<p>A physician-led dermatology practice in Missoula, Montana is recruiting a fellowship-trained Mohs Micrographic Surgeon to join a high-volume surgical program serving a regional catchment that spans western Montana and northern Idaho. The practice operates a dedicated in-house Mohs lab with experienced histotechnician support, offering genuine clinical autonomy in one of the most sought-after outdoor lifestyle markets in the American West. An equity pathway and uncapped surgical productivity bonus make this a compelling long-term opportunity for a surgeon ready to build a practice — and a life — in the Northern Rockies.</p>
<h3>Perks and Benefits</h3> <ul> <li>Competitive starting salary guarantee with uncapped surgical productivity bonus</li> <li>Shareholder opportunity — defined equity pathway into physician-owned practice</li> <li>Generous signing bonus provided at hire</li> <li>Relocation assistance package</li> <li>Professional liability insurance with tail coverage included</li> <li>CME reimbursement and paid CME days</li> <li>Comprehensive benefits: health, dental, vision, and 401(k) retirement plan</li> <li>Paid time off</li> </ul>
<h3>Practice Highlights</h3> <ul> <li>Regional Mohs referral destination drawing patients from across western Montana and northern Idaho — strong, sustained surgical volume</li> <li>Outdoor-active, sun-exposed patient population generating consistent skin cancer burden and complex reconstructive case mix</li> <li>Dedicated in-house Mohs lab staffed by experienced histotechnicians — no outsourcing, no delays</li> <li>Physician-led, independent practice structure with full clinical autonomy</li> <li>University town setting (University of Montana) supporting a medically engaged, educated patient base</li> </ul>
<h3>Qualifications</h3> <ul> <li>Completion of an ACMS-accredited Mohs micrographic surgery fellowship required</li> <li>Board certification or board eligibility in Dermatology through the American Board of Dermatology (ABD) required</li> <li>Active Montana medical license or eligibility to obtain prior to start</li> </ul>
<h3>About the Community</h3> <p>Missoula sits at the confluence of five mountain valleys where the Clark Fork River runs through downtown, the Rattlesnake Wilderness begins at the city limits, and the Blue Mountain trail system offers world-class singletrack mountain biking. The Blackfoot River — the setting of <em>A River Runs Through It</em> — is minutes away, Snowbowl ski area is 20 minutes from town, and Glacier National Park is a three-hour drive north. The University of Montana anchors a vibrant cultural scene with independent bookstores, farm-to-table dining, and a strong performing arts calendar; Montana levies no state sales tax, and median home prices run approximately $530,000, with well-regarded public schools including Hellgate Elementary and Big Sky High School serving the area.</p>