Deputy Chief of Staff

Veterans Health Administration • Fresno, CA

3d

About The Position

The Deputy Chief of Staff of the VA Central California Health Care System assists the Chief of Staff in managing administrative and clinical responsibilities. The role supports administrative, clinical, educational, and research activities at the medical center and its three Community Based Outpatient Clinics (CBOCs). The position is based on a Monday–Friday work schedule, coordinated with the hiring manager.

The Deputy Chief of Staff helps lead the medical staff and promote clinical excellence, consistent practice standards, education, and research. The role oversees the quality, appropriateness, and timeliness of patient care; medical staff functions and committees; medical staff bylaws and rules; and provider credentialing and privileging. It also supports strategic planning, resource allocation, performance improvement, preventive care, patient and family education, teaching-program evaluation, and appropriate supervision of house staff and residents.

The announcement is open continuously until September 30, 2027. The initial application referral cutoff is November 1, 2026, with further cutoffs every two weeks; later eligible applications will be considered as vacancies arise. This is an Excepted Service position and does not confer competitive status. VA offers a comprehensive total rewards package, including competitive salary, annual performance bonus, regular salary increases, paid leave, federal retirement and insurance programs, possible continuing medical education reimbursement, and malpractice protection with tail coverage. No physician employment contract is required, and there is no significant restriction on moonlighting.

Requirements

• Doctor of Medicine or an equivalent degree in allopathic or osteopathic medicine from an appropriately approved or accredited institution.
• Current, full, and unrestricted license to practice medicine or surgery in a U.S. state, territory, commonwealth, or the District of Columbia.
• Completion of qualifying residency training in an accredited core specialty program leading to eligibility for board certification, or an allowable alternative training and independent-practice pathway described in the announcement.
• Board certification in a related specialty.
• Proficiency in written and spoken English.
• United States citizenship, except that non-citizens may be appointed when qualified citizens cannot be recruited in accordance with VA policy.
• Complete required TB testing and immunization evaluations, including participation in the seasonal influenza vaccination program.
• Meet pre-employment conditions, including applicable urinalysis, background/security investigation, onboarding, and identification requirements.
• Register for Selective Service if applicable to male applicants born after December 31, 1959.
• Complete all application requirements in the announcement's Required Documents section.
• Meet the stated physical requirements, including lifting 15–44 pounds; pushing for approximately two hours; reaching above shoulder; using fingers and both hands; walking and standing for 3–5 hours; kneeling; rapid simultaneous mental and muscular coordination; depth perception; and distinguishing basic colors and shades. Hearing aids are permitted.

Nice To Haves

• More than one year of management or leadership experience within a complex medical center.

Responsibilities

• Assist the Chief of Staff with administrative and clinical responsibilities.
• Assist with administrative, clinical, educational, and research activities of the medical center and its three CBOCs.
• Assist with presiding over the medical staff and ensuring clinical excellence, uniform practice standards, education, and research.
• Ensure the overall quality, appropriateness, and timeliness of patient care delivered by medical staff members.
• Direct and oversee medical staff functions and committees, medical staff bylaws and rules, and provider credentialing and privileging.
• Ensure timely completion of Professional Practice Focused Reviews in accordance with The Joint Commission's Medical Staff Standards.
• Participate in strategic planning, resource allocation, and performance-improvement activities.
• Ensure medical staff participation in performance-improvement activities.
• Ensure patients receive quality preventive health care through screening, counseling, and education.
• Help ensure medical and ancillary staff provide appropriate psychosocial care and counseling to patients.
• Evaluate teaching programs for effectiveness in meeting patient needs and program goals.
• Ensure appropriate supervision of house staff and residents.
• Ensure medical staff provide appropriate preventive and therapeutic counseling and health care education to patients and their families.
• Perform additional duties as assigned.

Benefits

• Competitive salary, annual performance bonus, and regular salary increases.
• 50–55 days of paid time off per year, including 26 days of annual leave, 13 days of sick leave, 11 paid federal holidays, and possible five-day paid CME absence.
• Traditional federal pension with five-year vesting and federal 401(k) with up to 5% in VA contributions.
• Federal health, vision, dental, term life, and long-term care insurance; many federal insurance programs can be carried into retirement.
• Possible $1,000 annual CME reimbursement for full-time, board-certified physicians.
• Free liability protection with tail coverage.
• No physician employment contract and no significant restriction on moonlighting.
• Comprehensive federal employee benefits package.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Ph.D. or professional degree