<p>A full-time Medical Director / Primary Care Physician opportunity is open at a medical center in Lancaster, New Hampshire — a close-knit northern New England community where the role carries genuine dual responsibility: 16 hours per week of Medical Director / Division Chair leadership and 21.5 hours per week of direct outpatient primary care. The position offers a base salary approaching $300,000, a $20,000 commencement bonus, multi-year retention incentives, and a state with zero income tax — a compelling package for an experienced primary care physician ready to step into organizational leadership without leaving clinical practice.</p>
<h3>Perks and Benefits</h3> <ul> <li>Base salary of $299,759, commensurate with experience, plus productivity-based compensation tied to wRVU performance</li> <li>$20,000 commencement (sign-on) bonus at start</li> <li>Retention bonuses payable at the end of years 2 and 3</li> <li>Up to $19,000 in relocation and/or rental assistance</li> <li>Student loan repayment application assistance provided</li> <li>Comprehensive benefits package including medical, dental, vision, and ancillary coverage</li> <li>New Hampshire has no state income tax, and the region offers affordable real estate relative to other New England markets</li> <li>Excellent IT and marketing support dedicated to building patient volume and reaching wRVU targets</li> </ul>
<h3>Practice Highlights</h3> <ul> <li>Split schedule: 16 hours per week in Medical Director / Division Chair activities; 24 hours per week in primary care (21.5 hours direct patient care, 2.5 hours protected documentation time)</li> <li>Outpatient primary care panel of 20–24 patients per day</li> <li>Community call responsibilities, including coverage for local nursing home patients (specific call schedule to be determined)</li> <li>EMR platform: Meditech Expanse with Dragon dictation for streamlined documentation</li> <li>Clinical support team includes a dedicated RN Team Leader and a designated Medical Assistant</li> <li>Medical center setting with institutional IT and marketing infrastructure to support practice growth</li> <li>Leadership track with Division Chair interest — suited for a physician who wants to shape clinical operations and culture, not just fill a clinical slot</li> <li>Organization is seeking a long-term partner: ideal candidate plans to practice a minimum of 5–10 years in this role</li> </ul>
<h3>Qualifications</h3> <ul> <li>Minimum of 5 years of experience in outpatient primary care practice required</li> <li>Board certification or board eligibility in Family Medicine, Internal Medicine, or a related primary care specialty</li> <li>Active New Hampshire medical license or eligibility to obtain prior to start</li> <li>Demonstrated interest in or prior experience with medical leadership, division chair responsibilities, or administrative medicine</li> <li>Comfort managing a full outpatient panel of 20–24 patients per day in a community setting</li> <li>Willingness to participate in community call, including nursing home patient coverage</li> <li>Criminal background check required as a condition of employment under applicable state law</li> </ul>
<h3>About the Community</h3> <p>Lancaster is a small, welcoming town in Coos County in northern New Hampshire — the kind of place where neighbors know each other, schools are small and personal, and the night sky is genuinely dark. The region sits at the confluence of the Connecticut and Israel rivers, surrounded by the White Mountains, offering year-round outdoor recreation including hiking, skiing, fishing, and snowmobiling. Cost of living is low relative to southern New England, real estate is accessible, and the absence of a state income tax meaningfully extends take-home pay. For a physician who values community, clean air, and an unhurried pace of life, Lancaster is a rare find.</p>