Physician Assistant (Lead) Job in Lexington, KY

Vacancy No. CBTG-12773377-25-ABJ Department Veterans Health Administration
Salary $162,574.00 to $216,221.00 Grade 4 to 4
Perm/Temp Permanent FT/PT Full-time
Open Date 7/31/2025 Close Date 8/7/2025
Job Link Apply Online Who may apply Status Candidates
Locations:
Lexington, KY


Summary

The Lexington, Kentucky VAMC Lead Physician Assistant is a senior member of the PA staff with proven clinical experience, who possesses a thorough understanding of integrated processes of patient care and possesses the knowledge, skills, and abilities to interact effectively across interdisciplinary teams, including medical, nursing, and administrative staff.




This job is open to

Clarification from the agency

This job is open to all current and permanent employees at the Lexington VA Healthcare System and CBOCs aligned under Duty Station #596. (Duty Station information can be found in block 40 on your most recent SF-50 and to be eligible for this vacancy the first 3 alpha-numeric characters in block 40 must read 596).

Duties

Duties and expectations may include, but are not limited to:

  • As an agent of the immediate medical supervisor - interventional radiology physician, the PA is authorized to write medical orders on patients assigned to the service for care. Every order given by the PA is therefore considered as coming from the immediate medical supervisor. All orders written by the PA will be within the parameters of this Scope of Practice.
  • All consultations, reports of histories and physical examinations, and special examination records written by the PA will clearly identify the provider as a physician assistant.
  • The PA is authorized to perform the following task on a regular and ongoing basis, without a specific prior discussion with the immediate medical supervisor.
  • Leadership: Participation in staff meetings, hospital committees, and peer review process. Demonstrate effective communication to other staff and up to leadership, to include input to heads up messages (for acute patient bad outcomes) and issue briefs. Participate in Clinical Pertinence Reviews (routine medical record reviews).
  • Credentials: Maintain VA training requirements and timely completion of documentation and upkeep of credentials required for scope of practice. Participate in the FPPE/OPPE process. Ensure orders or prescriptions written comply with the parameters of state licensure and scope of practice.
  • Organizational: Adheres to employee health requirements. Time/Leave Management: Adherence to policy for assigned tour of duty and timely requests for leave in VISTA and for clinic cancellations.
  • Clinical Management: includes indirect patient care; accurate and timely open encounter and consult management/coordination, adheres to CPRS documentation rules and requirements and to clinic procedures for patient scheduling and access; facilitates clinic staff productivity; oversight of relevant performance measures; and participates in the development of the new focus on the Medical Home and Patient Centric Care, Utilization Management, and Patient Safety initiatives, and process improvements (system redesign). Coordinates patient care through inter-service agreements.
  • The Physician Assistant will perform Utilization Management functions which include but are not limited to protocolling of advanced modality procedures as well as determining clinical indication and recommendations for imaging studies.
  • The physician assistant will perform administrative duties as directed by the supervising physician or agent of the supervising provider.
  • The Physician Assistant is expected to maintain active scope of practice and credentials and to practice in his/her specialty field. The exact scope of practice for a particular Physician Assistant will be approved by the Professional Standards Board. All Physician Assistants must meet the following competencies: Patient Care, Medical/Clinical Knowledge, Interpersonal & Communication Skills, Professionalism, and Systems-based Practice.
  • Performs diagnostic and therapeutic radiologic procedures requiring fluoroscopic guidance including but not limited to upper gastrointestinal studies, barium enemas, hysterosalpingograms, and arthrograms.
  • In conjunction with supervising and consulting physicians, performs complete evaluations on, develops treatment plans and implements therapeutic intervention for, and provides appropriate follow-up care to inpatients.
  • Provides education and counseling to patient/family in the areas of health promotion, maintenance, and disease prevention.
  • Collaborates with interdisciplinary team, enacts treatment plan, provides education, and ensures appropriate follow-up.
  • Records all physical findings in the patient's medical record and has notes counter signed at the request of the supervising physician.
  • Acts as a consultant/mentor to PAs in lower grades and other clinical and support staff.
  • The physician assistant will abide by all Veterans Administration (VA) rules and regulations pertinent to the scope of practice within any VA facility.
  • Keeps abreast of the latest trends, skills, procedures, equipment, guidelines, and protocols relevant to Interventional Radiology.
  • Demonstrates leadership in developing productive working relationships with groups in other programs, services, academic settings, and community agencies.
  • Shares medical literature research findings with colleagues to enhance patient care delivery.
  • Research medical literature and applies evidenced-based medicine to improve clinical practice.


VA offers a comprehensive total rewards package.

Work Schedule: Monday - Friday, 8:00am-4:30pm
Telework: AD-HOC
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized

Requirements

Conditions of Employment

  • 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.
  • You may be required to serve a probationary period.
  • 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 dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
  • Must pass pre-employment physical examination.
  • Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).

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:
a. Senior PA (Grade 3) in good standing
b. Proven record of leadership with evidence of strong advocacy for the PA profession
c. Solid understanding of pertinent VHA Policies and Directives to include VA Handbook 5005/134 PA Qualification Standards, VHA Directive 1063: PA Practice Authority, PA Occupational Codes HR Smart 2024, Above Minimum Entry Grade Worksheet and PA Pay setting, awards, and promotion tools, ePerformance, and PA functional statements.
d. Willingness to spend off time working on PA advocacy and support activities (i.e., meeting with interested PA candidates for hire, orientating new hires, meeting the VACO and VISN leadership, etc.)
e. Prepared to attend biweekly MEC assemblies, meet with HR for PA pay setting, serve as SME for Director, COS, Department and Service Chiefs on topics specific to PAs, and attend monthly national Chief PA meeting via TEAMS


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 (Facility Lead). Facility lead PAs have a thorough understanding of the various functions involved in the care of patients, and the ability to interact effectively with different medical and surgical specialists, health care team members, and administrative staff. Facility lead PAs have the knowledge and expertise pertaining to PA employment, credentialing, clinical practice, and appropriate utilizations of PAs. A lead PA can monitor patient care operations, polices, and work performance of fellow PAs.

i. Experience. PA facility leads require five years of experience, which includes progressively responsible leadership assignments, such as serving on any local committees, workgroups, or taskforces. The PA may exhibit knowledge of PA VHA employment and utilization of PAs through demonstrative actions as a facility point of contact (POC) for PA issues, policies, and directives.
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 provide clinically and occupationally focused orientation to new PA appointees and mentoring other PA staff members.
b. Knowledge of the FPPE and OPPE processes to evaluate and assess patient care services provided by PA staff.
c. Knowledge of the educational needs of PAs.
d. Ability to provide leadership and clinical oversight of PAs at the facility.
e. Ability to exercise independent judgment, perform tasks involving special technical, supervisory, or administrative lines.
f. Ability to communicate effectively with a diverse group of professional clinical staff.

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

The full performance level of this vacancy is Grade 3. The actual grade at which an applicant may be selected for this vacancy is in the range of Grade 1 to Grade 4.

Physical Requirements: Include repetitive body movements including: frequent reaching, standing, walking, and lifting of equipment and/or patients to provide patient care. This position requires extension of the hand(s) and arm(s) in any direction including above or below shoulder level, during the provision of patient care, including retrieval of needed equipment, supplies and to make contact with the patient. This position is typically non-sedentary, and frequently involves being in the standing position. This position requires moving about accomplish tasks, such as assisting with patient ambulation and moving one patient area to the next. This position requires the raising of objects from a lower position to a higher position or the movement of objects horizontally position to position. Lifting may be done to move a patient from one location to the next, i.e.- from the exam table to the chair, and in the movement of equipment or supplies.

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/.

Additional information

This job opportunity announcement may be used to fill additional vacancies.

This position is in the Excepted Service and does not confer competitive status.

VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

Benefits

A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

Review our benefits

Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

How You Will Be Evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

NOTE:
A formal pay-setting process will be used to determine your salary. The salary may be at any point in the range listed for this vacancy.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

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.

Required Documents

To apply for this position, you must provide a complete Application Package which includes:

  • Resume


The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc.

  • Cover Letter
  • DD-214/ Statement of Service
  • Disability Letter (Schedule A)
  • Disability Letter (VA)
  • License
  • Other (1)
  • Professional Certification
  • Resume
  • Separation Notice (RIF)
  • SF-15
  • SF-50/ Notification of Personnel Action
  • Transcript


Veterans' Preference Note: Preference eligible candidates and other Veterans will be given preference when qualification of candidates are approximately equal for Title 38 positions in VHA. When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.

If you are relying on your education to meet qualification requirements:

Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.

Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.

How to Apply

All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 08/07/2025 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/12773377.

  1. 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.
  2. Click Submit My Answers to submit your application package.

NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.

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.

Agency contact information

Annette Johnson
Address
Lexington VA Health Care System
2250 Leestown Road
Lexington, KY 40511
US

Next steps

Once your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.

You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center.

NOTE: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). It is a requirement that all HCP to receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccination has been granted. HCP in violation of this directive may face disciplinary action up to and including removal from federal service. HCP are individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other HCP as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, researchers, volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work at these facilities. HPTs may be paid or unpaid and include residents, interns, fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with patients outside VA medical facilities.


Note: We cannot accept applications on behalf of Federal Agencies. Application instructions are listed within the Job Description.