Supervisory Medical Support Assistant

About the role

The Supervisory Medical Support Assistant leads inpatient administrative operations and supervises Lead, Advanced, and Medical Support Assistants across Palo Alto Health Care System inpatient programs.

Oversees staffing, scheduling, patient-care workflows, performance management, hiring, training, discipline, data analysis, and reporting to ensure efficient, high-quality Veteran services and continuous operational improvement.

What you will do

• Direct daily administrative, clerical, and technical support operations for assigned inpatient wards and clinics.
• Supervise ward and clinic workflow to support timely patient access, effective patient flow, and efficient delivery of inpatient services.
• Coordinate administrative operations with nursing, providers, technical staff, and other interdisciplinary team members.
• Interpret and apply applicable administrative procedures, regulations, and policies affecting inpatient clinic and ward operations.
• Orient staff to inpatient administrative processes, workflow requirements, and data-capture procedures.
• Identify operational barriers and implement or recommend process improvements affecting ward and clinic support functions.
• Lead implementation and use of the Daily Management System (DMS) and related High Reliability Organization (HRO) practices within assigned areas.
• Oversee accurate and timely capture of inpatient workload, Veteran demographic, insurance, and other required data in VistA and related systems.
• Establish and monitor quality-control processes to identify, correct, and prevent incomplete or inaccurate workload and administrative data.
• Coordinate timely correction of data errors with ward/clinic leadership and relevant cross-service partners to prevent loss of workload credit or funding.
• Train and monitor subordinate staff on data-capture requirements, documentation standards, and associated system processes.
• Develop and analyze workload, quality, operational, and performance reports; identify trends and report findings to Nursing Service leadership.
• Conduct audits, surveys, and assessments of administrative, clerical, and technical support processes.
• Recommend process, resource, or operational changes based on data analysis, workload trends, and performance findings.
• Ensure subordinate staff comply with applicable privacy, release-of-information, medical-records management, and information-security requirements.
• Safeguard protected paper and electronic Veteran information from unauthorized access, disclosure, loss, alteration, or deletion.
• Provide staff guidance on appropriate record-request, release-of-information, and records-management procedures for VA and non-VA sources.
• Monitor completion of required release-of-information documentation and authorizations.
• Supervise front-line administrative staff who serve as a primary point of contact for Veterans, families, and interdisciplinary health care team members.
• Establish and monitor customer-service practices that support professional, respectful, Veteran-centered communication.
• Resolve or appropriately escalate complex Veteran and family concerns affecting patient access, administrative services, or inpatient care coordination.
• Support efficient patient movement and coordination from ward/clinic arrival through establishment of the plan of care.
• Exercise full first-level supervisory authority over assigned GS-03 through GS-07 Medical Support Assistant staff, including Lead MSAs, Advanced MSAs, and MSAs.
• Assign work, establish priorities, evaluate performance, and ensure adequate staffing coverage for assigned wards and clinics.
• Develop work schedules, approve leave, and manage time-and-attendance functions using VATAS.
• Adjust staffing and workload assignments based on patient volume, operational demands, and health care system priorities.
• Participate in recruitment, selection, onboarding, and retention activities with the servicing Human Resources Management Office.
• Issue performance standards, communicate performance expectations, complete evaluations, and address performance deficiencies, including use of Performance Improvement Plans (PIPs) when appropriate.
• Address employee conduct and performance concerns; recommend or take corrective and disciplinary actions consistent with applicable policy, labor agreements, and delegated authority.
• Represent management in labor-management activities and respond to employee concerns, grievances, and workplace issues.
• Lead administrative and technical operations across assigned inpatient wards, clinics, or specialty programs.
• Participate in operational huddles and interdisciplinary meetings to align administrative support services with patient-care needs.
• Conduct leadership rounding and follow up on operational, staffing, workflow, patient-access, and customer-service issues identified.
• Coordinate competing administrative requirements and clinical-support priorities to maintain a Veteran-centered, efficient inpatient environment.
• Establish priorities, manage deadlines, and independently adjust work processes and staff assignments to meet operational and patient-care demands.
• Work Schedule: Monday - Friday, 0730 - 1600 Telework: Not Authorized Virtual: This is not a virtual position.
• Functional Statement #: PD10959F Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

Requirements

• You must be a U.S. Citizen to apply for this job.
• To be considered for this position, you must complete all required steps in the process.
• In addition to the application and questionnaire, this position requires an online assessment.
• The online assessment measures critical general competencies required to perform the job.
• 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.
• 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 (***).
• Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical evaluation.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• Complete all application requirements detailed in the "Required Documents" section of this announcement.
• As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest.
• In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service.
• Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.

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: ***

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: ***

How you will be evaluated

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.

Your qualifications will be evaluated based on your application materials (e.g., resume, supporting documents), your responses on the application questionnaire, and your responses to all assessments required for this position.

You will be assessed on the following Competencies for this position: 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.

Documents you must provide

• Long-form resume/Curriculum vitae (CV) 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 (VA) License Long-form resume/Curriculum vitae (CV) Other (1) Professional Certification SF-50/ Notification of Personnel Action Transcript Veterans' Preference: 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.
• Veterans' preference does not apply for internal or other current permanent Federal agency employees.

Benefits

Total Rewards of a Allied Health Professional Pay: Competitive salary and regular salary increases Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.

Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66.

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)

What to expect next

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.

Additional information

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.

Reasonable Accommodation (RA) Requests: If you believe you have a disability (i.e., physical or mental), covered by the Rehabilitation Act of 1973 as amended that would interfere with completing the USA Hire Competency Based Assessments, you will be granted the opportunity to request a RA in your online application.

Requests for RA for the USA Hire Competency Based Assessments and appropriate supporting documentation for RA must be received prior to starting the USA Hire Competency Based Assessments. Decisions on requests for RA are made on a case-by-case basis.

If you meet the minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email invitation to complete the USA Hire Competency Based Assessments, based on your adjudication decision.

You must complete all assessments within 48 hours of receiving the URL to access the USA Hire Competency Based Assessments if you received the link after the close of the announcement.

To determine if you need a RA, please review the Procedures for Requesting a Reasonable Accommodation for Online Assessments. Receiving Service Credit for Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee.

Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed.

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. 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.