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Family Medicine Medical Director- No Weekends, No On-Call, Closed at Christmas!

Confidential

Tacoma, Washington permanent

Posted: March 18, 2026

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Quick Summary

A highly respected tribal health system in the Pacific Northwest is seeking a mission-driven Medical Director to lead an integrative primary care clinic serving a local tribal community.

Job Description

A highly respected tribal health system in the Pacific Northwest is seeking a mission-driven Medical Director (MD/DO) to lead an integrative primary care clinic serving a local tribal community. This is an opportunity to step into a well-supported leadership role with a strong team, a quality-focused schedule, and a culture that prioritizes collaboration, holistic care, and long-term community health.

Position Overview

The Medical Director provides both clinical care and operational leadership within a well-established outpatient clinic. You’ll oversee a compassionate, high-performing group that includes:

2 PAs/NPs

5 Medical Assistants

Director of Therapy & Rehabilitation

Expanding integrative services (naturopathic, chiropractic, acupuncture support desired)

 

This role is ideal for a physician who values relationship‑based medicine, team leadership, and honoring tribal community wellness practices.

Key Responsibilities

Provide direct patient care (~15 patients/day) with an emphasis on quality over volume

Serve as clinical leader for the primary care team, supporting cohesive, whole-person care

Oversee clinical quality initiatives, care coordination, and team workflows

Partner with administrative leadership to support program development and operational improvements

Participate in an integrative, holistic model of care aligned with tribal community values

Collaborate closely with tribal leadership during the hiring, onboarding, and approval processes

Schedule & Workload

Four 10s

Clinic hours: 7am–5pm, Monday–Friday

No call, nights, or weekends

Flexible appointment lengths to support thorough, relationship-centered care

Clinic is fully closed during the last two weeks of December (with one weekly medication-processing day)

Compensation & Benefits

Annual Salary: $245,000

Comprehensive benefits package including:

Medical, dental, and vision

Life & AD&D

401(k) with discretionary match

Tuition reimbursement & training support

Vision hardware reimbursement

Employee perks and discounts

Paid holidays

Onboarding includes a clinic tour, team introductions, administrative setup, and mentorship support.

The outgoing Medical Director will remain part-time to ensure a smooth transition and provide mentorship.

Cultural & Governance Considerations

This organization operates within a sovereign tribal nation. Candidates must be comfortable practicing within tribal governance structures and honoring Indigenous community values.

Indian Preference applies in accordance with federal and tribal law

Tribal work permit required (includes background and psycho-evaluation related to gaming/casino regulations)

Standard credentialing + tribal compliance processes

Candidates with prior tribal/IHS/CHS experience are encouraged, though not required

Ideal Candidate Qualities

Board-certified/board-eligible MD or DO in a primary care specialty

Openness to holistic, integrative, and culturally-informed care approaches

Collaborative leadership style with strong communication skills

Interest in long-term community commitment (5-year retention goal)

Respectful of tribal sovereignty, traditions, and community health priorities

Leadership experience or a desire to step into leadership strongly preferred

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