Job Overview


The Department of Veterans Affairs is interested in attracting the best talent for our diverse cadre of SES members from all sources: within VA, the Federal government, and from the private sector. We have streamlined our recruitment process and now only require you to submit a 5 page resume to apply for this position. Because of this improvement, we are only announcing our positions for 14 days. 

 Multiple similarly categorized positions may be filled using this vacancy announcement.


The VA Central Iowa Health Care System (VACIHCS) is a Department of Veterans Affairs health care organization with inpatient and outpatient services located in Des Moines, Iowa and Community Based Outpatient Clinics (CBOCS) located in Knoxville, Marshalltown, Mason City, Fort Dodge, and Carroll, Iowa.  VACIHCS is part of the VA Midwest Health Care Network (VISN 23) serving veterans from 40 counties in central Iowa and in three counties in northern Missouri.  The greater Des Moines metro is home to 585,000 people and was rated #1 “Best Cities for Families” in America by Kiplinger’s magazine in 2012.


VACIHCS is a Level II facility operating 51 Acute Inpatient beds, 60 Domiciliary Residential Rehabilitation Treatment Program beds, 140 Community Living Center Inpatient beds, and 10 Acute Mental Health Inpatient Beds.  The Des Moines campus provides primary care; specialized medical, surgical, psychiatric and substance abuse inpatient and outpatient care; home care services;  rehabilitation, mental health, and palliative nursing home care; and is a referral center for acute and long-term mental health care patients. Thru our affiliates, VACIHCS provides Accreditation Council for Graduate Medical Education (ACGME) accredited residency programs and offers residency and trainee programs in various other allied professions.  In 2012, VACIHCS served 33,644 unique Veterans providing treatment in over 330,000 outpatient visits and nearly 2,900 inpatient episodes of care.    


VACIHCS staff and leadership are committed to transforming the way the organization delivers health care.  Our goal is to provide the best health care and best customer service creating the best patient experience for our Veterans. Our aim is to develop patient-centric processes and systems designed to deliver personalized, proactive and patient driven services in an efficient manner for each Veteran in our care.  VACIHCS has implemented the Patient-Aligned Care Team (PACT) model throughout the organization to ensure resources are available and aligned with the services we provide.  VACIHCS is actively engaged in expanding Telehealth technologies to maximize our ability to bring disease management, care/case management, and clinical care to our Veterans in the most timely and efficient manner. VACIHCS outreach programs have resulted in nearly a 10% growth rate in the last two years and several major construction projects are currently in progress to meet the additional demand and to provide new services.   



VA structures its SES positions into pay bands.  This is a pay band 2 position and the salary range is $119,554-173,600.  Exceptions to the salary cap may be considered in certain circumstances.


Permanent Change of Station (PCS) costs, a recruitment/ relocation incentive and/ or Appraised Value Offer (formerly Guaranteed Home Buyout) may be authorized.






The VA Central Iowa Health Care System Director, is responsible to the VA Midwest Health Care Network Director, VISN 23. The position requires the effective and economical direction, control, and operation of the VA Health Care System. The responsibilities include, but are not limited to:


Overall responsibility for planning, organizing, directing, coordinating, controlling, reviewing, evaluating and improving medical, administrative and supporting operations of a health care system which administers a variety of medical care and treatment for a large rural geographical area covering more than 40 counties in central Iowa and northern Missouri. 

High level leadership, oversight and responsibility for developing a vision which has a direct and substantial effect on the health care organization and programs.  This includes decision making responsibilities relating to affecting the nature, scope and quality of, and emphasis in, the system’s patient care programs and activities. Delegates authority as appropriate and holds the organization as well as leadership responsible and accountable for the performance of the product lines and services. Exercises senior management level supervisory responsibilities.


Provides opportunities for union leadership and management to engage in active collaboration regarding mission goals and their impact on union members to include complaints and grievances, and ensures managers and supervisors are actively involved with negotiated agreement issues.  The incumbent deals with personnel management policy matters affecting the facility, involving such matters as: initiating appropriate personnel actions when appropriate; resolving differences between key management officials in the system; and identifying and resolving problems which may inhibit accomplishing the patient care mission and public policy objectives.


Provides high level oversight and final approval of fiscal year plans that meet the objectives of current and proposed programs; develops a balanced financial plan designed to meet realistic needs of the facility and the network; allocates available resources to provide the best possible patient care in line with established priorities; protects the integrity of the budget, position management, classification and other processes to ensure compliance with existing statutes. 


A large portion of the work involves making decisions and determination for which there are no written precedents.  In the multitude of professional and administrative matters involved, consistent use of sound management judgment is required.  In order to operate effectively in this position, the Director must demonstrate health system administration skills and maturity of judgment reflecting significant leadership experience at a highly responsible level in a comparable health care environment.


Demonstrated ability to lead people toward meeting the organization's vision, mission, and goals and provide an inclusive workplace that fosters a culture of excellence through organizational learning, commitment, cooperation, and teamwork. 


Experienced at creating a culture of continuous improvement by developing a change ready environment that enables managers and executives to lead successfully ongoing change implementation.