Cowlitz Indian Tribe logo
Cowlitz Indian Tribe
Vancouver, Washington

Assistant Medical Director

Addiction MedicineNo weekendsFull-Time

Listed compensation

$311k-$389k

Listing transparency3 of 6 stated

Ask the employer about the work setting, call expectations and nights and shift pattern.

Employment & setting
Full-Time
Call expectations
Not specified
Weekends
No weekends
Posted 1h ago · Verified live

Job Description

Job Details: Level: Management, Job Location: Northstar - OTP - Vancouver, WA, Position Type: Full Time, Salary Range: $310856.00 - $388544.00Salary, POSITION TITLE: Assistant Medical Director DEPARTMENT: Health & Human Services (HHS) – Opioid Treatment Program (OTP) LOCATION: Vancouver, Washington REPORTS TO: Medical Director STATUS: Exempt; Full-Time WAGE RANGE: $310,856 - $388,544 CLOSING DATE: Open Until Filled *

If you are an American Indian/Alaska Native and/or a Veteran and would like this to be considered a preference in hiring, please upload documentation with your resume and cover letter. Acceptable documentation includes a Tribal Enrollment card, a letter from your Tribe stating your enrollment, or BIA 4432 and/or DD214.

  • ability, and continuous improvement. Position Summary: This position plays a critical role in maintaining high standards of patient care, operational excellence, and regulatory readiness while helping ensure the clinic remains responsive to the evolving needs of patients and the community.

Responsibilities include supporting clinical operations, guiding quality improvement initiatives, assisting with provider oversight and development, participating in regulatory and accreditation activities, and serving as a clinical resource for staff. The Assistant Medical Director may act on behalf of the Medical Director as delegated and serves as a key contributor to strategic and operational decision-making.

The role is anticipated to be allocated approximately

  • ability, respect, and patient-centered care.

Why Join NorthStar? NorthStar provides comprehensive, evidence-based treatment for individuals living with substance use disorders through a harm-reduction and recovery-oriented model of care. As Assistant Medical Director, you will have the opportunity to: Make a meaningful impact on individuals, families, and communities affected by opioid use disorder. Help shape the future direction of a growing Opioid Treatment Program. Partner with experienced clinical, operational, and executive leaders. Practice at the top of your license while maintaining an active patient panel. Contribute to an organization committed to whole-person, integrated healthcare and continuous innovation.

Qualifications

Minimum Qualifications: Education Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) from an accredited institution. Successful completion of an accredited residency program. Licensure and Certification Current unrestricted medical license in the state of practice. DEA registration and authority to prescribe controlled substances. Board certification in Addiction Medicine or Addiction Psychiatry required. Ability to successfully credential with all Medicare, Medicaid, and commercial payers. BLS/ACLS: If required by the clinic, include the applicable certification. Experience Five (5) years of clinical experience in addiction medicine or substance use disorder treatment. Experience with medication-assisted treatment, including methadone, buprenorphine, and naltrexone. Experience working within an Opioid Treatment Program preferred. Experience working in primary or urgent care clinics. One (1) to three (3) years of clinical leadership, medical oversight, or supervisory experience preferred. Ability to obtain and maintain any required clinical privileges. Tribal preference in accordance with the Cowlitz Indian Tribe Code and CIT Employee Policies and Procedures Handbook shall apply to all positions. All positions are required to adhere to CIT’s established safety policies regarding vaccine requirements and personal protective equipment (PPE). Background Investigation Requirements: Pre-employment drug screen. Reference checks, education, and employment verification. Federal, state, and/or tribal criminal history and sanction checks including fingerprint verification. Has not been found guilty of, charged with, received a deferred sentence, received a conditional discharge of, or entered a plea of not contest to, or entered a plea of guilty to any one felony or misdemeanor crimes of violence, sexual assault, molestation, exploitation or sexual contact; prostitution; or crimes committed against person(s) or children. Physical Demands: While performing the duties of this job, the employee regularly is required to sit; use hands to finger, handle, or feel; and talk or hear. The employee occasionally is required to stand, walk, and reach with hands and arms. The employee is occasionally required to lift up to 50 pounds. Specific vision abilities required by this job include close vision and clarity of vision at long distance. Work Environment: Work is generally performed in an office or outdoor setting with a moderate noise level and frequent interaction with patients, healthcare providers, employees, and others. Exposure to natural weather conditions and dust, fumes, airborne particles, and/or allergens may occur while performing outdoor duties. Situations occur where PPE (personal protective equipment) is needed. May come in contact with hostile, violent, or offensive individuals and encounter patients or others experiencing medical, behavioral, or emotional distress. Potential to be exposed to infectious or communicable diseases, blood, bodily fluids, and other potentially hazardous materials. Overnight travel, evening and/or weekend work is occasionally required. Tight time constraints and multiple demands are common.

Key Responsibilities

The Assistant Medical Director will lead clinical operations, quality improvement initiatives, and provider development while maintaining regulatory excellence. They will also provide direct patient care and serve as a key contributor to the clinic's strategic and operational decision-making.

Requirements

Candidates must hold an MD or DO degree, possess a current unrestricted medical license, and have board certification in Addiction Medicine or Addiction Psychiatry. A minimum of five years of clinical experience in addiction medicine and prior leadership experience is required.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
5+ years of experience

Certifications

DEA License

Key Skills

Physician LeadershipRegulatory ComplianceMethadone TreatmentStrategic PlanningRisk ManagementMentorshipHealthcare Administration

Addiction Medicine — Physician Career Context

The cost-of-living index for Washington is 107.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$350k midpoint carries the purchasing power of roughly $327k in an average-cost state. 59.8% of Washington clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$350k midpoint, that is roughly $14k–$24k a year versus a typical 4–7% state rate.

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+ 2 more · ranked by pay

Work-life snapshot

3.9/ 10
Listing-based score
  • No weekends

Living in Vancouver

Typical 3-bedroom home value
$476k
Typical market rent
$1,828/mo
Residents’ average commute
23 min
Metro price indexU.S. average = 100
105.4
State income tax
None
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Portland-Vancouver-Hillsboro, OR-WA metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.

Cowlitz Indian Tribe logo

About Cowlitz Indian Tribe

Government Administration
Longview, Washington
201-500 employees

Benefits & Perks

Full-time exempt position
50% leadership, 50% direct patient care
Dyad Model of Clinic Leadership
Comprehensive benefits package