Overview: GovCIO is currently hiring for VistA Technical Subject Matter Expert (SME) - Tier 2 Support (Remote), to provide advanced troubleshooting, system expertise, and operational support for complex issues from Tier 1. This role requires deep knowledge of IT application administration to support mission-critical customer environments. This role is a fully remote, U.S.-based position, with core hours of operation Monday through Friday, 8:00 AM to 5:00 PM ET.  Responsibilities: Resolve complex incidents escalated from Tier 1 related to PCS PL applications, including Pharmacy namespaces, outpatient/inpatient pharmacy functions, and integrations with commercial drug databases such as First Databank (FDB). Troubleshoot issues connected to OneVA Pharmacy, Park a Prescription, and outpatient medication processing, inpatient medication processing, drug file management, barcode medication administration (BCMA), state prescription monitoring program, CMOP processing, MOCHA order checks, and Inbound eRx Support VistA KIDS components and interfaces and maintain system integrations with dependent applications. Collaborate with Tier 3, Engineering, DevOps, Product, and external vendors for root cause resolution and long‑term fixes. Create and maintain documentation including, troubleshooting guides, Communicate clearly and professionally with customers, stakeholders, and senior IT staff; prepare briefings and participate in technical discussions. Provide mentorship and technical support to Tier 1 personnel, sharing knowledge and best practices. Qualifications: Bachelor's with 15 years (or commensurate experience) Required Skills and Experience Proficiency with VistA Pharmacy namespaces and their interactions with core medication management workflows. Hands‑on experience with KIDS patching, VistA infrastructure, and cross-namespace dependency validation. Familiarity with NCPDP SCRIPT standards (Inbound eRx) and supporting DSCSA regulatory updates and application changes across PCS Pharmacy systems. Understanding of FDB-based drug interaction systems, MOCHA logic, PGx enhancements, and medication order checks. Familiarity with AMPL-GUI communication workflows. Experience with federal security policies, , and PHI handling requirements. Ability to interpret logs and message payloads in Vista pharmacy-related technologies. Understanding information security policies and best practices for safeguarding systems and data. Strong written and verbal communication skills, with a demonstrated ability to produce clear technical documentation, reports, and briefings. Ability to collaborate effectively with Tier 1, Tier 3, engineering teams, developers, and external stakeholders to resolve issues and implement improvements. Strong organizational skills with the ability to manage multiple tasks, incidents, and priorities concurrently. Clearance Required:  Ability to obtain and maintain a Suitability/Public Trust clearance. Preferred Skills and Experience Hands‑on experience with VistA KIDS and related interfaces (especially for roles supporting VA or healthcare systems). Posted Salary Range: USD $140,000.00 - USD $150,000.00 /Yr.