Summary This position is eligible for the Education Debt Reduction Program (EDRP) a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one - five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. Responsibilities The Primary Care Service Line Manager is a practicing physician leader responsible for the clinical and administrative oversight of Primary Care services for the VA Manchester Healthcare System which includes 4 Community Based Outpatient Centers (CBOC); and is accountable for ensuring patient access, high quality, cost-effective care. The position has a strong administrative component; however clinical duties will be required to maintain proficiency. Supervising all aspects of Primary Care patient care including assurance of timely access, efficiency, effectiveness, and appropriateness of care and treatment rendered by all Primary Care providers including physicians, advanced practice practitioners, and support staff. Ensuring quality of care and appropriate productivity is provided by all physicians, nurse practitioners and physician assistants who report up through the Primary Care Service Line Manager. Ensuring success of all patient survey metrics (e.g. SAIL) that relate to Primary Care Working with Nursing and Administrative leadership to collaborate and ensure high functioning PACT teams. Collaborating with Medical, Surgical, and all other clinical service line managers. Reporting to the Professional Standards Board (PSB) recommendations concerning classification, appointment, and delineation of clinical privileges. Ensuring continuing competence of Primary Care providers with clinical privileges by performing Focused and Ongoing Professional Practice Evaluations for providers with clinical privileges in the service line. Organizing and participating in recruitment, interviews, selection, hiring and orientation of new providers in the service line. Providing independent advice and recommendation to the Chief of Staff regarding new, innovative, or needed patient care services to ensure the goals of best practices and excellence throughout the spectrum of services delivered by the service line. Providing direction and support to Primary Care staff regarding equipment technology, policies and procedures employed by the VA Manchester Healthcare System. Responsible for VHA productivity goals and knowledge of individual medical physician, NP and PA productivity, and mentor Primary Care clinicians in achieving productivity standards. Responsible for VHA patient access goals, and accountable of patient access data for the Primary Care clinicians, and mentor Primary Care clinicians in achieving access goals. Interacting with staff to resolve interpersonal disputes. Chairing, serving and attending committees and task forces, and advising the service line staff of the recommendations and implications of committee actions. Assisting with the teaching, education, and research programs of the service line. Assisting in implementing the policies of the Medical Center Bylaws, and Rules and Regulations. Responsible for reports pertaining to Primary Care as required by VA regulations, station policy, and Medical Executive Committee recommendations. Performing peer reviews and participating in Peer Review Committee. Providing accurate, concise, timely documentation of care in the electronic medical record (Computerized Patient Record System CPRS) on each patient care occurrence. Serving as attending physician for patient care within the scope of privileges granted. Work Schedule: The tour of duty is Monday through Friday on Station at the Manchester VAMC, with some travel anticipated to the New Hampshire CBOCs. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus) or a Relocation Incentive: This incentive may be offered to highly qualified, eligible applicants. Education Debt Reduction Program (Student Loan Repayment):This position is eligible for the EDRP, a student loan payment reimbursement program. EDRP Authorized: Contact VHA EDRP Program Support, VHAEDRPProgramSupport@va.gov, the EDRP Coordinator for questions/assistance. Learn more. 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 Requirements Conditions of Employment Complete all application requirements detailed in the "Required Documents" section of this announcement." 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 dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical 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 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 Accreditation Council for Graduate Medical Education (ACGME), b) OR[(2) Those approved by the American Osteopathic Association (AOA),OR(3) Other residencies (non-US residency training programs followed by a minimum of five years of verified practice in the United States), 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. 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 or fee-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. Proficiency in spoken and written English. Preferred Experience: Certification: Board certification in Internal Medicine or Family Medicine. Clinical Leadership and Administrative Oversight: Extensive experience in administrative and clinical leadership with demonstrated management skills, particularly within a healthcare setting. Ability to provide clinical, administrative, and programmatic oversight to Primary Care and ensure effective service delivery. Veterans Affairs (VA) System Knowledge: Profound understanding and familiarity with the VA system, including regulations, policies, and procedures. Experience in managing healthcare programs and processes specific to the VA, ensuring compliance with national and network-level initiatives. Quality Improvement and Customer Service: Experience in driving quality improvement initiatives and embedding a customer-oriented culture within healthcare organizations. Proficient in analyzing clinical data to guide improvement efforts and implementing best practices in customer service to enhance patient and staff experience. Human Resources and Team Building: Proven track record in human resources management, including hiring, training, and professional development. Ability to build and lead a high-performing, innovative, and motivated team, fostering an environment of trust, psychological safety, and continuous learning. BLS/ACLS. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: Applicants must meet physical standards for the position. A physical examination prior to placement is required. This is a designated drug testing position. After appointment, you will be subject to random testing for illegal drug use. Requires lifting 15-44 pounds; pushing (approx. 2 hours); reaching above shoulder; use of fingers and both hands; walking and standing from 3-5 hours and kneeling. Ability for rapid mental and muscular coordination simultaneously. Must have depth perception and ability to distinguish basic colors and shades of colors. Hearing aid is permitted. 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: Schools of medicine accredited by the Liaison Committee on Medical Education (LCME) for the year in which the degree was granted, or Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation of the American Osteopathic Association for the year in which the degree was granted. For foreign medical graduates not covered in (1) or (2) above, facility officials must verify with the Educational Commission for Foreign Medical Graduates (ECFMG) that the applicant has met requirements for certification, and must obtain a copy of the ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school meets (or met) ECFMG eligibility requirements for the year the candidate 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. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. 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. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.
