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Physician Assistant IV (Medical Director)

Veterans Health Administration · Department of Veterans Affairs

Open to the publicPermanentFull-time
Location
Boise, ID
Salary
$134,428 – $182,812/yr
Pay grade
GS 00
Openings
—
Posted
Oct 22, 2026
Closes
Closes in 2 days

Summary

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.

Duties

Boise, Idaho blends urban sophistication with outdoor thrills. Take a stroll through Downtown Boise & Old Boise, where history meets modern design, or the Boise River Greenbelt. The city offers a vibrant and diverse dining and night life scene, Visit Boise's food guide, and is home to Boise State University's Bronco Stadium. Boise is a Kid friendly and Pet friendly destination. For more adventure head to Bogus Basin Ski Resort & Boise Foothills, or to the world-famous Sun Valley or scenic McCall.

The Boise VA Healthcare System provides health care services at 6 locations in Idaho and eastern Oregon. Facilities include our Boise VA Medical Center and 5 community-based outpatient clinics in Caldwell, Mountain Home, Salmon, and Twin Falls, Idaho, and Hines, Oregon. To learn more about the services each location offers, visit the VA Boise health services page.

The VA Boise Healthcare System is one of the leading health care systems serving Veterans in the VA Northwest Health Network. We're an innovative care center within the Veterans Integrated Service Network 20 (VISN 20), which includes medical centers and clinics in Alaska, Idaho, Oregon, and Washington.

VA offers a comprehensive total rewards package.
Physician Assistant (Medical Director, Blue Team)

The Blue Team Medical Director practices in Primary Care Service in Boise, providing a full range of services emphasizing quality, timeliness, and advancing the Veterans Affairs (VA) mission. As a licensed practitioner with advanced education and national certification, this senior-level leader serves as the primary care provider for an assigned panel of patients and supervises 2 physicians, 2 Physician Assistants (PAs), and 1 Nurse Practitioner (NP), collaborating with the Blue Team Clinic Manager who manages the day-to-day operations of the clinic. Duties and responsibilities include, but are not limited to:

Clinical & Administrative Leadership

  • Serves as primary care provider for an assigned panel of patients.
  • Supervises 2 physicians, 2 PAs, and 1 NP within the Blue Team.
  • Responsible for leadership of service and programmatic operations, both clinical and administrative.
  • Practices to the full extent of education, training, and certification.
  • Executes leadership characterized by substantial and continuous responsibility and accountability for population groups or integrated programs that cross services and/or disciplines, influencing the organization's mission and health care.

Collaboration & Consultation

  • Collaborates with the Blue Team Clinic Manager on the day-to-day operations of the clinic.
  • Functions as an administrator, educator, and consultant in collaboration with all clinical services and programs at the facility or network level, interdisciplinary service leaders, and executive leadership.
  • Assists Nurse Leaders, PAs, and interdisciplinary clinicians in carrying out the functions and activities expected of them.
  • Establishes and maintains effective relationships with all levels of medical center personnel, customers, families, and the community.

Policy, Standards & Program Development

  • Contributes ideas and recommendations for the establishment of standards of care, policies, and objectives for the enhancement of clinical practice.
  • Leads and collaborates in policy-making activities related to customer service and the overall functioning of administrative and clinical programs.
  • Collaborates with other health care staff to establish and maintain programs that cross services and/or disciplines, influencing organizational mission and health care.
Work Schedule:
  • Week 1: Monday - Friday, 7:30 AM - 6:00 PM, with Friday as the regular day off (RDO).
  • Week 2: Monday - Friday, 7:30 AM - 6:00 PM, with Tuesday as the regular day off (RDO).
Compressed/Flexible: Available.
Telework: Not available.
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: May be authorized.
EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact VHA.ELRSProgramSupport@va.gov, the EDRP Coordinator for questions/assistance. Learn more
Permanent Change of Station (PCS): Not authorized.

Qualifications

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

Physician Assistant Basic Requirements
  • Master's degree in any discipline or a bachelor's degree in any discipline with one year of experience as a Physician Assistant ~AND~
  • Successfully passed the PA National Certifying Exam (PANCE) (or are you in the process to taking the exam) ~AND~
  • Currently hold, or will hold, a full and unrestricted license to practice in a State, Territory, or Commonwealth of the United States or in the District of Columbia.
Preferred Experience: One year or more leadership experience is preferred.

Grade Determinations:

Physician Assistant-IV (PA-IV) Positions may include but are not limited to: Facility or Veterans Integrated Service Network (VISN) Lead PA, Facility PA Education Lead, PA Residency Program Director, or other Clinical and/or Administrative leadership assignments.

(a) PA (Clinical Leader/Administrative Leader). PAs at the PA-IV grade level may serve as clinical leader or administrative leader. Clinical PA Leaders may be assigned to positions/studies where limited guidance exists as physician oversight is not required. Administrative PA Leaders are involved with strategic planning and administrative/managerial responsibilities for integrated programs that cross service and/or discipline lines and influence organizational mission and health care. A PA clinical leader/administrative leader may monitor or evaluate services or programs with interaction of senior administration.

i. Experience. PA clinical leaders/administrative leaders require five years of experience which included leadership assignments that involved formulating program objectives and priorities, implementing plans and practices, and interpreting regulatory and organizational guidance to develop and implement policies and/or procedures.

ii. Demonstrated Knowledge, Skills, and Abilities. PAs at this level are not required to meet each individual KSA listed below to qualify, but should be able to demonstrate, develop, or acquire those not met upon appointment for PA-IV:
a. Ability to assess information and make recommendations that may significantly affect the content, interpretation, or development of programs concerning critical matters or key issues within the health care system.
b. Ability to schedule and supervise staff, students, or ancillary personnel, to include conducting performance evaluations.
c. Skill in planning, organizing, directing, and controlling an integrated program.
d. Skill in design, management of budget, and cost benefit analysis to ensure optimal stewardship of resources.
e. Ability to analyze complex medical care, organizational processes and/or systems, and develop and implement solutions that improve outcomes at the program or service level.
f. Ability to develop and recommend new or revised policies or procedures to justify program goals and motivate assigned personnel.

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

The full performance level of this vacancy is PA IV.

Education

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Requirements

  • All qualified candidates encouraged to apply. Open to U.S. Citizens but non-citizens may be appointed when it is not possible to recruit qualified citizens.
  • 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 evaluation.
  • 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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