Wind River Cares, click for home. Wind River Cares, click for home.

14 Great Plains Road
Arapahoe, WY 82510
(307) 856-9281

P.O. Box 1310
Riverton, WY 82501

Hours of Operation:
Mon-Fri: 8-5

Salary: Negotiable
Opening Date: October 3, 2018
Closing Date: Open Until Filled

Wind River Family & Community Health Care is seeking applicants for the position of Chief Operating Officer, Wind River Family and Community Health Care systems. Wind River Family & Community Health Care provides ambulatory health care for the service population of the Wind River Reservation. This position, (COO) serves as a member of the Administrative Department, with direct supervision exercised by the CEO, located in Riverton, Wyoming. 

Major Duties:

The Chief Operating Officer will serve as on of the two Senior service Managers for the operations of the WRFCHC system. Senior Service Managers act as the General Managers and coaches to the department heads under their line responsibility and authority. As such, the COO ensures that operation objectives and results are in accordance with the overall organizational goals and meet patient service needs. The COO will work to develop the right strategies and tactics to deliver desired business and service outcomes and to determine the work that needs to be done, how much to invest in which efforts and how to prioritize opportunities within the departments under their supervision. The COO reports to, and works with the CEO to match the right people with the right departments and duties. The COO is an administrator, and has no responsibilities for direct staff duties, however they may be assigned certain special assignments when development of new models of service are proposed. The COO must be available to department heads over which he/she has responsibility.

The COO will coordinate his/her efforts with those of the Clinical Care Operations Officer (CCOO) who is their counterpart but who has responsibilities and oversight of clinical care operations/departments. The COO and CCOO will work as a team to resolve general management issues for their respectively assigned departments and report directly to the Chief Executive Officer (CEO) of the WRFCHCS, who retain final approval of any actions/resources beyond their scope of work.
The COO has overall responsibility for profit-and-loss accountability and for meeting quality and performance measures for the departments under their management authority. He/she must develop a strategic view of the core capabilities of the broader WRFCHCS operation and efficiently secure the resources needed from the CEO. The COO must hold an integrated perspective of the health system as a whole and understand how their part of the business fits in with the larger enterprise.
The COO is part of the CEO’s management team. Assigned department heads report to and work through their COO in ensuring that they have the appropriate resources and policies, procedures in place that insure coordinated services across departments for quality patient care and responses. The COO is responsible for reporting to the CEO on departmental performance and to insure that each department under their management is equipped with the right capabilities and people who possess the necessary skills and tools, and that they are deployed appropriately.

Essential Functions:

The COO is responsible for effective and efficient operation of all non-clinical services and supports that are essential for clinical operations at WRFCHCS facilities.
He/she provides administrative direction, evaluation, and coordination of the functions and activities between assigned departments to ensure the operation objectives and results are in accord with the health systems overall needs, including the authority to recommend hiring or termination of employees, subject to the approval of the CEO.
He//she communicates routinely with the CEO concerning policy recommendations and suggested courses of action pertinent to the efficient operation of assigned departments and recommends departmental reorganization when necessary to carry out these recommendations or improve efficiency.
He/she implements new policies, disseminates pertinent information following administrative directives; and recommends improvement of health system facilities in assigned areas, including construction or renovation of structures or purchasing new equipment.
The COO promotes complete involvement of the department’ heads in the preparation of the department’s budget and cost categories, educating them on the importance of the budget, forecasting and planning process.
He/she advises and makes recommendation to the CEO concerning budget, cost, and financial matters and encourages and assists department heads in establishing a measure of performance, increased productivity, quality improvement, cost controls, and maximum utilization of facilities.
The COO advises the CEO when executive action is necessary to accomplish these goals and he/she works with the CCOO in planning the activities of the individual department in relations to the other clinical care departments so as to obtain a better understanding or each other’s problems and resolve potential interdepartmental conflicts.
Responsibilities associated with these essential functions include:
Evaluate production processes for compliance with quality requirements
Identification of opportunities to improve processes and patient care
Develop and implement quality management strategy and plans, including resources, systems, timescales, and financials to support the organization's annual business plan and long term strategy.
Ensures improvement opportunities are prioritized based on their occurrence and expected impact on patient outcomes.
Provides guidance to management to ensure performance initiatives are structured with regard to data collection, analysis of metrics establishment of benchmarks and regularly monitoring to determine progress.
Develops plans of improvement for areas of high risk relevant to accreditation.
Leads a team of highly skilled and motivated healthcare professionals. By providing leadership, mentoring and coaching the COO will keep department heads striving for the highest level of quality and compliance standards.
Performs regular analysis of facility quality and risk performance data, and plans steps based on data analysis for ongoing improvement.
Responsible for the ongoing review, revision, and implementation and/or adoption of relevant policies and procedures, plans, and manuals as appropriate.
Serve as the subject matter expert for accreditation and regulatory requirements for the departments so as to advise and support departmental operations.
Works in concert with the Services Management Team to development workforce strategies, workforce competencies and labor management strategies.
Collaborates with the CCOO and Services Management Team members to formulate strategies and/or initiatives, to advance clinical quality and operational excellence to achieve best practice in patient satisfaction, patient safety, clinical outcomes, operational alignment, caregiver and provider engagement, financial value and provider satisfaction.
Demonstrates 100% commitment to performing according to the WRFCHCS values and representing the health care system in a positive and professional manner.
Establishes and maintains effective communication and good working relationships with administrative team members and department heads.
Utilizes initiative; strives to maintain steady level of productivity; self-motivated; manages activity and time.
Follows policies and procedures for infection control, safety, and risk management to ensure a safe environment for patients, public and staff.
Utilization of Agile Management Lean Health Care principles to guide their management and actions.

Complexity of Work:

Requires critical thinking skills, decisive judgment, senior managerial skills and the ability to work with minimal supervision.
Must be able to work in a stressful environment and take appropriate action.


Master’s Degree in health care, business or a related field preferred, or equivalent combination of education and experience.
Three or more years experience in progressive healthcare management or similar executive level experience required.

Knowledge, Skills, Abilities and Behaviors

Current knowledge of tribal, state and federal guidelines for health system operations of multiple disciplines and requirements for accreditation of the Accreditation Association for Ambulatory Health Care
Demonstrated expertise in negotiation coaching and interpersonal skills.
Skill in communicating information in an open and sincere manner that promotes credibility (e.g. honest answers to tough questions).
Skill in recognizing strategic business opportunities resulting from changes in the economic, technological, political/legal, or social environment.
Willingness to focus on employee development through exposure, experience and feedback.
Knowledge of customs and traditions of the People of the Wind River Indian Reservation and ability to work with diverse populations.
Excellent computer skills including ability to navigate diverse software programs and systems.
Excellent skills in data collection and analysis

Physical Requirements:

Requires full range of motion, manual and finger dexterity and eye-hand coordination.
Requires standing and walking for extensive periods of time.
Requires normal or corrected hearing and vision to normal range.
Indian Preference applies to this position.
ADA accommodations available.

Knowledge Required:

Knowledge of and willingness to learn medical best practices, regulatory requirements and accreditation processes.
Strong quantitative, analytical and statistical problem solving skills required.
Outstanding communication skills, interpersonal and teamwork skills, and the ability to work proactively and collaboratively with employees at all levels of the WRFCHC.
Advanced experience with Microsoft and/or Google office products necessary.
Experience and/or education in health or computer science and/or advanced administrative procedures is required.
The successful applicant must have the ability to conduct special studies and investigations, organize the results and present them verbally and in writing.
Must have the ability to prepare instructional materials and present them effectively.
Other duties as assigned.

Personal Attributes:

The incumbent must maintain strict confidentiality and high ethical standards in performing the position. The incumbent needs to be respectful, possess cultural awareness and sensitivity, be flexible, and demonstrate sound work ethics. Indian preference applies.

How to Apply:

Complete a Northern Arapaho Tribal application form and submit it to the Northern Arapaho Human Resources program. Applications can be mailed to Northern Arapaho Human Resources, P.O. Box 396, Fort Washakie, WY 82514. Applications can also be hand delivered to Northern Arapaho Human Resources at the Tribal Complex Building, located at 533 Ethete Road, Ethete, WY, or delivered to HR Director Kevin Blankenship at the 12th Street Medical Building in Riverton, WY.

Application forms can be obtained on the Tribe’s website at or
For more information please call 307-335-3964/3970. Fax Number: 307-335-3596.