Summary

The Robley Rex VA Medical Center (RRVAMC) in Louisville, KY is recruiting for a full time Physician Assistant III (PA),Clinical Operations Chief is a senior clinical leader responsible for providing executive oversight, strategic direction, and operational management across the following service areas: Group Practice Management (GPM), Data Analytics, Chief Health Informatics Officer (CHIO), Whole Health, and Clinic Profile Managers (CPM).

Duties

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Major duties and responsibilities of the position:

1. Executive Leadership & Strategic Oversight

• Provides leadership and accountability for Group Practice Management (GPM), Data Analytics, Chief Health Informatics Officer (CHIO), Whole Health, and Clinic Profile Managers, ensuring alignment with facility strategic goals and VISN/VA directives.
• Integrates administrative and clinical functions across assigned areas to enhance efficiency, reduce redundancies, and support a seamless continuum of care.
• Collaborates with service chiefs to implement data-driven strategic planning initiatives, leveraging advanced analytics to guide operational decisions, productivity management, organizational design, and patient access improvements.
• Serves as a key contributor to the medical center's strategic and business planning processes, ensuring that assigned programs support organizational readiness, workload forecasting, and resource optimization.

2. Group Practice Management (GPM)

• Partners with clinical leaders to develop provider practice models, staffing projections, and performance measures.
• Ensures compliance with national GPM standards, productivity expectations, scheduling practices, and patient access requirements.
• Oversees physician practice operations, panel management, and clinic flow optimization

3. Clinic Profile Managers (CPM)

• This position assumes executive responsibility for Clinic Profile Manager (CPM) oversight, a key function documented as essential to clinic setup, profile design, template governance, care-delivery modalities, consult workflows, documentation trends, clinic utilization monitoring, and timely capture of performance measures. CPM-led processes-such as grid design, schedule accuracy, utilization reporting, and workload capture-require aligned physician leadership to ensure that templates and operational workflows appropriately reflect clinical intent and Veteran care needs.
• Oversees coordination across scheduling infrastructure, provider templates, modality design (face-to-face, virtual, telephone), performance measure monitoring, and compliance with VA Central Office clinic-profile directives. This ensures that scheduling, clinical staffing, workflow design, and access governance function cohesively and consistently across all departments.

4. Data Analytics & Informatics Integration

• Directs the Data Analytics team to support facility wide reporting, dashboards, forecasting, and decision support tools.
• Works collaboratively with CHIO to advance informatics maturity, EHR optimization, safe use of ordering systems, and clinical decision support functions.
• Guides the development of standardized metrics across all assigned programs to evaluate quality, access, timeliness, patient experience, and performance improvement.
• Promotes informatics education, technological innovation, and systems-thinking within clinical teams.

5. Human Resources & Workforce Development

• Ensures proper hiring, onboarding, competency maintenance, performance evaluation, rewards/recognition, and professional development across assigned programs.
• Partners with HR, labor relations, and union representatives to maintain positive labor-management relationships.
• Encourages continuous learning, innovation, and high-performance work systems.

6. Communication & Collaboration

• Represents assigned programs at medical center, VISN, national workgroups, and committees.
• Maintains open, diplomatic communication with facility leadership, affiliate institutions, Veterans Service Organizations, staff, and other stakeholders.
• Promotes transparency, trust, and shared ownership of performance and organizational success.

7. Clinical Practice (50% FTE}

• Obtaining medical histories and performing physical examinations.
• Providing and coordinating medical care for assigned patients, including establishing diagnoses, formulating, and implementing care plans, and providing follow-up care, in collaboration with the attending physician if indicated.
• Ordering diagnostic studies and other special tests, such as Ultrasound, XRAY, Magnetic Resonance Imaging (MRI), and Computerized Tomography (CT) scans.
• Ordering or obtaining laboratory specimens.
• Ordering VA specialty service consults and initiating requests for non-VA medical care and consults in accordance with VHA and local facility policy and procedures. Ordering patient care supplies and equipment.
• Ordering medical care including, but not limited to, diets, therapies, nursing care, and medications as permitted by VHA directive and local policy.

VA offers a comprehensive total rewards package.

Work Schedule: Monday-Friday, 8am-430pm

Telework: Ad-hoc

Virtual: This is not a virtual position.

Requirements

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Conditions of employment

• All qualified candidates encouraged to apply. Open to U.S. Citizens but non-citizens may be appointed when it is not possible to recruit qualified citizens.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• Must be proficient in written and spoken English.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical evaluation.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• You may be required to serve a probationary period.
• Complete all application requirements detailed in the "Required Documents" section of this announcement.

Qualifications

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

Physician Assistant Basic Requirements

• Master's degree in any discipline or a bachelor's degree in any discipline with one year of experience as a Physician Assistant ~AND~
• Successfully passed the PA National Certifying Exam (PANCE) (or are you in the process to taking the exam) ~AND~
• Currently hold, or will hold, a full and unrestricted license to practice in a State, Territory, or Commonwealth of the United States or in the District of Columbia.

Preferred Experience: Leadership Experience, Demonstrated skill in informatics, results driven operations, Strong Communication, negotiation, and stakeholder engagement abilities.

Grade Determinations: Physician Assistant-III

• Experience and Education. PAs at the PA-III grade are at the full performance level and lead and organize patient care independently, practice within multi-disciplinary teams, and coordinate all aspects of patient care across the health care system. They utilize advanced clinical knowledge and judgment in decision-making and evaluating outcomes. They function as experts in clinical practice and/or in areas related to the assigned roles and responsibilities, may serve as mentors for transitioning PAs, and may provide training for health care students. Individuals can demonstrate the KSAs for the full performance level by:
  
  • Three years of successful practice as a PA or Successful completion of a PA post-graduate residency program sponsored by VHA Office of Academic Affiliations OR other postgraduate residency programs accredited by VA, ARC-PA, U.S. Armed Forces, or another accrediting agency and one year of professional practice as a PA OR A doctoral degree in a health-related field from an accredited college or university recognized by the U.S. Department of Education and one year of professional practice as a PA
• Demonstrated Knowledge, Skills, and Abilities. PAs at this level are not required to meet each individual KSA listed below to qualify, but should be able to demonstrate, develop, or acquire those not met upon appointment for PA-III
  
  • Ability to clinically evaluate facility patient care delivery systems and validate or identify barriers to safe and effective patient care.
  • Skill to consistently demonstrate an elevated level of expertise and autonomy in diagnosing and treating seriously ill, multi-symptomatic patients through facility Focused Professional Practice Evaluation (FPPE) and Ongoing Professional Practice Evaluation (OPPE).
  • Ability to present clinical findings and recommendations to appropriate management officials.
  • Ability to clinically facilitate the delivery of patient care in collaboration with health professionals, health managers, and other health care personnel.
  • Ability to implement and initiate clinical changes to established treatment protocols based upon new medical literature research findings to enhance patient delivery care for improved patient outcomes.
  • Ability to participate clinically in the development of the PA patient care audit processes involving in-depth review and analysis of medical records.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

Physical Requirements: Moderate Lifting (15-25 lbs); Moderate Carrying (15-25 lbs); Straight Pulling {up to 2-3 hours); Pushing (up to 2-3 hours); Reaching above shoulder; Walking (up to 1-2 hours); Kneeling (up to 1 -2 hours); Repeated bending (up to 1 to 2 hours); Ability for rapid mental and muscular coordination simultaneously; Near vision correctable; Far vision correctable; Depth perception; Ability to distinguish basic colors; Hearing (aid permitted).

Education

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Additional information

This job opportunity announcement may be used to fill additional vacancies.

This position is in the Excepted Service and does not confer competitive status.

If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

Benefits

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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

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Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.