Family Medicine Physician | Federally Qualified Health Center | Near Coeur d'Alene, Idaho
Full-Time | 4x10s | $200,000 – $335,000 DOE and Scope | FTCA Malpractice Covered | Federal Loan Repayment Qualifying | Sign-On + Relocation Available
Loan Repayment. Federal Malpractice Coverage. Compensation that Stacks.
For the right family medicine physician, this position stacks up in ways that are genuinely hard to find in a single opportunity. Federal malpractice coverage with tail included. NHSC and a second federal loan repayment program eligibility — providers have successfully stacked both programs simultaneously. A salary scale that rewards full-scope capability and grows with tenure through annual retention bonuses. And Coeur d'Alene, Idaho as the backdrop.
A well-established Federally Qualified Health Center in the Coeur d'Alene area is seeking a full-scope Family Medicine Physician to join a stable, mission-driven team. The organization is in no rush — they are looking for someone who will stay five to ten years, and they have built the compensation structure to make that worth your while.
The Compensation Picture — All of It
Base Salary (straight salary, no RVU):
- New to practice / right out of residency: $200,000 – $210,000
- Mid-career (~10–12 years): $240,000 – $245,000
- Senior (20+ years): $280,000 – $300,000
- Higher starting offers go to physicians who arrive full-scope ready — MAT, prenatal, DOT, procedural — less onboarding time is rewarded at the offer stage
Productivity Bonus:
- Triggered by consistently seeing more than 16 patients per day
- Paid annually at end of fiscal year
- Estimated range: $5,000 – $15,000/year
Retention Bonus (5-year contract):
- Year 1 → Year 2: $2,500 – $3,000
- Year 2 → Year 3: $3,500 – $4,000
- Year 3 → Year 4: $5,000 – $7,000
- Year 4 → Year 5: $7,500 – $10,000
- Year 5 → ongoing: $10,000 – $20,000 annually (top tier for family medicine)
- Long-tenured family medicine physicians currently receive $20,000/year in retention bonus — this is not theoretical, it is being paid out now
Sign-On & Relocation:
- Sign-on: $10,000
- Relocation: $5,000 – $10,000 depending on distance
- Total potential: up to $20,000 combined
Loan Repayment (stackable):
- Facility's own internal loan repayment program: $5,000/year in Years 2–3; $10,000/year in Year 4+
- Qualifies for two separate federal loan repayment programs that providers apply for independently — one through a national primary care workforce initiative, one through a federal program specific to this facility type
- Providers have successfully stacked all three simultaneously; family medicine receives the highest repayment tier across all programs
- Some providers have received combined loan repayment exceeding $40,000 annually when all programs are layered
- Note: federal loan repayment programs are subject to change — candidates should verify current program status independently
Malpractice:
- FTCA covered — federal malpractice protection including tail coverage
- No separate malpractice cost to the provider
The Schedule
4x10s, Monday through Friday. Day off is either Monday or Friday based on coverage needs. Two hours of built-in admin time per shift — one hour in the morning before patients start, one hour at midday.
- First patient: 8:00 AM
- Last patient: 5:00 – 5:20 PM
- Built-in admin: 7:00–8:00 AM and Noon–1:00 PM
- Saturday clinic: Walk-in only, 8:00 AM – 3:30 PM | Counts as a full shift for salaried staff | Covered by a pool of 6 providers — in practice, rarely asked; moonlighting physicians frequently cover Saturdays
On-Call:
- All after-hours calls screened through a third-party call center before reaching the provider
- Phone call only — outpatient clinic, no in-person overnight call
- Weekday evenings after 6 PM: RN takes calls — providers are not interrupted during weekday evenings
- Rotation: 1 in 6 or 7 providers
- Weekend call window: Saturday 8 AM through Monday 7:30 AM
- $40/month data reimbursement for call-related phone use
The Clinical Environment
Productivity target is 16 patients per day with schedule capacity up to 25 slots (mix of 20- and 40-minute appointments). Actual volume varies with no-shows and cancellations. Full primary care panel: chronic disease management, MAT, behavioral health referrals, prenatal care up to 28 weeks, and urgent walk-in visits.
On-site behavioral health: 11–12 licensed counselors across the hall, same-day providers, crisis counselors, and internal referral pathways. Behavioral health support is immediate and co-located — not a consult-and-wait system.
Technology: EPIC EHR with AI-assisted note writing through Dragon and DAX to offset documentation burden. Apple iPhone and laptop provided. iPad available if needed.
Scope of Practice — Preferences and Flexibility
The organization strongly prefers a full-scope family medicine physician. The following are preferred but not all mandatory:
- Prenatal care up to 28 weeks — preferred; cannot train OB due to volume
- MAT (Medication-Assisted Treatment / Suboxone, Sublocade, Vivitrol) — preferred; internal training available for the right candidate; several physicians have been doing addiction medicine for 5–6 years and can mentor
- IUD and Nexplanon insertion — preferred; can train internally
- DOT medical examiner certification — great if already certified; facility will pay for training if needed
- Suturing — required at minimum (simple lacs, staple gun, dermabond)
- Casting — preferred; flexibility for candidates who are rusty
- Joint injections and skin lesion removal — preferred, not mandatory
- All-age comfort including pediatrics — especially valuable for Saturday walk-in coverage
Benefits — And Why They Actually Matter
100% Employer-Paid Medical, Dental, and Vision — Including Dependents
Most employers split the premium with you and call it a benefit. Here, the organization covers all of it — for you and your entire family. No monthly insurance deduction. No choosing between the plan your family needs and the one you can afford. For a physician with dependents, the real dollar value of this benefit easily clears $15,000–$20,000 annually on top of your stated salary. It shows up in your bank account every pay period whether you notice it or not.
Daily Employee Shuttle
A daily shuttle runs for employees — so if you live in the Coeur d'Alene area, the commute is handled before your first shift.
The Wellness Center — This Isn't a Treadmill in a Closet
Employees have access to a full-scale wellness and performance facility that most people would pay a significant monthly membership to use. What's included:
Strength & Performance
Powerlifting platforms, dumbbells and kettlebells, selectorized strength machines, TRX suspension trainers, battling ropes, slide board, and a boxing bag.
Cardio
Incline trainers, treadmills, upright and recumbent bikes, NuStep, stair stepper, rowing machine, and ellipticals.
Aquatics
Heated lap pool, lazy river, hot tub, splash features, and a water climbing wall.
Courts & Outdoor
Basketball, volleyball, a two-lane walking and jogging track, football and soccer fields.
Studio Space
Mirrored aerobics room, barre rails, and a functional mezzanine training area.
This is where you decompress after a clinical day — or where your family spends a weekend afternoon. It comes with the job.
Everything Else
- CME: 40 hours + $4,000/year; additional training paid separately if it supports a clinical service the facility needs to sustain
- Strong retirement contribution
- 10 paid holidays annually — if a holiday falls on your scheduled day off, wages are paid regardless, effectively a bonus pay day
- Work Apple iPhone, laptop, and tablet provided
The Area
Coeur d'Alene is one of the most sought-after communities in the Pacific Northwest. The lake, the mountains, world-class outdoor recreation, and a genuine four-season lifestyle. Silver Mountain for skiing, the Trail of the Coeur d'Alenes for cycling, and a regional community that tends to hold onto the physicians who find it. Spokane is 30 miles west for any metro amenity you need. Physicians who visit consistently say the area exceeded their expectations — the facility is open to arranging a site visit for serious candidates.
Interview Process
Phone or Zoom screening with medical leadership → Zoom with the medical department → HR and leadership review → offer. Post-offer site visits can be arranged for candidates who want to see the area before committing.
The organization hires for fit and long-term tenure. They are willing to wait for the right person.
How to Apply
Apply through Indeed for a confidential conversation. Your information will not be shared with your current employer or any third party without your explicit consent. The facility is fully disclosed during the initial recruiter screening call.
Recruited through an external staffing partner. Equal Opportunity Employer.
Job Type: Full-time
Pay: $200,000.00 - $335,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee discount
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Relocation assistance
- Retirement plan
- Vision insurance
Application Question(s):
- Do you require visa sponsorship now or at any point in the future?
- Are you comfortable driving in the snow and ice to commute to work? The nearest metro is 40 minutes away from the facility.
- Are you currently vaccinated for Covid19 or willing to get the vaccination? We do not allow exemptions of any kind.
- Have you began the process of getting an Idaho state license?
Work Location: On the road
