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Physician/Deputy ACOS Primary Care Service

Veterans Health AdministrationSaint Louis, Missouri, United StatesFull-time$315,000 - $335,000 per yearPosted Oct 16, 2026Closes Oct 15, 2027
Job description

About the role

Full text from the employer, as published on USAJobs, arranged into sections. Nothing added or removed.

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.

01Basic 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.

02Preferred Experience

Experience in Primary Care is a pre-requisite for selection. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

03Physical Requirements

More information can be found in VA Handbook 5019.

VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment/Relocation Incentive (Sign-on Bonus): May be offered to highly qualified applicants. Education Debt Reduction Program (Student Loan Repayment): Learn more. EDRP Authorized: Former EDRP participants ineligible to apply for incentive.

Contact [email protected], the EDRP Coordinator for questions/assistance 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 The Deputy Associate Chief of Staff, Primary Care position at the VA St.

Louis will encompass the breadth of clinical care, including inpatient consultation, outpatient clinic and management of the Service in addition to supervision of other LIP's, staff and trainees assigned to the Service. Duties for Primary Care faculty include providing direct patient care in an outpatient setting. There are also opportunities to engage in population health management and quality improvement projects. Prior training or clinical experience in an academic teaching environment is preferred.

The successful candidate must also demonstrate excellent leadership and communication skills, an ability to work collaboratively with all the medical center's customers and stakeholders, an ability to build and work effectively within teams, and a solid commitment to increasing the VA's ability to improve the health of our nation's Veterans.

Duties also include: Primary Care of a panel of primary care patients (male and female) Provide comprehensive assessment, diagnostic work-up and clinic intervention, including comprehensive patient assessment, health history, physical examination, and patient education to Veterans in the Primary Care team setting; outpatients include both scheduled and unscheduled Veterans. Function as an integral part of a Primary Care multi-disciplinary team to coordinate, facilitate, and provide patient care and services.

Discriminate between normal and abnormal findings to establish a diagnosis and initiate appropriate response to emergency health problems. Initiate appropriate referrals and consultations to other clinical services. Order and evaluate diagnostic tests as appropriate, recommend treatment and/or referral. Validate the effectiveness of previously implemented medical treatment. Initiate, evaluate, and change orders for medications.

Include patient and family in planning care and establishing realistic measurable goals for health maintenance/improvement. Serving on facility, VISN, and National Committees and workgroups as appropriate. Overseeing professional and administrative activities within the assigned division including selection, orientation, and continuing education of staff in collaboration with other Physician leaders.

Supervises all operational aspects of the Service, including establishment of the highest clinical care standards, operations, and quality. Respond to computerized "alerts" indicating diagnostic test abnormalities and to health line requests from Veterans/family members on the day of receipt. Follow Performance Measure guidelines, including completion of clinical reminders in EMR. Access and timeliness standards; prescription order entry, National VA formulary requirements, and customer service standards.

Work effectively with patients, families, members of the multi-disciplinary team, and other staff. Demonstrates flexibility in responding to clinic demands, adhere to personal and professional obligations and responsibilities, practice and maintain ethical standards, and sustain a work environment that is harmonious and customer service oriented.

Serving as a resource for nurse practitioners or physician assistants who are also delivering primary care and responds to all staff in the primary care teams regarding patient concerns Other duties as assigned. Work Schedule: Monday-Friday 8:00am - 4:30pm.

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DGJ Insight

Our own data about this role and place, from official statistics and our live job index.

Updated Oct 27, 2026
Pay benchmark
Average wage, United States
$86,977 average / year

This job's listed pay is 274% above the benchmark.

This job: $315,000 to 335,000

Source: OECD Average annual wages, 2025

Work permit route
  • H-1B specialty occupation: Employer petition, bachelor's degree or higher in the specialty; annual cap and lottery
  • L-1 intracompany transferee: Employees of a related company abroad transferring to a US office
  • O-1 extraordinary ability: Evidence of extraordinary ability in sciences, arts, education, business or athletics

Official routes: USCIS

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