Physician - Primary Care Medical Director

Physician - Primary Care Medical Director

Department: Department of Veterans Affairs

Location(s): Sioux Falls, South Dakota

Salary Range: $250000 - $350000 Per Year

Job Summary: This leadership opportunity is located at the Royal C Johnson VA Health Care System in Sioux Falls, South Dakota.

Major Duties:

• The Medical Director serves as an integral leader in the Primary Care team and performs the following duties: Program Leadership & Administration - Provide supervision, clinical leadership, and oversight of medical management for the Sioux Falls VA Primary Care Clinics and the Community Care program, including safety and quality standards, utilization management, and continuous quality improvement activities. - Develop, implement, and evaluate evidence-based policies, care algorithms, and care bundles to optimize use of VHA and network care resources. - Serve as medical reviewer for purchased services; determine medical necessity and appropriateness of utilizing care outside the VHA system; document clinical decisions in the EHR. - Collaborate closely with Community Care (CITC) staff, Business Office, Quality/Safety/Value (QSV), Utilization Management, and ad-hoc teams to ensure high-quality care for Veterans receiving community care. - Act as liaison with community physicians and internal SFVAHCS providers to coordinate Veteran-centered plans of care and exchange clinical feedback. - Provide recommendations on adequacy of the community provider network and identify additional specialties for consideration as appropriate. - Review concerns regarding care quality by external providers and make recommendations to appropriate committees and leaders. - Operate in a Program Manager role for the Primary Care Service Line, including performance management, access, quality, and compliance. - Attend staff meetings; serve on committees, teams, workgroups, and peer reviews as requested by ACOS for Primary Care. Functions as the Medical Director for both Primary Care and Care in the Community (Community Care) programs at the Sioux Falls VA, within the Sioux Falls VA Health Care System (SFVAHCS). Provides integrated administrative leadership, policy oversight, quality and safety direction, and clinical governance across Primary Care and Community Care operations to ensure timely, Veteran-centered care that complies with VA and VHA regulations and Federal law. Maintains proficiency in the VA electronic health record (EHR) and adheres to local and national performance measures. Clinical Responsibilities - Provide outpatient primary care in accordance with scope of practice, including history and physical exam, ordering and interpreting diagnostic studies, developing treatment and follow-up plans, preventive care and chronic disease management. - Deliver care through face-to-face visits and other modalities such as group or telephone clinics, virtual visits, and secure messaging consistent with health care operations. - Complete patient encounters and documentation in accordance with coding guidelines and VHA/medical staff bylaws. - Maintain required training (e.g., TMS, HIPAA, information security). - Maintain active clinical practice within Primary Care (adjustable per operational need). VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment/Relocation Incentive (Sign-on Bonus): Authorized for highly qualified candidates. Education Debt Reduction Program (Student Loan Repayment): Learn more. EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact vhaedrpprogramsupport@va.gov, the EDRP Coordinator for questions/assistance. 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. 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 Work Schedule: 7:30am - 4:00pm Mon - Fri

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 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. Preferred Experience: Primary Care and PACT model experience preferred. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

How to Apply: To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire. Click Submit My Answers to submit your application package. To apply for this position online, complete steps 1 and 2 above by 11:59 PM (ET) on 05/28/2026 to receive consideration. Please note, this announcement may close prior to the closing date indicated if the position is filled through other means. If you are unable to apply online before the closing date click here and include the CBSY-12948645-26-JL in the Notes field. During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

Application Deadline: 2026-05-28