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Associate Chief of Staff (ACOS) of Specialty Care Opportunity with the Hawaiian Islands VA in Ho...

Department of Veterans Affairs
Honolulu, Hawaii
Closing date
May 8, 2025

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General Practice
Full Time
Position Type

The VA Pacific Islands Health Care System provides access to patient care to over 130,000 veterans across a 2.6M square mile area of the Pacific Ocean. Remote Island locations, separated by great distances of ocean, is the environment in which the VAPIHCS delivers a full range of comprehensive health care services. The VAPIHCS operates seven community-based outpatient clinics (CBOCs) covering seven county areas. These outpatient clinics are in America Samoa, Guam, Hilo, Kauai, Kona, Leeward, and Maui. VAPIHCS is a Level 2 facility within the VA Sierra Pacific Network (VISN 21).

The Associate Chief of Staff (ACOS) of Specialty Care is a senior management position reporting directly to the Deputy Chief of Staff. This position is responsible for the overall leadership of the Specialty Care Service and ensures the quality of Specialty Care services provided, the education and training of professional staff, and the safety and ethical conduct of medical research conducted on patients assigned to the service line. The Service is comprised of the following: Eye Care, Interventional Pain, Infectious Disease, Dermatology, Orthopedics, Podiatry, Neurology, Gastroenterology, Rheumatology, Nutrition, Cardiology, Pulmonary, Endocrinology, Nephrology, and developing services including Anesthesiology, Surgery, Ophthalmology, and Hematology/Oncology.


  • Performance Measures
  • Program Development
  • Resource Management
  • Quality Assurance
  • Direct Supervision of Faculty, Staff within Specialty Care Service

FUNCTIONS: The duties and responsibilities of the ACOS of Specialty Care Service include but are not limited to the following:

  • Working across Service lines to develop programs, meet performance measures, and improve the functioning of the Medical Center that includes our VA PIHCS Ambulatory Care Center (Honolulu) as well as partnering with VA PIHCS Community Based Outpatient Clinic (CBOC) Chiefs including Leeward/Windward (Oahu), Kauai, Maui/Lanai/Molokai, Hilo/Kona (Big Island), Guam, and American Samoa.
  • Working with University and Department of Defense partners to meet performance measures, education mission and provide outstanding medical care.
  • Work within Specialty Services with clinical staff, the Nurse Manager, and other supervisors, managers and team leaders in the service line to achieve and maintain high standards of performance. 
  • Work with Care in the Community to care for veterans and assure access and high quality medical care and transitions between VA and Community care.
  • Participating in organizational planning to include strategic, operational, programmatic and other plans and policies to achieve the mission and vision of the Medical Center.
  • Participating in the development of long and short-term goals for the Specialty Care Service and the organization.
  • Coordinates the ongoing evaluation of Medical Staff assigned to the department including Focused Professional Practice Evaluation (FPPE) and Ongoing Professional Practice Evaluation (OPPE)
  • Despite the incumbent's extensive administrative responsibilities, he/she maintains a clinical workload consistent with clinical privileges in a Medical Specialty, providing exceptional, high quality medical health care to Veteran enrollees.
  • Participating on and occasionally chairing Medical Center and VISN committees, workgroups and systems redesign projects.
  • Contributing to the development and implementation of policies and procedures that guide and support the provision of services to patients.
  • Facilitating compliance with standards established by oversight and regulatory entities such as Joint Commission, CARF, OSHA, CAP, OIG, etc.
  • Participating in the resources allocation process of the Specialty Care Service to include provision of sufficient number of qualified and competent persons to provide patient care, as well as, recommending acquisition of necessary equipment and supplies and adequate space to provide such services.
  • Overseeing the establishment of program monitors and outcome measurements for the Service and uses data-driven quality assurance processes in these monitors and measurements.
  • Ensuring timely completion of all program evaluations and documents required by the Medical Center, VISN, and VACO.

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

Education Debt Reduction Program (Student Loan Repayment): Learn more.
EDRP Authorized: Contact, the EDRP Coordinator for questions/assistance

Work Schedule: Monday - Friday, 7:30am - 4:00pm; Possible Saturday/Weekends rotation as needed
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

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