This is the Lead position for the Medical Support Assistant in the VA Central Iowa Health Care System, Des Moines and is responsible for monitoring and making work assignments, providing input on performance, resolving daily workplace issues and maintaining efficient workflow. Duties may be performed in Clinic Based Outpatient Clinic (CBOC), Inpatient, Call Center, Outpatient Clinic, or Patient Aligned Care Team (PACT) model or a Specialty Care Setting involved in a PACT model.