Physician - Associate Chief of Staff - Medicine Services (Sign on Bonus)
Reported by 39 physicians · region cohort · total comp, not the employer's posted pay
Overview
- Location
- Tomah, Wisconsin
- Schedule
- Monday - Friday, 0800 - 1630
- SalaryDr Signal range
- $295k – $388k
- Practice
- VA Medical Center and outpatient clinics across multiple locations · VA medical center with outpatient clinics
39 physician reports · not the employer's posted pay
Role summary
This position is for an Associate Chief of Staff overseeing Medicine Service at Tomah VAMC, involving extensive administrative leadership (80%) and some clinical care (20%), with a competitive salary plus performance bonus, substantial paid time off, and federal benefits including pension and insurance. The role supervises multiple clinical divisions, mainly outpatient services, with a small acute inpatient unit, covering veteran patient population.
What the posting highlights
- Care setting: Primarily outpatient with some acute inpatient and extended care
- Patient population: Veterans
- APP collaboration or supervision is noted
SalaryDr summary based on the original posting
Posted base pay vs physician-reported total comp
Physician-reported range shown; the employer did not post pay for this role.
Compensation
- What physicians report
- $295k – $388k
- Pay context
- SalaryDr Signal · physician-reported
- Report sample
- 39 recent physician reports · region cohort
- Compensation basis
- Estimated total compensation
- Bonus / incentives
- Annual performance bonus
- PTO
- 10 weeks
Benefits named in the posting
- Recruitment/Relocation incentives eligible
- 50-55 days paid time off annually (26 annual leave, 13 sick leave, 11 federal holidays, possible 5 CME days)
- Traditional federal pension with 5 years vesting
- Federal 401(k) with up to 5% contributions
- Federal health, vision, dental, term life, long-term care insurance
- Malpractice free with tail coverage
- Up to $1,000 CME reimbursement per year
- No physician employment contract and no significant moonlighting restrictions
This is a SalaryDr Signal computed from 39 recent, approved physician reports (region cohort). It is not an employer offer or posted pay; this employer did not disclose pay.
Employer
Veterans Health Administration
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Facility & Community
- Practice setting
- VA Medical Center and outpatient clinics across multiple locations
- Facility type
- VA medical center with outpatient clinics
- Beds
- 10
- Patient population
- Veterans
- EHR
- Not stated in posting
SalaryDr will show local peer compensation and hiring supply here once this role has enough physician-reported data.
Questions to ask the employer
- How is the productivity component calculated (wRVU rate, threshold, reconciliation cadence), and what did physicians here actually earn from it last year?
- What is the call schedule, and is call compensated separately or built into the base?
Generated from this posting's disclosed facts and the SalaryDr comparison — bring them to the first recruiter call.
Work Design
- Schedule
- Monday - Friday, 0800 - 1630
- Inpatient / outpatient
- Primarily outpatient with some acute inpatient and extended care
- Admin burden
- 80% administrative duties; leadership, planning, coordination, and oversight of multiple clinical services
- FTE
- 1
- Supervises APPs
- Yes
Visa & Eligibility
- Remote
- No
- Visa sponsorship
- no
- J-1 waiver
- No
- H-1B
- No
Source & Verification
- Source
- Government source
- Salary label
- SalaryDr Signal
- First seen
- 1 mo ago
- Last verified
- today
- Extraction confidence
- 95%
Full description
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 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. 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. 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 vacontractbuyoutprog@va.gov. Your application, resume, C.V., and/or other supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment. NOTE: A formal pay-setting process will be used to determine your salary. The salary may be at any point in the range listed for this vacancy. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position. Veterans' Preference Note: Preference eligible candidates and other Veterans will be given preference when qualification of candidates are approximately equal for Title 38 positions in VHA. When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.