Physician / Family Practice / New Hampshire / Permanent / PRIMARY CARE MEDICAL DIRECTOR (FM/IM) $310K Base + $200K Bonus Scenic Northern New Hampshire near VT Job

Lancaster, New Hampshire: A respected rural health system in the White Mountains region seeks an experienced Family Medicine or Internal Medicine physician to serve as MEDICAL DIRECTOR for its outpatient primary care practices while maintaining an active clinical role. This role combines meaningful organizational influence with ongoing patient care in a collaborative, mission-driven environment serving communities in northern New Hampshire and neighboring Vermont.You will split your time 50% clinical and 50% administrative. As Director, you will help shape and strengthen rural outpatient services, working closely with senior leadership to guide clinical operations, support providers, advance quality initiatives, and promote a culture centered on safety, transparency, and continuous improvement. As a full-spectrum outpatient primary care physician, you will provide care to your own patients consistent with your board certification and scope of practice (all ages or adult medicine). Providers enjoy clinical autonomy supported by experienced colleagues, nursing leadership, and strong operational infrastructure that promotes sustainable practice and work-life balance.An ideal candidate will bring several years of experience in outpatient practice, ideally in Rural Health Clinic environments with integrated behavioral health or substance use disorder populations. This role is well suited to a respected clinician-leader who values collaboration, mentorship, and the opportunity to drive positive change within a close-knit rural healthcare system.Position Highlights:Split role: 50% Medical Director and 50% outpatient primary careKey leadership position with meaningful organizational influenceOversight of rural health clinic physician practicesCollaborative environment supported by experienced administrative and clinical teamsConvenient weekday scheduleOpportunity to mentor providers and shape quality initiativesIntegrated behavioral health services to support whole-person careEstablished, respected critical access hospital system serving NH and VT communitiesCompensation & Benefits:$310,000 base salary $15,000 annual Medical Director stipendChoice of incentive structure:o$200,000 commencement bonus with five-year commitmentoOR $25,000 commencement bonus plus annual student loan repayment (up to $200,000 total)wRVU productivity incentive programRelocation assistance providedComprehensive health, dental and life insuranceParticipation in a retirement programLiability insurance with tail coverageGenerous paid vacation, CME time, and CME expense allowanceJoin a respected nonprofit regional healthcare network operating three critical access hospitals, multiple rural health clinics, and home health and hospice services serving patients across northern New Hampshire and into Vermont. As the regions largest employer, the system delivers integrated, patient-centered care across numerous specialties, supported by long-tenured staff deeply committed to rural healthcare excellence.Northern New Hampshire offers a lifestyle defined by natural beauty, community connection, and exceptional outdoor recreation in the heart of the White Mountains. Lancaster is a welcoming town near the Vermont border where physicians enjoy a relaxed pace of life rarely found in larger healthcare markets.Enjoy year-round recreation including hiking, mountain biking, skiing, snowmobiling, kayaking, fishing, hunting, and golf. Residents enjoy open space, affordable real estate, small schools, and the opportunity to live surrounded by mountains, forests, and clear night skies where you can truly see the stars, hear the birds, and breathe fresh clean air.New Hampshire offers significant financial advantages, including no state income tax and no sales tax, allowing physicians to maximize earnings while enjoying a high quality of life. Lancaster also provides access to larger cities for travel, cultural events, and international connections: 22.5 hours to Portland, Maine; Burlington, Vermont; and Manchester, New Hampshire, or approximately 3 hours to Boston and Montreal.Please contact us today to learn more!