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 to 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. The incumbent is responsible for leading and managing the Primary Care Service in partnership with the PC Deputy Chief, PC Chief Nurse and PC Administrative Officer. This senior management team works collaboratively to: -Deliver primary care services to veterans, at the medical center and at six (8) community based outpatient clinics, located in Louisville, Grayson, Fort Knox and Carrollton, Kentucky, and New Albany and Scottsburg, Indiana. Direct occupational health and women health services. -Ensure outstanding, cost-effective care is delivered in all areas of the service; and- Oversee and administer the human and fiscal resources devoted to carrying out the clinical, training, and research missions. The Primary Care ACOS has specific supervisory responsibility for licensed independent practitioners in the service but functions within a matrix organization with shared managerial accountability over all sections/patient care lines within the PC. The incumbent is expected to demonstrate a commitment to ongoing clinical competence through continued performance of direct patient care in their specialty. FUNCTIONS/RESPONSIBILITIES: 1. Partner effectively with the Chief Nurse and Administrative Officer to form a high performing Management Team responsible for all operations in Primary Care. a. Collaborate effectively with other RRVAMC clinical service leaders in the development and execution of the overarching RRVAMC strategic and business plan, ensuring coordination of service, reduction of redundancies, and enhancement of cost effectiveness. b. Build and articulate PC vision with related goals, strategies, and tactics that promote care delivery that is both of high quality and efficient and that emphasize Veteran satisfaction; c. Manage proactively and efficiently a broad continuum of programs including all associated personnel, equipment, supplies, space, contracts, and information system resources; d. Instill a culture of data fluency in which all leaders within the service will have facility with tools available to measure and monitor safety, quality, access, efficiency, productivity, and Veteran and employee experience, and will use these tools as appropriate to benchmark performance, help shape resource allocation decisions, and target opportunities for improvement; e. Maintain policies, procedures, and clinical practices that accord with contemporary, evidence-based practices in inpatient and emergency settings and with national standards as established by VHA, The Joint Commission, and other accrediting bodies; f. Ensure that all business operations and health information practices within Primary Care adhere to the laws, regulations and standards which govern those activities, the reasonable expectations of VHA's business partners, and the highest standards of Compliance and Business Integrity; g. Stay abreast of changing conditions in health care within and external to VA, and encourage demonstration projects, pilots and other experimental approaches aimed at improving clinical outcomes/satisfaction and/or increasing revenue; h. Assemble timely budget formulations, monitor the services' fiscal activities, and manage fund control points conscientiously. 2. Meet performance measures and VHA Core Competencies specific for Primary Care: a. Performance Measures: The ACOS is responsible for ensuring that those performance measures are met. Some performance measures also involve multiple services and must be coordinated with those services to achieve the desired outcome. For specifics of each measure, review the Executive Career Field (ECF) Performance Plan, SAIL, and other relevant metrics. The performance measures are periodically revised by VACO and VISN 9; therefore, the incumbent should review the annual publication of the Technical Manual for the VHA Performance Measurement System from the Office of Quality and Performance. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact 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 Work Schedule: Full Time 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 evaluations. 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. 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.