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Indian Health Service The Federal Health Program for American Indians and Alaska Natives

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Direct Tribal Hire



The majority of Indian health professionals are employed with one of the more than 560 federally recognized Tribes throughout 35 states. While positions listed as Tribal hire are not part of the federal personnel systems, employment benefits are comparable to those offered by federal personnel systems, but vary depending on the Tribe and the position.


Direct Tribal hires may offer employees more flexible work schedules that can be adjusted to meet individual needs. And, in some instances, salaries can be adjusted to offer incentives in high cost areas.

All applications and negotiations of compensation, benefits and advancement must be handled with the specific Tribal Human Resources (HR) departments with whom you are pursuing employment.

Contact an IHS recruiter for Tribal HR department contact information.