The Associate Chief of Staff for Operations (ACOS/O) is the primary backup to the Chief of Staff and provides administrative, clinical, and programmatic leadership to help ensure achievement of the Sioux Falls VA Medical System's clinical, research, and educational goals. The ACOS/O responsibilities include serving as the lead physician in the medical center's Group Practice Management, and Quality Improvement initiatives. 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: Board Certified/Eligible Internal Medicine. Displays critical thinking, decision making, analysis, problem solving, and analytical thinking. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-2 Physician Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: Daily intermittent walking, standing, bending, stooping, reaching, and carrying of lightweight items required. Rigid deadlines and need for high degree of accuracy periodically becomes stressful. ["The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being. The ACOS/O responsibilities include serving as the lead physician in the medical center's Group Practice Management, and Quality Improvement initiatives. The incumbent will work with the ICC chiefs and performance measure champions to improve processes to meet the performance measure goals and improve utilization management. Reviews requests for contracts and helps determine the best way to obtain the required resources. The ACOS/O supervises a variety of staff, who are aligned under the Chief of Staff Office, and serves on a broad spectrum of medical center committees, task forces, etc. Responsibilities include hands on clinical work, oversight, and administration of all aspects of patient care, including an extensive research program and guidance and training for residents and other trainees. Additionally, the incumbent is a member of the Medical Center Executive Leadership Team; VHA, and VISN wide policies and procedures. Acts as a full assistant to the Chief of Staff in the efficient management of clinical and medical services to eligible patients and the active maintenance of a medical credentialing and privileging and/or scope of practice system for licensed independent practitioners, advanced practice providers, as well as credentialing of certain allied health practitioners per VA policy. DUTIES: Plans the provision of services with a patient centered vision (in alignment with VHA guidelines and policies) to enhance patient education and shared decision making. Establishes a customer-oriented culture and promotes hiring of persons who demonstrate the ICARE values of integrity, commitment, advocacy, respect, and excellence. Develops a high reliability organization through direction of the continuous measurement and improvement of the quality of care provided by the service. Encourages and supports research and education missions. Works closely with the Associate Chief of Staff for Education. Facilitates translation of research findings into improved patient outcomes. Under the direction of the SFVAHCS governance structure, collaborates with the Executive Leadership Team and service chiefs in the development and execution of the overall strategic and business plan. Collaborates with other leaders to develop initiatives and programs in order to ensure coordination of service, reduction of redundancies, and enhancement of cost effectiveness, efficiency and overall productivity. Manages relationships with academic affiliates and supporting services to maximize efficiency and drive highly reliable operations. Develops an interdisciplinary team of innovative, highly motivated individuals who are continuously striving for excellence in patient care and customer service. Develops a team that is technically competent and understands the interrelationships of all the medical center services in achieving the mission. Responsible for assuring appropriate action in such matters as performance evaluations, performance pay, promotions, selections, awards and recognition, training, and problem resolution Demonstrates leadership in addressing ethical issues that impact clients and staff in/or beyond the organization/local health care community. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Work Schedule: Monday - Friday 7:30 - 4:30 Recruitment Incentive (Sign-on Bonus): Authorized for highly qualified candidates Pay: Competitive salary, annual performance bonus, regular salary increases Paid Time Off: 50-55 days of annual paid time offer 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 Malpractice: Free liability protection with tail coverage provided Contract: No Physician Employment Contract and no significant restriction on moonlighting"]

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