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Deputy Chief of Staff

Veterans Affairs, Veterans Health Administration

Fresno, CA · Posted October 27, 2026

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About the job

Fresno, California, Summary The Deputy Chief of Staff of VA Central California Health Care System assists the Chief of Staff in managing all Chief of Staff administrative and clinical responsibilities. 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 Pre-placement Examination: Complete TB Testing and Immunization evaluations See VA Directive/Handbook 5019 Required Experience: Board Certified in a related specialty Preferred Experience: Posses more than one (1) year of Management/Leadership experience within a complex Medical Center Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/ Physical Requirements: Requires lifting 15-44 pounds pushing (approx 2 hours) reaching above shoulder use of fingers and both hands walking and standing from 3-5 hours and kneeling Ability for rapid mental and muscular coordination simultaneously Must have depth perception and ability to distinguish basic colors and shades of colors Hearing aid is permitted. Duties **This is an OPEN CONTINUOUS ANNOUNCMENT and will remain open until September 30 - 2027 The initial cut-off date for referral of eligible applications will be November 1 - 2026 - with subsequent cut-off dates every 2 weeks Eligible applications received after that date will be accepted on an ongoing basis and qualified candidates will be considered as vacancies become available.** VA offers a comprehensive total rewards package VHA Physician Total Rewards Work Schedule: Monday-Friday - schedule will be coordinated with hiring manager 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 Chief of Staff of VA Central California Health Care System assists the Chief of Staff in managing all Chief of Staff administrative and clinical responsibilities As such - s/he is responsible for assisting in administrative - clinical - educational - and research activities of the Medical Center and its three Community Based Outpatient Clinics (CBOCs) as described below Duties include but are not limited to: Assist in specific responsibilities to preside over the medical staff and assure clinical excellence - uniform standards of practice - education - and research Assure the overall quality - appropriateness - and timeliness of patient care delivered by all members of the medical staff Direct and oversee the medical staff functions and committees - the medical staff bylaws - rules and regulations of the Fresno VA Medical Center and its three CBOCs - and the credentialing and privileging of health care providers Timely completion of all Professional Practice Focused Reviews as per The Joint Commission's Medical Staff Standards Participate in strategic planning - resource allocation and performance improvement activities Ensure participation of the medical staff in performance improvement activities Ensure that all patients receive quality - preventive health care through screening - counseling and education Assist in ensuring that all medical staff (ancillary staff - pharmacy - nursing mental health and medical/surgical providers are knowledgeable and provide appropriate psychosocial care and counseling to patients Evaluate teaching programs to determine effectiveness in meeting patient needs and program goals Ensure appropriate supervision of house staff and residents Ensure that medical staff is active in providing appropriate preventive and therapeutic counseling and health care education for patients and their families Additional duties as assigned.