Mediford Romero

Mediford Romero serves as a key procurement lead within the Billings Area Indian Health Service, overseeing acquisitions critical to sustaining and modernizing health infrastructure for American Indian and Alaska Native communities across the Northern Plains. Responsible for managing contract lifecycle activities from solicitation to award, Romero ensures alignment with federal procurement regulations and the agency’s mission to deliver equitable, culturally competent care. Their portfolio primarily focuses on construction-related services, particularly those supporting clinical facility upgrades, diagnostic equipment installation, and non-residential building systems integration—ensuring tribal health centers meet operational and safety standards. Romero maintains a consistent working relationship with Prairie Band Health Services Inc., the agency’s primary contractor for facility and equipment-related services. This long-standing partnership reflects a preference for vendors with deep experience in tribal health infrastructure, demonstrating a pattern of repeat engagement with contractors who understand the unique logistical, cultural, and regulatory challenges of delivering services in remote, underserved areas. The relationship is characterized by collaborative planning, performance-based outcomes, and adherence to tribal consultation requirements. Romero’s procurement activity shows no use of socioeconomic set-asides, with 100% of awards issued under full and open competition. While small business participation is not formally prioritized through 8(a), HUBZone, or SDVOSB designations, the agency’s reliance on a single primary contractor suggests a focus on proven capability over socioeconomic categorization, reflecting a mission-driven approach to ensuring continuity and reliability in critical infrastructure support. The agency’s procurement activity is exclusively concentrated under NAICS 238290—Other Building Equipment Contractors—indicating specialized expertise in procuring services related to HVAC, medical gas systems, electrical upgrades, plumbing, and integrated building automation systems for healthcare facilities. Romero’s domain knowledge centers on technical compliance with healthcare construction codes, infection control standards, and ADA accessibility requirements essential to tribal health center operations.