---
title: 'Physician Assistant at Akicita Federal, LLC'
canonical: 'https://feeny.ai/job/physician-assistant-akicita-federal-llc-rosebud-xqp4dw2zdes6'
type: 'job'
last_seen: '2026-11-09'
---

# Physician Assistant at Akicita Federal, LLC

- **Company:** Akicita Federal, LLC
- **Location:** Rosebud, SD
- **Compensation:** $229k–$239k
- **Posted:** 2026-11-04
- **Last confirmed live:** 2026-11-09
- **Apply:** https://jobs.lever.co/akicita-cyber/b8ab208f-5c56-4844-ad5e-7ffdd2566d79

## Job description

Akicita Federal is hiring a Physician Assistant to provide outpatient primary care services at Rosebud IHS Hospital in Rosebud, South Dakota, serving American Indian and Alaska Native patients of all ages. This position supports the Indian Health Service's Outpatient Department Clinic, delivering comprehensive primary and preventive care across the lifespan.

- Conduct comprehensive new-patient intake visits, including history, complete physical examination, and review of systems
- Diagnose and manage common chronic conditions — including hypertension, type 2 diabetes, asthma, COPD, depression, and anxiety — referring cases beyond PA scope
- Perform well-child examinations, administer childhood and adolescent immunizations, and conduct adolescent confidential preventive visits with risk-behavior screening
- Evaluate and manage acute outpatient complaints presenting during clinic hours
- Perform minor outpatient procedures within PA scope and facility privileges, including laceration repair, incision and drainage, and joint injections
- Screen for intimate partner violence, substance use disorders, and behavioral health concerns, and initiate appropriate referrals
- Manage prescriptions including controlled substance prescribing within PA scope and DEA authority; administer adult immunizations per current ACIP guidelines
- Complete documentation of all patient encounters in the Government EHR within 24 hours using accurate CPT and ICD-10-CM coding

Schedule: Monday through Friday, 8:00 AM to 5:00 PM, excluding federal holidays. Expected start February 2027; an approximately one-year assignment with possible extensions.

What sets candidates apart:

- Experience in FQHCs, IHS facilities, or other rural or underserved community settings

About Akicita FederalAkicita Federal is a Native American-owned federal contractor delivering healthcare, clinical, IT, and program-support services across the Indian Health Service, the Department of Veterans Affairs, and other federal agencies. We hire the people who do the work — clinicians, analysts, engineers, support staff — and we treat them like the professionals they are. Equal Opportunity EmployerAkicita Federal is an equal opportunity / affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law. Akicita Federal complies with the Indian Preference provisions of the Indian Self-Determination and Education Assistance Act (P.L. 93-638) where applicable.

## About Akicita Federal, LLC

## Company Overview
- **One-liner**: Akicita Federal is a Native American-owned 8(a) certified federal contractor delivering managed staffing, healthcare services, project management, IT/cybersecurity, and business support to agencies like IHS, BIA, and VA.
- **Entity Type**: Private (Privately Held)
- **Headquarters**: Lower Brule, South Dakota, United States (with corporate offices in McLean, Virginia)
- **Founded**: 2022
- **Founders**: Mike Shvenderman (CEO) and Andrew Young (COO & CTO)

## Core Business
- **Primary Industries**: Federal Contracting, Healthcare Services, Project Management & Engineering, IT & Cybersecurity, Business Support Services
- **Target Customers**: U.S. federal agencies — Indian Health Service (IHS), Bureau of Indian Affairs (BIA), Department of Veterans Affairs (VA), Export-Import Bank, and other government entities
- **Mission / Purpose**: “Dedicated to protecting our nation through innovative solutions and comprehensive security strategies,” with a focus on national security, homeland security, and supporting hard-to-fill positions in remote and frontier locations.

## Products & Services
- **Healthcare Services**: Medical staffing and operations across 22 active facilities in 8 states — including dental, clinical care, behavioral health, laboratory, and diagnostic imaging. Focus on hard-to-fill clinical roles in remote locations (some accessible only by helicopter).
- **Project Management & Engineering**: Large-scale infrastructure project management for federal facilities (BIA Division of Facilities Management) — civil, electrical, and architectural engineering. 10 FTE team managing 70+ active projects.
- **IT & Cybersecurity**: Security Operations Center (SOC) analysis, firewall engineering, and cybersecurity operations for mission-critical government systems (e.g., Export-Import Bank).
- **Business Support Services**: Administrative support, translation/interpretation, acquisition support, technical writing, and financial analysis for federal agencies.

## Market Standing
- **Valuation / Market Cap**: Not disclosed (private company)
- **Key Metrics**: Total active federal contracts: 38; Portfolio value: $1.1B+; Notable individual contracts: $200M (Business Support Services) and $95M (Program Management Industrial Engineering Support)
- **Notable Investors / Partners**: Not applicable (no external funding rounds disclosed). Partners include IHS, BIA, VA, and other federal agencies. Certified SBA Tribal-Owned 8(a) and Indian Small Business Economic Enterprise (ISBEE).
- **Growth Signals**: Headcount grew 266.7% year-over-year (from ~2 to 9 employees as of latest data); monthly growth of 10%. Rapid contract wins since founding in 2022. Received 8(a) certification in 2024.

## Competitive Advantages
- **Native American-owned 8(a) certification** — provides preferential contracting opportunities with federal agencies.
- **Focus on hard-to-fill positions in remote/frontier locations** — fills roles in areas where other contractors cannot operate (e.g., facilities accessible only by helicopter).
- **Managed services model** — goes beyond placement, offering ongoing quality oversight, credential management, and operational continuity.
- **Multi-domain expertise** — covers healthcare, engineering, cybersecurity, and business support under one roof, enabling cross-functional federal solutions.

## Strategic Focus
- **Expand federal contract portfolio** across healthcare, infrastructure, and cybersecurity domains.
- **Leverage 8(a) status** to win larger, multi-year contracts.
- **Scale the managed staffing model** to serve more remote IHS and BIA facilities.
- **Build out cybersecurity SOC capabilities** for additional government clients.

## Why Work Here
- **Mission-driven work**: Employees contribute directly to national security, homeland security, and healthcare for Native American communities.
- **Rapid growth environment**: Joining a young, fast-growing company (founded 2022, 266% headcount growth) offers significant career advancement opportunities.
- **Remote & frontier locations**: Many roles are in rural or remote areas (AZ, NM, SD, MN, NE, ND, CO, VA) — ideal for those seeking meaningful work outside major metros.
- **Culture**: Small, agile team with a focus on operational excellence and federal compliance. Leadership brings 15+ years of national security and cyber intelligence experience.
- **Perks**: Not explicitly listed, but as a federal contractor, benefits typically include competitive salary, health insurance, and retirement plans. Roles may offer relocation support for remote postings.

## Sources
1. [Akicita Federal Website](https://akicitafederal.com/)
2. [Akicita Federal LinkedIn](https://www.linkedin.com/company/akicitacyber)
3. [Akicita Federal Capability Statement (PDF)](https://www.akicitafederal.com/documents/Akicita-Federal-Capability-Statement.pdf)
4. [Akicita Federal Careers (Lever)](https://jobs.lever.co/akicita-cyber)
5. [Built In Akicita Federal Profile](https://builtin.com/company/akicita-federal)

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