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VA San Diego Healthcare System - Veterans Health Administration

Internal Medicine - Physician - Academics - Program Director at VA San Diego Healthcare System - Veterans Health Administration

VA San Diego Healthcare System - Veterans Health Administration San Diego, CA

Job Description

The VA San Diego Healthcare System is seeking an experienced physician to serve as our Chief of Medicine. This position will report directly to the Chief of Staff (COS).

The Chief of Medicine will be responsible for oversight, direction, and joint program development with the University of California, San Diego (UCSD) School of Medicine. This position requires an academic appointment with our academic affiliate, the University of California, San Diego School of Medicine.

The Chief of Medicine is responsible for oversight of all physician staff, providers, and administrative staff in Medicine Service. In particular, the Chief of Medicine is responsible for the full array of clinical operations and administrative functions of inpatient Internal Medicine, along with the subspecialties of Allergy, Cardiology, Dermatology, Emergency Medicine, Endocrinology, Gastroenterology, Geriatrics, Hematology/Oncology, Hospital Medicine, Infectious Disease, Nephrology, Palliative Care, Pulmonary, Rheumatology, and Sleep Medicine.

This position offers a unique blend of administrative responsibilities and the chance to engage in teaching and research, with 10-45% of the role dedicated to clinical work, subject to negotiation based on candidate experience, and overall goals of Medicine Service and the facility as a whole. You will lead performance improvement initiatives, ensuring alignment with VASDHS and Medicine Service goals while supervising Section Chiefs and administrative staff. Collaboration with health system leadership on strategic initiatives is essential, as is serving as the primary liaison with UCSD School of Medicine to foster interdepartmental partnerships.

In addition to overseeing fiscal management and personnel administration, you will promote research and education opportunities for academic physicians, manage VA-approved research activities. Regular staff meetings will keep your team informed about policies and goals, while you develop position descriptions and performance standards. Your role will also involve addressing grievances and managing disciplinary actions, making a significant impact on healthcare and education.

Schedule: Monday through Friday, 8am - 4:30pm excluding Federal Government holidays. This position is not eligible for telework or hybrid work.

Qualifications:

  1. U.S. Citizenship.
  2. Unrestricted U.S. Medical License.
  3. Successful completion of an Accreditation Council for Graduate Medical Education (ACGME) or American Osteopathic Association (AOA) accredited fellowship in their specialty.
  4. Board Certification within their specialty.
  5. 3 years of supervisory experience.
  6. Record of academic accomplishments commensurate with the rank of associate or full professor (required for academic appointment of this position).

Preferred Qualifications:

  1. Prior VA Experience
  2. 5 years of supervisory experience.
  3. Experience in administering programs, clinical operations, teaching, and research.

We offer:

  1. $325,000 - $400,000 compensation package based on training, specialty, experience, and local labor market.
  2. Recruitment/Relocation Incentive is authorized for a highly qualified applicant.
  3. Guaranteed salary increases.
  4. CME: $1,000/year.
  5. Malpractice: VHA physicians are covered under the Federal Tort Claims Act.
  6. No employment contracts, noncompete clauses, or restrictive covenants.
  7. 26 days paid vacation; 13 days paid sick time; 11 paid federal holidays.
  8. Federal Retirement Pension and separate 401K with 5% agency match.
  9. Health, Dental, Vision, and Life Insurance.

Typical senior pay: $236k for General Internal Medicine Physicians nationally

National salary averages
Expected senior-level
$236k
Entry
Mid
Senior
Expected

Employer-favored market

Competitive market. Focus on fit and differentiation over compensation.

Hiring leverage
Employer-favored
Wage leverage
Limited
Mobility
Low mobility

Who this leverage applies to

Stronger for: Credentialed candidates
Weaker for: Entry-level candidates, Career switchers, Self-taught practitioners

Where to negotiate

Base salary
Sign-on bonus
Title / level
Remote flexibility
Scope & responsibility
Start date / PTO

Likely Possible Unlikely

Watch out for

Limited mobility: Few adjacent roles—switching employers is harder.

Focus on demonstrating unique fit and value.

Does this path compound?

Job Growth →
High churn
Growth, flat pay
🚀 Compound
Growth + pay upside
⚠️ Plateau
Limited growth
Specialize
Experts earn more
Pay Upside →
Stable but flat

Steady work, but limited growth in both jobs and pay.

+3%
10yr growth
Typical: Doctoral or professional degree

Openings come from turnover, not new growth. Differentiate to advance.

Labor data: BLS 2024