The Indian Health Service (IHS) is seeking a contractor to develop and implement a Lean Six Sigma training program focused on enhancing healthcare quality and operational efficiency for American Indians and Alaska Natives. This initiative, under the Office of Quality's Division of Innovation and Improvement, aims to establish a structured, scalable training framework that equips healthcare professionals with methodologies for continuous process improvement, leading to better patient outcomes and organizational performance. The program will feature tiered certification levels — Yellow, Green, and Black Belt — encompassing concepts such as data analysis, process mapping, and root cause identification. Training will include interactive modules, coaching, and practical applications, fostering a culture of quality and sustainability within IHS facilities. The effort aligns with IHS’s Strategic Plan and addresses the need for compliance with healthcare standards and patient safety. The contractor's responsibilities will also include post-training support, impact measurement, and the establishment of a cadre of internal trainers to ensure long-term capacity building. The training will be delivered primarily online, facilitating widespread access across federal IHS facilities.