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ACOS Acute Care and Specialty

Veterans Health Administration · Department of Veterans Affairs

PermanentFull-timeSecurity clearance required
Location
Montgomery, AL
Salary
$145,000 – $335,000/yr
Pay grade
GS 15
Openings
1
Posted
Jun 18, 2026
Closes
Closes in 99 days

Summary

Education and length of practice are considered through a formal pay-setting process to determine the final compensable salary (Base Pay + Market Pay)


Duties

The Montgomery Area Chamber of Commerce's Economic Development department is dedicated to building a prosperous future by attracting new businesses, expanding existing ones, and fostering an environment where innovation thrives.

The Montgomery area is a balance between production and service economies with major interstates in all directions; public, private and military institutions of higher learning; and a proud heritage to showcase.

The warm Southern hospitality, high quality of life and low cost of living makes Montgomery a wonderful place to put down roots and raise a family. Montgomery offers everything expected in a big city - from world-class arts and theater to state-of-the-art health care and vibrant retail - all with the small-town warmth seldom found in a city of this size.

VA offers a comprehensive total rewards package. VHA Physician Total Rewards.

Recruitment Incentive (Sign-on Bonus): Authorized
Relocation Incentive (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

The ACOS for the Acute Care and Specialties has overall clinical, administrative, strategic planning, budgetary and supervisory responsibilities for programs aligned under the service and over the multi-disciplinary staff assigned. The service line consists of inpatient and outpatient services including a variety of specialty services. These comprehensive Medicine services are provided at a variety of locations including the main medical centers and the Community Based Outpatient Clinics (CBOC's). The clinical disciplines included are hematology/oncology, cardiology, pulmonary/critical care, endocrinology, neurology, infectious disease, gastroenterology, nephrology and inpatient hospitalist service. The ACOS will also have oversight of the Emergency Department and Respiratory Care. The ACOS also provides oversight of non-clinical staff including the administrative officer and program analysts.

Incumbent is responsible for developing strategic plans, policies, procedures and organizational structures required to fulfill the service line's mission. The incumbent has final decision-making authority, responsibility and accountability on all issues affecting the Acute Care/Specialty ICC. The incumbent collaborates with clinical and administrative operations and program/section managers to ensure integrated goals and priorities are established and met. The incumbent also works closely with peers in other services and management to meet the needs of CAVHCS recognized internal and external customer groups. The incumbent is knowledgeable of overall VA, VHA, VISN, and CAVHCS goals, missions and priorities to assure a positive impact on programs and resources.

The incumbent is ultimately responsible for overall Acute Care/Specialty ICC clinical and administrative operations. This responsibility includes system operations of inpatient acute care, emergency/crisis care, outpatient clinics, patient/customer satisfaction, medicine sub-specialty service and successful attainment of CAVHCS, VISN and VHA performance measures and efficient and effective service delivery and resource management.

The ACOS provides leadership, coordination and direction to the entire Acute

Care/Specialty ICC to achieve optimal utilization of available resources. The ACOS for Acute Care/Specialty ICC has responsibility for staffing, work assignments, budget, oversight of the clinical services provided, establishing and maintaining admission criteria for the medicine programs and oversight of program operations. Additionally, the position may have collateral assignments determined by the needs of the local facility, the VISN and/or VACO.

They must demonstrate advanced practice skills and judgment, advanced supervisory skills, the ability to supervise a multidisciplinary staff, and program management skills and competencies consistent with the management of projects of broad scope, magnitude and complexity.


Work Schedule: 8:00am - 4:30pm Monday - Friday

Qualifications

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 allopathic 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 accrediting bodies for graduate medical education, the Accreditation Council for Graduate Medical Education (ACGME) or American Osteopathic Association (AOA), in the list published for the year the residency, or fellowship if applicable, was completed; OR
    • (2) One year of post medical school training (internship, first year of residency, or transitional year residency) approved by ACGME or AOA followed by two years of post-training independent practice (performing under a full and unrestricted license) in the United States; OR
    • (3) Non-US residency training programs followed by a minimum of three years of verified independent practice in the United States (performing under a full and unrestricted license) performing duties related to the position they are applying for (United States fellowships would be creditable towards this requirement), 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.
    • Exceptions:
      • 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 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.
      • In rare and unusual circumstances, the Facility Director can submit a memo to the VISN Director through the VISN Chief Medical Officer, who may approve requests for reasonable exceptions to the residency training requirement for Physicians whose composite record of experience, accomplishments, performance, and qualifications warrant such action.
  • Proficiency in spoken and written English.

Preferred Experience: Prior Associate Chief of Staff experience is preferred and Board Certified

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

Physical Requirements: This position requires visual acuity, keen hearing; clear, distinctive speech; and manual dexterity. The position requires potentially long periods of continued sitting, telephone and computer usage, walking, standing, stooping, bending, pulling and pushing. Transferring of equipment/objects may be required.

Education

Degree of Doctor of Medicine or an equivalent degree resulting from a course of education in allopathic medicine or osteopathic medicine. The degree must have been obtained from an institution whose accreditation was in place for the year in which the course of study was completed. Approved schools are:
  1. Schools of medicine accredited by the Liaison Committee on Medical Education (LCME) for the year in which the degree was granted.
  2. Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation (COCA) for the year in which the degree was granted.
  3. For foreign medical graduates not covered in (1) or (2) above, confirmation must be made that the medical school meets (or met) Educational Commission for Foreign Medical Graduates (ECFMG) eligibility requirement for year graduated.
NOTE: The Under Secretary of Health or designee in the VHA Central Office may approve the appointment under authority of 38 U.S.C. 7405 of a physician graduate of a school of medicine not covered above if the candidate is to be assigned to a research, academic, or administrative position with no patient care responsibilities. The appointment will be made only in exceptional circumstances where the candidate's credentials clearly demonstrate high professional attainment or expertise in the specialty area.

Requirements

  • 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 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.

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