on all pertinent management and development activities of the FPSHD as well as advise and make recommendations to the Housing Committee and/or FBC on all matters requiring policy determination or guidance approval. The director, or his/her designee, will also act as Secretary“ex-officio” to the Housing Committee to prepare all meeting materials, maintains appropriate minutes, files and records.

Ensure sound fiscal management practices of all FPSHD activities in accordance with GAAP ( Generally Accepted Accounting Principles) which includes but not limited to preparation and oversight of the FPSHD budget, contracts, internal controls, segregations of duties and coordination audit requirements to insure that all FPSHD activities are consistent with approved FPSHD activities and/or approved policies and guidelines.

Responsible for the compliance, enforcement and periodic updating of all applicable housing authority policies and regulations, including but not limited to tenant/homebuyer accounts receivables, admissions/occupancy, rental housing, construction, MEPA ( Mutual Equity Payment Account), rehabilitation, crime prevention, drug and alcohol, personnel manual and any other applicable law(s) and/or policies.

Develop new housing opportunities which include but not limited to grant proposal development, planning and implementation of strategies to enhance revenue growth develop opportunities to diversify FPSHD portfolio to attract additional revenue and funding sources for housing improvements and/or housing development.

Direct and coordinate the conveyance of existing Mutual Help units to eligible homeowners.

Responsible for the Tribal Employment Right Program (TERO), a Tribal ordinance designed to enhance and enforce job opportunities for federal contract for the Fallon Paiute-Shoshone Tribe

Coordinate and collect TERO fees of 2% of each project where applicable

Other job related duties as assigned by the supervisor

Fallon Paiute-Shoshone Tribe

The Housing Director will effectively coordinate and manage all operations of the Fallon Paiute-Shoshone Housing Department (FPSHD) to provide housing services to the Fallon Paiute-Shoshone Tribes service area. The Housing Director is responsible for the overall administration, implementation, coordination and management of the Housing Programs which includes but not limited to mutual help, low-rent, NAHASDA (Native American Housing and Self Determination Act) and Title VI programs as well as any other programs approved by the FPSHD and recommended by the Housing Committee and/or the Fallon Business Council (FBC).

1.Demonstrate knowledge of the Native American Housing Assistance and Self-Determination Act

(NAHASDA) and its regulations; knowledgeable with requirements and all program opportunity related activities including rental housing, construction, homebuyer programs, rehabilitation and crime prevention services. Other major topics include the Indian Housing Block Grant (IHBG) Formula, eligible program participants, income verifications, other federal requirements, financial management and program administration.

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

Bachelor’s Degree from an accredited college and/or university with an emphasis on Business Administration, Finance/Accounting, Planning, Public Administration or related field 

 three (3) years of Administrative Management experience in an Indian Affiliated Organization or a Public Housing Authority; 

Combination of education, housing management certification and program experience which includes five (5) years supervisory experience managing and implementing a Tribal or Public Housing Program.

Housing Director 

Oversee the development, implementation, and management of all medical and psychiatric programming and services, ensuring high-quality care for individuals in acute mental or behavioral health crises.

Collaborate with the multidisciplinary team to ensure coordinated, patient-centered care and smooth transitions between services.

Medical Staff Leadership and Supervision:

Provide clinical oversight and direct supervision for all licensed medical staff, including Psychiatric Providers and the Nursing Manager.

Participate in the recruitment, training, and performance management of the medical team, fostering a culture of collaboration and professionalism.

Ensure all medical operations comply with applicable state, federal, and Tribal regulations (e.g., RCW 71.05, WAC standards, 42 CFR Part 2, and HIPAA).

Develop, implement, and contribute to the facility’s medical quality assurance and performance improvement initiatives.

Partner with clinical leadership to ensure treatment and stabilization services are patient-centered, evidence-based, and culturally appropriate.

May provide direct patient care via psychiatric intake assessments, individual, and group services as necessary.

Partner with Tribal representatives to integrate Tribal culture and values into medical care, training, and policies.

Demonstrate cultural humility and awareness when working with American Indian/Alaska Native patients and families.

Provide input into the budget process for medical services.

Provide after-hours medical and administrative support as required for the facility’s 24/7 operations.

Jamestown Salish Seasons 

Jamestown S’Klallam Tribe is expanding its healthcare offerings in the form of a brand new, state-of-the-art Evaluation and Treatment (E&T) Center, named Jamestown Salish Seasons, constructed on the Jamestown Healing Campus. The Medical Director role is scheduled to begin on March 1, 2026, as a full-time position. This start date provides a unique opportunity for the Medical Director to engage directly in pre-operational planning, including the completion of Policies and Procedures required for licensure, and to lead the critical recruitment, hiring, and training of the clinical staff they will supervise.

This is a unique and exciting opportunity:

This facility is the first and only Tribally owned and operated E&T in Washington State.

It is classified as a freestanding, 16-bed Residential Treatment Facility (RTF) designed to provide 24/7/365 behavioral health inpatient treatment, including crisis stabilization, diagnosis, medication management, and more.

The Center’s operational focus is on voluntary treatment as opposed to involuntary, ensuring our treatment offerings are designed from the ground up to provide world-class, recovery-oriented care.

We are committed to evidence-based, culturally responsive, and trauma-informed treatment that honors our mission, values, and standards for quality and safety.

We are seeking a highly experienced and licensed Medical Director to provide strategic clinical leadership and oversight of all medical and psychiatric services at the Jamestown Salish Seasons facility. This key leadership role is responsible for ensuring medical care aligns with the highest standards of quality, safety, and regulatory compliance in a patient-centered environment. The Medical Director collaborates closely with the Executive Director and other members of the leadership team to implement evidence-based practices, foster continuous quality improvement, and ensure compliance.

Doctor of Medicine (MD), Doctor of Osteopathy (DO), or Psychiatric Mental Health Nurse Practitioner (PMHNP).

Active Washington State licensure required.

Minimum of two (2) years of psychiatric leadership experience.

Experience in an inpatient, crisis stabilization, or institutional setting.

Comprehensive understanding of psychiatric treatment modalities, crisis intervention, de-escalation, and risk management strategies.

Strong clinical leadership, staff management, and team building skills.

Proficiency in Electronic Health Records (EHR) systems and documentation standards.

Deep knowledge of relevant legal and regulatory standards (e.g., RCW 71.05, HIPAA, 42 CFR Part 2).

Experience working with Tribal communities.

American Indian/Alaska Native preferences apply.

Jamestown Salish Seasons
706 S 9th Sequim, WA 98382
info@jamestownsalishseasons.org

Medical Director 

Provide patient-centered medical care within scope of license, training, and credentialing.

Assess patient health through interviews, physical exams, medical history reviews, and diagnostic testing.

Order, interpret, and act on diagnostic tests (e.g., labs, EKGs, x-rays).

Diagnose and treat acute and chronic conditions, including injuries and infections.

Administer injections, immunizations, and perform minor procedures (e.g., wound care, lesion removal).

Counsel patients on health promotion, disease prevention, family planning, and emotional well-being.

Ensure accurate, timely medical documentation and compliance with clinic policies.

Jamestown Family Health Clinic 

The Jamestown Family Health Clinic (JFHC) operates a nationally recognized model of care dedicated to delivering high-quality, patient-centered healthcare. Owned and operated by the Jamestown S’Klallam Tribe, JFHC is a Tribal Federally Qualified Health Center (FQHC) serving both Tribal citizens and non-Tribal community members. We provide care to over 18,000 patients with satisfaction scores that consistently exceed national benchmarks.

Rooted in the belief that community wellness is deeply connected to environmental health, JFHC offers a care experience built on relationships, collaboration, and long-term sustainability. As the largest family practice clinic on the Olympic Peninsula, we offer a team-based environment that supports both patients and providers alike.

Advanced Registered Nurse Practitioner (ARNP)

 with a strong clinical foundation to join our 

. This is an excellent opportunity for a 

 to deliver comprehensive, full-spectrum 

, supported by a resourceful medical group that includes an in-house 

orthopedist, chronic pain specialist, clinical pharmacist, behavioral health team, and tele-psych practitioners

 4-day work week with sustainable patient volumes (16–22 per day) and a 

competitive compensation model that rewards productivity

, offering greater earning potential based on the number of patients you see.

 No hospital rounding or inpatient responsibilities.

 High Nursing and MA-to-provider ratios, on-site Epic EHR support.

 Incentive opportunities, professional development, and continuing education support.

 Work closely with in-house and telehealth specialists for integrated care.

Nestled between the Olympic Mountains and the Strait of Juan de Fuca, Sequim, Washington offers an exceptional balance of professional fulfillment and outdoor adventure. Thanks to its unique position in the Olympic Rain Shadow, Sequim enjoys a mild, sunny climate and year-round recreational opportunities from hiking and biking to kayaking and fishing. Join a welcoming, close-knit community that values health, sustainability, and connection.

Certification by one of the following: AANPCB, ANCC, DNCB, NCC, PNCB, or ONCC.

Current DEA Certificate (without restriction) and 

Proficiency with Microsoft Office Suite and electronic medical records (EMR).

Strong interpersonal, communication, and collaborative skills.

The Jamestown Family Health Clinic (JFHC) is owned and operated by the Jamestown S’Klallam Tribe and provides primary medical services to both Tribal and non-Tribal community members seeking quality healthcare.

Surrounded by natural beauty and full of small-town charm; Sequim is a popular destination for outdoor enthusiasts and is one of the driest places in western Washington. An active arts community, vibrant downtown, and diverse culinary options make Sequim the cultural and commercial heart of the magnificent Olympic Peninsula. Moments away from the Olympic National Park and the Straits of Juan de Fuca you can enjoy all the spectacular views and activates from Sea to Ski.

Jamestown Family Health Clinic
808 N 5th Ave Sequim, WA 98382


Advanced Registered Nurse Practioner 

Conducting physical exams, diagnostic evaluations, and managing treatment plans.

Providing preventive care and patient education to promote long-term wellness.

Collaborating with our integrated care team to ensure coordinated, seamless patient experiences.

Managing medications in partnership with our on-site clinical pharmacists.

Maintaining accurate documentation within the EPIC electronic health record system.

Contributing to quality improvement and professional development initiatives.

We’ve built a professional environment designed to support clinical excellence and work-life balance:

 The average length of service for our physicians is 5 years and 4 months, reflecting a stable, supportive, and rewarding work culture.

 4-day work week with sustainable patient volumes (16–22 per day) and a competitive compensation model that rewards productivity offering greater earning potential based on the number of patients you see.

 No hospital rounding or inpatient duties.

 High nursing and MA-to-provider ratios, two on-site clinical pharmacists, and dedicated EHR “elbow support.”

 Work closely with on-site Behavioral Health, Orthopedics, Dermatology, and Chronic Pain Management.

 Certified Diabetes Education, Medication-Assisted Treatment (MAT), Dedicated Immunization RN Specialist, Drive-through Anti-Coag management, and Population Health and Preventative Health team. Nurse-facilitated Transitional Care Management, Behavioral Health support, Dedicated Tribal Health Nursing resource

 HRSA and IHS loan repayment eligibility available.

We are seeking a Family Practice Physician who values teamwork, connection, and compassionate care. In this role, you’ll provide comprehensive primary care for patients of all ages—from newborns to seniors—supported by an experienced, multidisciplinary care team and leadership committed to your success and well-being.

Completion of an accredited Family Medicine residency program.

Board Certified or Board Eligible in Family Medicine.

Active and unrestricted Washington State medical license (or eligibility to obtain).

Current DEA registration and BLS certification.

A compassionate, collaborative, and patient-centered approach to care.

Family Physician MD-DO 

Providing preventive care, chronic disease management, and patient education to promote long-term wellness.

Performing therapeutic procedures and managing acute illness and injury.

Managing medications in partnership with on-site clinical pharmacists.

Participating in quality improvement, professional development initiatives, and program development activities.

Assisting with after-hours and weekend on-call coverage as scheduled.

 4-day work week with sustainable patient volumes (16–18 per day) and a competitive compensation model.

 Primarily outpatient care with limited after-hours/on-call responsibilities; no inpatient rounding.

 High Nursing/MA-to-provider ratios, two on-site Clinical Pharmacists, and dedicated EHR “elbow support.”

 Work alongside Behavioral Health, Orthopedics, Dermatology, and Chronic Pain Management specialists.

 Certified Diabetes Education, Medication-Assisted Treatment (MAT), Dedicated Immunization RN Specialist, Transitional Care Management, and Population Health initiatives.

Rooted in the belief that community wellness is deeply connected to environmental health, JFHC offers a care experience built on relationships, collaboration, and long-term sustainability. As the largest family practice clinic on the Olympic Peninsula, we provide a team-based environment that supports both patients and providers alike.

We are seeking a Certified Physician Assistant (PA-C) who brings a strong clinical foundation to patient care and values teamwork, connection, and compassionate practice. In this role, you’ll provide comprehensive primary care for patients of all ages from newborns to seniors, supported by an experienced, multidisciplinary care team and leadership committed to your success and well-being.

Graduate of a Physician Assistant program accredited and recognized by the State of Washington.

National Certification (NCCPA) and active, unrestricted WA State PA license.

Current DEA registration and BLS/ACLS certification.

Clinical competence in primary care, chronic disease management, acute care, and medication administration.

Strong interpersonal, organizational, and communication skills.

Ability to work collaboratively in a multidisciplinary team and participate in program development.

Physician Assistant-Certified 

To view a full listing of jobs with NCAI, visit:

 

NCAI welcomes American Indian, Native Hawaiian and Alaska Native businesses, governments and organizations to submit open positions to NCAI.


Employers are welcome to submit postings if they fit one of the following criteria:

The position requires a significant amount of interaction with tribal communities

The position requires specific skills (e.g. fluency in a native language, knowledge of federal Indian law)

The business or organization is a member of NCAI in good standing.

All postings are subject to approval and will remain on the site for no more than 45 days.

 and include a contact email, organization, duties and responsibilities, skills and qualifications and any other relevant information for the job.


 We do not accept individual resumes on behalf of or for non-NCAI job opportunities.

Working in Indian Country

Medical Center Director

Fort McDowell Yavapai Nation

CEDD Director

Fort McDowell Yavapai Nation

Housing Director

Fallon Paiute-Shoshone Tribe

Medical Director

Jamestown Salish Seasons

Advanced Registered Nurse Practioner

Jamestown Family Health Clinic

Family Physician MD-DO

Jamestown Family Health Clinic

Physician Assistant-Certified

Jamestown Family Health Clinic

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