Pacific Companies is proud to present a rare Oncology APP opportunity supporting a well-established, high-performing Cancer Center serving 60,000+ patients. This role offers the chance to work alongside a respected medical oncologist and a long-tenured PA within a highly collaborative, low-turnover team. Providers enjoy a predictable Monday-Friday schedule, no call, no weekends, and the ability to focus deeply on relationship-based cancer care without the pressures of hospital rounding. With an expanding patient population-including the absorption of another oncology practice-this APP will step directly into strong volumes, meaningful continuity, and a program poised for continued growth. This is an ideal fit for an NP or PA who loves oncology, values rural community medicine, and wants to make a long-term impact in a welcoming mountain community.
Professional Highlights
- Salary range $130K-$140K, hospital-employed, no bonus structure
- NP or PA considered
- Monday-Thursday clinic: 10-12 patients/day, mix of follow-ups, on-treatment visits & new consults
- Appointment lengths: 30 minutes for follow-ups/on-treatment; 60 minutes for new consults; 30 minutes for genetics consults
- Friday half-day dedicated to admin & care-coordination meetings with the full team
- Outreach: Thermopolis 2 /month (2nd & 4th Mondays) on a rotating provider schedule
- No call & no weekends - patients are directed to the ED for urgent needs
- No inpatient rounding: APP consults are extremely rare (none for APP in past year)
- Program growth: clinic absorbing 200-400 new patients and managing 900 active patients, including 75 chemotherapy patients and 3 new chemo starts/week
- Team structure includes: 1 HEM ONC, 1 PA, oncology nurses, nurse navigator, infusion team, onsite pharmacy, and Cancer Center Director (Great Retention within their team)
- Multidisciplinary support with GS, OB/GYN, Urology, ENT, Ortho, Neurosurgery, GI, and strong collaboration with Billings specialists
- Monthly Tumor Board with Rad Onc, Med Onc, Surgery & Pathology participation
- Ideal candidates have oncology experience (5-6 yrs preferred), but they are willing to train motivated new grads with oncology-focused training
- Patients are often chronic and medically complex; rural-medicine comfort is important
- Excellent, collegial workplace with extremely low turnover and a "team-first" culture
Live Where People Come for the Scenery and Stay for the Community
This mountain region of Wyoming offers a lifestyle defined by natural beauty, community pride, and true work-life balance. Residents enjoy a welcoming, tight-knit environment where healthcare providers become deeply valued members of the community. The area offers a slower pace without sacrificing meaningful, complex medicine-ideal for clinicians wanting to escape big-city burnout. With scenic drives, abundant outdoor recreation, and a strong Western heritage, the region attracts those who love nature, adventure, and authentic community living. Many long-tenured providers here originally arrived "just for the job," but stayed because they fell in love with the culture, the people, and the mountains.
Community Highlights
- True mountain-town lifestyle with wide-open spaces and breathtaking scenery
- Home to providers who value long-term relationships and a work-family atmosphere
- Safe, friendly community with strong local support for the Cancer Center
- Surrounded by national forests, rivers, and easy access to Yellowstone & the Tetons
- Outdoor recreation: hiking, fishing, hunting, climbing, skiing, snowmobiling
- Walkable town with welcoming neighbors and deeply rooted Western heritage
- Affordable living, no traffic, low crime - ideal for families or anyone seeking balance
- Community events, farmer's markets, rodeos, and strong local traditions
- Excellent collaboration with regional academic centers including Billings, Mayo, MD Anderson, Huntsman & others for complex oncology cases
- An environment where providers become woven into the community and stay for years
