Summary VA North Texas Health Care System is actively recruiting for an Associate Chief of Staff for Ambulatory Care who will be responsible of the overall operation of Primary Care (including Women's Health and Tele-Health), Employee Occupational Health, Blind/Low Vision, and Compensation & Pension Unit. Ambulatory Care is aligned directly under the Chief of Staff. Recruitment/Relocation May be Authorized Education Debt Reduction Program is authorized. Podiatrist should apply to CAZM-12969357-26-MH Responsibilities This is an Open Continuous Announcement & will remain open until May 20, 2027, or until all positions are filled. The first cut-off date is June 01, 2026. Eligible applications received after that date will be referred at regular intervals or as additional vacancies occur on an as-needed basis until positions are filled. Applicants will remain active for 3 months after their initial application is received and/or updated. After that time, you must update your application through your USAJobs account if you would like to be made active again for possible consideration during the open period. VA offers a comprehensive total rewards package. ACOS/Ambulatory Care include, but are not limited to: Reviews/performs/provides duties and responsibilities of a primary care physician/internist. Exercises administrative, programmatic, clinical, and academic oversight of Ambulatory Care and programs to ensure delivery of quality services. Demonstrates leadership in interpreting and supporting the VISN mission, vision and values, while operating in accordance with Veterans Health Administration (VHA) policies, facility and VISN policies, and standards of federal professional and accrediting agencies external to VHA. Adheres to the Medical Staff Bylaws and Rules and Regulations as set forth by the medical staff. Provides direction and support to Ambulatory Care staff regarding equipment technology, policies and procedures employed by VA North Texas Health Care System. Ensures that all applicable requirements of regulatory agencies such as The Joint Commission are met. Reviews quality control and quality improvement procedures performed by VA personnel in the Primary Care, Home Tele-health and Women Health Primary Care Service Line and makes recommendations for improvements, corrective actions, etc Participates/reviews and documents performance improvement activities, including, but not limited to, external review programs, internal peer review programs, and accreditation requirements Serves as an active member of various Medical Center committees. Assists the Chief of Staff in the tracking, monitoring, reporting, supervision and oversight of physician productivity, service reports, and special requests for reports, supervision of clinical and administrative staff. Works with onsite leadership on issues pertinent to the service; develops provider staffing models; directs the budgetary and fiscal management of the service; coordinates resource requests with the Chief of Staff for submission to top management; tracks workload. Develops or directs the development of performance standards, evaluates the performance of key service Section Chiefs, and reviews the evaluations made by subordinate supervisors or other employees. Directs patient care needs assessments; identifies gaps in services and supports program development to meet those needs. VA offers a comprehensive VHA Physician Total Rewards. Work Schedule: Monday - Friday, 8:00am-4:30pm Recruitment Incentive (Sign-on Bonus): May be authorized for highly qualified individual EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact, 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 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 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. Additional Requirement: Board Certification, preferably in Family Practice or Internal Medicine; however, other specialties are acceptable. Preferred Experience: Demonstrated experience in strategic planning and implementation of primary care delivery systems, optimizing patient care, and improving health outcomes. Proven leadership skills with a track record of successfully managing multidisciplinary teams, fostering a collaborative environment, and driving organizational excellence. Expertise in quality improvement initiatives, patient safety protocols, and the integration of evidence-based practices to enhance the delivery of primary care services. Strong interpersonal and communication skills, essential for developing and maintaining effective working relationships with staff, patients, and external stakeholders. In-depth knowledge of VA policies, regulations, and systems, or equivalent experience in a comparable healthcare setting, to effectively navigate and lead within the VA framework. Candidates should also demonstrate a commitment to continuous professional development and a vision for advancing primary care services in alignment with the mission of the VA North Texas Health Care System. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: Moderate lifting, 15-44 pounds Moderate carrying, 15-44 pounds Straight pulling (1-2 hours) Pushing (1-2 hours) reaching above shoulder Walking (8 hours) Standing (8 hours) Kneeling (1 hour) Repeated bending (2 hours) Ability for rapid mental and muscular coordination simultaneously Near vision correctable at 13" to 16" to Jaeger 1 to 4 Far vision correctable in one eye to 20/20 and to 20/40 in the other Depth perception Ability to distinguish basic colors Ability to distinguish shades of colors Hearing (aid may be 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. Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation (COCA) for the year in which the degree was granted. 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. 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.
