Physician (ENT) - FEE BASIS Job in Boston, MA

Vacancy No. CBTD-12755661-25-BS Department Veterans Health Administration
Salary $100.00 to $300,000.00 Grade 00 to 00
Perm/Temp Temporary FT/PT Part-time
Open Date 7/9/2025 Close Date 7/23/2025
Job Link Apply Online Who may apply Public
Locations:
Boston, MA


Summary

Ear Nose and Throat Physician for the VA Boston Healthcare System located at the Jamaica Plains campus. This is a Fee Basis position and payment will be made on a fee for service basis. There is an aggregate limit of $400,000. This means you cannot make over $400,000 in a calendar year, and this is inclusive of all combined appointments.

This job is open to

Clarification from the agency

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.

Duties

The Otolaryngologist will provide consultation and care for our patients in the Department of Surgery.

Major duties include, but are not limited to:

  • Provide expert consultation, diagnosis, and management for adult patients with ENT (ear, nose, and throat) diseases, including both benign and malignant conditions.
  • Perform comprehensive head and neck examinations, including endoscopic and microscopic evaluation.
  • Execute a full spectrum of surgical procedures, including but not limited to:
    • Head and neck oncologic surgery
    • Microvascular reconstruction
    • Skull base surgery
    • Thyroid and parathyroid surgery
    • Salivary gland surgery
    • Airway management procedures
  • Prescribe medications, order and interpret diagnostic studies (e.g., laboratory tests, imaging including CT, MRI, ultrasound), and develop multidisciplinary treatment plans.
  • Manage both outpatient and inpatient consults, including preoperative and postoperative care.
  • Serve as a core educator for medical students, residents, and fellows; provide lectures, technical training, and mentorship in otolaryngology and head and neck surgery.
  • Participate in departmental committees, quality improvement initiatives, and clinical trials as appropriate.
  • Communicate effectively and compassionately with patients, families, and multidisciplinary teams.
  • Adhere to all VA policies and support the mission of the Boston VA Health Care System.


Pay: Salary limitation of $300,000 can be earned in a calendar year
Unit Work Description: Pay Per Unit:
CPT Code 99242 - New Patient Clinic Visit: $100.00
CPT Code 99214 - Existing Patient Clinic Visit: $100.00
CPT Code 31365 - Primary Procedure: $3,000.00
Assistant Surgeon (Modifier 82): $480.00

Complex ENT Procedures
CPT 31365 Laryngectomy; with Radical Neck Dissection: $2,350.00 - $3,000.00
CPT 31360 Laryngectomy, without radical neck dissection: $1,995.00 - $2,750.00
CPT 41145 Glossectomy; Complete or Total, with or without Tracheostomy, with Unilateral Radical Neck Dissection: $3,206.00
CPT 42415 Excision of Parotid Tumor or Parotid Gland; Lateral Lobe, with Dissection and Preservation of Facial Nerve: $1, 215.00
CPT 42842 Radical Resection of Tonsil, Tonsillar Pillars, and/or Retromolar Trigone; without Closure: $990.00 - $1,200.00
CPT 60240 Thyroidectomy: $875.00 - $1,200.00
CPT 31225 Maxillectomy; without Orbital Exenteration: $1,500.00 - $2,500.00

General ENT Procedures
CPT 42826 Tonsillectomy: $250.00 - $300.00
CPT 31237, 31256, 31267 Functional Endoscopic Sinus Surgery (FESS): $350.00 - $1,500 per sinus depending on the specifics of the procedure
CPT 31575, 31576, 31577 Direct Laryngoscopy: $150.00 - $310.00
CPT 30400, 30410, 30420 Rhinoplasty: $1,250.00 - $3,000.00 based on complexity and specifics
CPT 30520 Septoplasty: $625.00 - $850.00
CPT 30140 Turbinate Reduction: $275.00 - $375.00
CPT Code 15734-15756 Free Flaps (Minor to High Complexity): $1,575.00 - $2,700.00


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: Fee Basis, as needed due to needs of the facility

Requirements

Conditions of Employment

  • U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • 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

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.
Additional Requirement: Board Certified in Otolayngology-Head & Neck Surgery

Preferred Experience:
  • Fellowship training in Head and Neck Surgical Oncology, Microvascular Reconstruction, or Skull Base Surgery.
  • Experience as a faculty member in an academic medical center.
  • Demonstrated excellence in clinical care, teaching, and research in otolaryngology.
  • Leadership experience in diversity, equity, and inclusion initiatives.
  • Participation in clinical trials, research, and quality improvement projects.
  • Membership in relevant professional societies (e.g., American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons).
  • Experience with advanced surgical technologies (e.g., da Vinci surgical system).
  • Fellowship training in Head and Neck Surgical Oncology, Microvascular Reconstruction, or Skull Base Surgery.
  • Experience as a faculty member in an academic medical center.
  • Demonstrated excellence in clinical care, teaching, and research in otolaryngology
  • Leadership experience in diversity, equity, and inclusion initiatives.
  • Participation in clinical trials, research, and quality improvement projects.
  • Membership in relevant professional societies (e.g., American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons).
  • Experience with advanced surgical technologies (e.g., da Vinci surgical system).

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

Physical Requirements: Applicants must meet physical standards for the position. A physical examination prior to placement is required. This is a designated drug testing position. After appointment, you will be subject to random testing for illegal drug use. 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.

Education

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 an institution whose accreditation was in place for the year in which the course of study was completed. Approved schools are:
  1. Schools of medicine accredited by the Liaison Committee on Medical Education (LCME) for the year in which the degree was granted, or
  2. Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation of the American Osteopathic Association for the year in which the degree was granted.
  3. For foreign medical graduates not covered in (1) or (2) above, facility officials must verify with the Educational Commission for Foreign Medical Graduates (ECFMG) that the applicant has met requirements for certification, and must obtain a copy of the ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school meets (or met) ECFMG eligibility requirements for the year the candidate graduated.]
NOTE: The Under Secretary of Health or designee in the VHA Central Office may approve the appointment under authority of 38 U.S.C. 7405 of a physician graduate of a school of medicine not covered above if the candidate is to be assigned to a research, academic, or administrative position with no patient care responsibilities. The appointment will be made only in exceptional circumstances where the candidate's credentials clearly demonstrate high professional attainment or expertise in the specialty area.

Additional information

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

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

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.

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.

Your application, resume, C.V., and/or other 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.

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.

Required Documents

To apply for this position, you must submit a C.V. and/or resume. Other documents may be requested later in the process if needed.


How to Apply

  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.
To apply for this position online complete steps 1 and 2 above by 11:59 PM (ET) on 07/23/2025 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 CBTD-12755661-25-BS 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.

Agency contact information

Bernadette Smith
Address
VA Boston Healthcare System
940 Belmont Street
Brockton, MA 02301
US

Next steps

Once your online application is submitted you will receive a confirmation notification by email. 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.


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