Physician - Associate Chief of Staff - Medicine Services (Sign on Bonus)

Summary

The Tomah VA Medical Center (VAMC) in Tomah, Wisconsin is in search of an energetic, driven, visionary leader to serve as Associate Chief of Staff for Medicine Service (ACOS MS) to join the Chief of Staff and the Executive Leadership team in leading the Health Care System.

*** This position is eligible for a Recruitment/Relocation Incentives and the Contract Buy Out Program***

*** See Benefits section below for more information

Duties

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The ACOS MS is responsible for oversight for planning, developing, coordinating, directing, and evaluating Medicine Service which largely consists of outpatient practices in five locations (Tomah, La Crosse, Wausau, Owen, and Wisconsin Rapids), Extended Care, Urgent Care, and a small Acute Medical Unit. Minimal specialty services are offered and include Neurology, Dermatology, Dental, Infectious Disease, Podiatry, Optometry and Audiology.

VA offers a comprehensive total rewards package. VHA Physician Total Rewards.

Recruitment/Relocation Incentives (Sign-on Bonus): Authorized

Pay: Competitive salary, annual performance bonus, regular salary increases

Paid Time Off: 50-55 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year and possible 5 day paid absence for CME)

Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA

Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)

Licensure: 1 full and unrestricted license from any US State or territory

CME: Possible $1,000 per year reimbursement (must be full-time with board certification)

Malpractice: Free liability protection with tail coverage provided

Contract: No Physician Employment Contract and no significant restriction on moonlighting

Medicine Service at the Tomah VAMC is the largest clinical service line at the Tomah VAMC with over 100 employees in five areas: Outpatient Primary Care, Acute Care (includes 10-bed Acute Medical Unit and an Urgent Care Clinic), Extended Care (Nursing Home, Hospice, Home Based Primary Care, Rehabilitation, and Palliative Care), Employee Health and Specialty Medicine. Each area has a Service Chief or Director who reports directly to the ACOS MS. The specialty areas of Dermatology, Infectious Disease, Podiatry, Dental, Neurology, Optometry and Audiology report directly to the ACOS MS. Surgery is not offered at the Tomah VAMC. The ACOS of MS position supervises the Deputy ACOS MS who is responsible for the administrative oversite and staff. The ACOS MS position will provide patient care approximately 20% of the time and administrative duties 80% of the time. This position reports directly to the Chief of Staff. The duties and responsibilities of the ACOS MS include but are not limited to the following:

• The ACOS MS provides administrative, clinical, and programmatic leadership for Medicine Service to ensure clinical excellence.
• The ACOS MS will plan initiatives and develop programs in collaboration with other services to ensure coordination and streamlining of services, and enhancement of cost-effective care provided to Veterans.
• The ACOS MS will participate in top level decisions and policy design with significant impact. A primary objective of the ACOS MS is to mentor and lead highly competent, satisfied staff dedicated to providing the highest quality care centered around Veteran needs and optimizing health and well-being.
• The ACOS MS is responsible for implementing evidence-based best practices and ensuring ongoing provider education and learning. The ACOS MS should possess the ability to promote innovation, be able to lead others and inspire organizational excellence.

Work Schedule: Monday - Friday, 0800 - 1630.

Requirements

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Conditions of employment

• U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• 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/examination.
• 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

To qualify for this position, you must meet the basic requirements as well as any additional requirements (if applicable) listed in the job announcement. Applicants pending the completion of training or license requirements may be referred and tentatively selected but may not be hired until all requirements are met. Currently employed physician(s) in VA who met the requirements for appointment under the previous qualification standard at the time of their initial appointment are deemed to have met the basic requirements of the occupation.

Basic Requirements:

• United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• Degree of doctor of medicine or an equivalent degree resulting from a course of education in allopathic medicine or osteopathic medicine. The degree must have been obtained from one of the schools approved by the Department of Veterans Affairs for the year in which the course of study was completed.
• Current, full and unrestricted license to practice medicine or surgery in a State, Territory, or Commonwealth of the United States, or in the District of Columbia.
• Residency Training: Physicians must have completed residency training, approved by the Secretary of Veterans Affairs in an accredited core specialty training program leading to eligibility for board certification. (NOTE: VA physicians involved in academic training programs may be required to be board certified for faculty status.) Approved residencies are:
  
  • (1) Those approved by the accrediting bodies for graduate medical education, the Accreditation Council for Graduate Medical Education (ACGME) or American Osteopathic Association (AOA), in the list published for the year the residency, or fellowship if applicable, was completed; OR
  • (2) One year of post medical school training (internship, first year of residency, or transitional year residency) approved by ACGME or AOA followed by two years of post-training independent practice (performing under a full and unrestricted license) in the United States; OR
  • (3) Non-US residency training programs followed by a minimum of three years of verified independent practice in the United States (performing under a full and unrestricted license) performing duties related to the position they are applying for (United States fellowships would be creditable towards this requirement), which the local Medical Staff Executive Committee deems to have provided the applicant with appropriate professional training and believes has exposed the Physician to an appropriate range of patient care experiences.
  • Exceptions:
    
    • Residents currently enrolled in ACGME/AOA accredited residency training programs and who would otherwise meet the basic requirements for appointment are eligible to be appointed as "Physician Resident Providers" (PRPs). PRPs must be fully licensed physicians (i.e., not a training license) and may only be appointed on an intermittent basis. PRPs are not considered independent practitioners and will not be privileged; rather, they are to have a "scope of practice" that allows them to perform certain restricted duties under supervision. Additionally, surgery residents in gap years may also be appointed as PRPs.
    • In rare and unusual circumstances, the Facility Director can submit a memo to the VISN Director through the VISN Chief Medical Officer, who may approve requests for reasonable exceptions to the residency training requirement for Physicians whose composite record of experience, accomplishments, performance, and qualifications warrant such action.
• Proficiency in spoken and written English.

Preferred Experience:

• At least two years of leadership experience.
• Prior VA supervisory experience.
• Primary Care experience, with an interest and commitment to advancing rural medicine.
• Residency - Completion of a residency in Internal Medicine or Family Practice is preferred, although other areas may be considered.

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

Physical Requirements: Walking, bending, stooping, and some lifting in the direct care of patients. There may also be extended periods of sitting.

Education

Degree of Doctor of Medicine or an equivalent degree resulting from a course of education in allopathic medicine or osteopathic medicine. The degree must have been obtained from an institution whose accreditation was in place for the year in which the course of study was completed. Approved schools are:

1. Schools of medicine accredited by the Liaison Committee on Medical Education (LCME) for the year in which the degree was granted.
2. Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation (COCA) for the year in which the degree was granted.
3. For foreign medical graduates not covered in (1) or (2) above, confirmation must be made that the medical school meets (or met) Educational Commission for Foreign Medical Graduates (ECFMG) eligibility requirement for year graduated.

NOTE: The Under Secretary of Health or designee in the VHA Central Office may approve the appointment under authority of 38 U.S.C. 7405 of a physician graduate of a school of medicine not covered above if the candidate is to be assigned to a research, academic, or administrative position with no patient care responsibilities. The appointment will be made only in exceptional circumstances where the candidate's credentials clearly demonstrate high professional attainment or expertise in the specialty area.

Additional information

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

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

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.

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.

Recruitment/Relocation Incentive (Sign-on Bonus): Highly qualified individuals may be eligible for a recruitment/relocation incentive in accordance with agency policy. To receive consideration for an incentive, the selectee must be among the best qualified and meet the criteria established in the VA Handbook 5007 Part VI Chapter 2. Service agreement required.

Contract Buy Out Program: This position may be eligible for the Physician / Provider Contract Buy Out Program (CBOP), which authorizes VHA to buy out service contracts (Locum agreements, loan repayments, sign-on bonus contracts, Physician-owned practices) in exchange for employment at certain rural or highly rural facilities for a period of obligated service (minimum 4 years). For additional information and eligibility requirements, contact the VHA Contract Buy Out Program Manager at [redacted].

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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.