Family Medicine Indian Health Reservation job located in Washington

• Family Medicine, Rural Healthcare, Tribal Health Care
• Salaried, No RVUs, Medical Director Title
• Serves local tribe members and non-tribal members

Medical Director (MD/DO) – Primary Care Leadership | Pacific Northwest Tribal Health

Confidential Tribal Health Organization – Pacific Northwest

Full-Time • Four 10s • No Call or Weekends

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