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Executive Director Medical Center (ES-00)

Veterans Health Administration

San Antonio, TX · Posted October 27, 2026

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About the job

Summary

The Executive Director, Medical Center (EDMC) has full delegated line authority and responsibility for executive level management of a VA health care facility. Responsible for planning, organizing, directing, coordinating, controlling, reviewing, evaluating, and improving medical, administrative, and supporting operations of a medical facility which administers a variety of medical care and treatment for a large geographic area to accomplish the Veteran patient care mission.

Duties

The responsibilities include, but are not limited to: Having final decision authority on health care organization and programs. Determines program goals and objectives. Develops short-and long-range plans in conjunction with the overall plans of the Veterans Integrated Service Network (VISN). Directs a comprehensive evaluation of program goals and objectives. Makes necessary adjustments to improve delivery of patient care services. Establishes local policy in such areas as program requirements and operating guidelines. Administers a system for the development and communication of program policies and procedures in accordance with new or existing rules Ensures adherence to regulations. Administers a management reporting system which provides appropriate data for decision making. Responsible for implementing organizational improvements; changes in delegations of authority; position-management; and coordination among the center's programs and services. Organizes and controls program evaluation activities. Develops and coordinates a quality assurance program to ensure that both clinical and administrative activities are in compliance with standards issued by various accrediting and regulatory groups. Develops plans and target completion dates to ensure that action has been taken to correct deficiencies cited by accrediting bodies. Conducts a comprehensive and effective quality management program for the standpoint of quality or program/service management. Ensures that patient complaints related to the communication of clinical aspects of their care are promptly addressed. Develops and maintains cooperative and harmonious relationships with groups, organizations and other health care providers in the local community, and at the state, VISN and national level as indicated. Fosters positive relations with the media. Ensures that issues raised by Veterans, their families and/or representatives are adequately addressed. Actively promotes productive relations with, and recognizes the contributions of, volunteer groups and other service organizations. Decides what commitments to make in the facility operations in view of public relations implications. Participates as appropriate in activities of health related associations, and of government managerial groups, e.g. Federal Executive Board; Promotes the development of VA/DOD sharing agreements as appropriate. Develops with the participation of administrative and clinical managers and chiefs, plans for fiscal year plans that meet the objectives of current and proposed programs. Develops a balanced financial plan designed to meet realistic needs of the facility and the network. Makes important decisions substantially affecting economy of operations by limiting operating expenses without impairing patient care activities through management assessment, cost effective position management techniques, reorganization, methods improvements, and automation. Ensures that utilization of available resources is in line with plan or modified through recurring review. Allocates available resources to provide the best possible patient care in line with established priorities. Expects and obtains, as the accountable official, positive accomplishments in effective utilization of resources as relaxed to budget, manpower, equipment, contractual services, physical facility needs and FTEE control. Protects integrity of the budget, position management, classification and other processes to ensure compliance with existing statutes, and regulations. Takes timely corrective action where delegated responsibilities are not being properly applied or executed.

Qualifications

To meet the minimum qualification requirements for this position, you must show that you possess the Executive Core Qualifications (ECQ), and Technical Qualifications (TQ) related to this position within your resume - NOT TO EXCEED 2 PAGES. Resumes over the 2-page limit will be disqualified. Please see "Required Documents" section below for all resume formatting requirements. There is NO requirement to prepare a narrative statement specifically addressing the Executive Core Qualifications (ECQs) or the Technical Qualifications (TQs). TECHNICAL QUALIFICATIONS (TQs): Your resume should demonstrate accomplishments that would satisfy the technical qualifications. TQ1: Demonstrated executive leadership in guiding complex healthcare organizations to achieve mission objectives, with comprehensive knowledge of healthcare delivery systems, including their mission, organization, programs, and requirements and proven ability to manage and direct large healthcare facilities. EXECUTIVE CORE QUALIFICATIONS (ECQs): In addition to the Technical Qualification Requirements listed above, all new entrants into the Senior Executive Service (SES) under a career appointment will be assessed for executive competency against the following five mandatory ECQs. If your 2-page resume does not reflect demonstrated evidence of the ECQs and TQs, you may not receive further consideration for the position. There are five ECQs: ECQ 1: Commitment to the Rule of Law and the Principles of the American Founding - This core qualification requires a demonstrated knowledge of the American system of government, commitment to uphold the Constitution and the rule of law, and commitment to serve the American people. ECQ 2: Driving Efficiency - This core qualification involves the demonstrated ability to strategically and efficiently manage resources, budget effectively, cut wasteful spending, and pursue efficiency through process and technological upgrades. ECQ 3: Merit and Competence - This core qualification involves the demonstratedknowledge, ability and technical competence to effectively and reliably produce work that is of exceptional quality. ECQ 4: Leading People - This core qualification involves the demonstrated ability to lead and inspire a group toward meeting the organization's vision, mission, and goals, and to drive a high-performance, high-accountability culture. This includes, when necessary, the ability to lead people through change and to hold individuals accountable. ECQ 5: Achieving Results - This core qualification involves the demonstrated ability to achieve both individual and organizational results, and to align results to stated goals from superiors.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above. Once the application process is complete, a review of your resume and supporting documentation will be conducted. If you meet minimum qualifications, your Application Package will be further reviewed to determine if you possess the Executive Core Qualifications (ECQ) and Technical Qualifications (MTQ) listed above. ECQs and TQs must be thoroughly addressed within your two (2) page resume. Separate narratives will not be accepted or reviewed. Highly Qualified applicants may undergo one or more interviews and may be referred to the selecting official for further consideration. Upon selection, if not already a member of the SES serving under a career appointment, the individual selected must have his/her executive qualifications certified by the U.S. Office of Personnel Management's SES Qualifications Review Board (QRB) before appointment to this position. The selected individual's application will be forwarded to the OPM for review and certification by the QRB, unless the selectee provides evidence of their noncompetitive status (i.e., a current SES, OPM QRB certified SESCDP graduate, or SES reinstatement eligible). Upon QRB certification, the selected individual will be required to serve a one-year probationary period. For more information regarding the SES, go to https://www.opm.gov/policy-data-oversight/senior-executive-service/.

How to apply

Your complete application must be received by 11:59 pm EST on the closing date, 11/12/2026. Please read all instructions before you begin. To begin, click Apply to access the online application. You will need to be logged into your USAJOBS account to apply. If you do not have a USAJOBS account, you will need to create one before beginning the application. Follow the prompts to select and upload your résumé and/or other required documents to be included with your application package. You will have the opportunity to upload additional documents to include in your application before it is submitted. Your uploaded documents may take several hours to clear the virus scan process. After acknowledging you have reviewed your application package, complete the "Include Personal Information" section as you deem appropriate and click to continue with the application process. You will be taken to the online application which you must complete in order to apply for the position. Complete the online application, verify the required documentation is included with your application package, and submit the application. It is applicant's responsibility to verify that information entered and uploaded, (i.e., resume and other required documents) is complete, accurate, and submitted by the closing date. Human Resources will not modify or change any part of your application. Application packages will NOT be accepted via mail. Due to security processes, mail delivery takes approximately 2-3 weeks to process at which time the vacancy announcement will be closed, and no further consideration will be given to additional application packages.

Other information

Veteran Preference does not apply to the Senior Executive Service.: https://www.opm.gov/faqs/topic/Senior-Executive-Service/index.aspx. Drug Testing: All applicants tentatively selected for VA Senior Executive Service employment in any position are subject to urinalysis to screen for illegal drug use prior to appointment and will be subject to random testing thereafter. Applicants who refuse to be tested will be denied employment with VA. Mobility: Organizational and geographical mobility is essential in developing and managing SES leaders. Individuals selected for SES positions may be subject to reassignment across geographical, organizational, and functional lines, and may be required to sign a Reassignment Rights and Obligation Agreement. Equal Employment Opportunity (EEO) Policy Statement: http://www.eeoc.gov/federal/index.cfm Employment Information Resources - Resource Center: https://help.usajobs.gov/how-to Males born after 12-31-1959 must be registered or exempt from Selective Service (see https://www.sss.gov/RegVer/wfRegistration.aspx) OPM must authorize any employment offers made to current or former (within the last 5 years) political Schedule A, Schedule C, or Non-career SES employees in the executive branch. If you are currently, or have been within the last 5 years, a political Schedule A, Schedule C, or Noncareer SES employee in the executive branch, you must disclose that to the Human Resources Office.