The Chief, Medical Service is responsible for providing leadership in the Department of Medicine in support of delivery of Specialty and Acute Care services for the VA Louisville; and is accountable for ensuring quality and cost-effective care. The position has a strong administrative component; however clinical duties will be required to maintain proficiency. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. The Robley Rex Veterans Affair Medical Center (VAMC) in Louisville, Kentucky, in conjunction with the Department of Medicine at the University of Louisville (UofL), is seeking a board-certified internist for the full-time position of Chief, Medical Service. The medical center is a major affiliate of the UofL School of Medicine with fully integrated medical