Pays $300-$330/hr — Internist market median is ~$298k (294 jobs)
Local Medical Director
About the Role
Fractional, non-exclusive medical director. Remote with periodic on-site. Houston, TX.
Join American Outcomes Management LP as a Local Medical Director – Fractional, Non-Exclusive in Houston, Texas, United States.
Benefits & Compensation
- Pay rate: $300 - $330/hour.
- Malpractice insurance covered.
- D&O insurance provided
- Non-exclusive engagement
- May continue active clinical practice
- Indemnification for AOM's gross negligence or willful misconduct
Work Schedule
- Contract position.
- Hybrid position - combination of remote and on-site.
- Flexible scheduling available.
This position offers hybrid flexibility, competitive compensation. Work with American Outcomes Management LP in Houston, Texas, United States.
Key Responsibilities
The Local Medical Director provides clinical oversight and ensures regulatory compliance for nurse practitioner-led ambulatory infusion centers within a specific state. Responsibilities include conducting chart reviews, approving clinical policies, and maintaining collaborative practice agreements.
Requirements
Candidates must hold an active, unrestricted MD or DO license with at least 3 years of post-residency clinical experience. Board certification in a relevant specialty and experience collaborating with nurse practitioners are required.
Qualifications
- Education
- Doctoral or professional degree (postgraduate degree)
- Experience
- 2+ years of experience
Certifications
Key Skills
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Local Medical Director at American Outcomes Management LP a 6.0 out of 10 for work-life balance — classified as good. This places the position in the top 35% of all Internal Medicine physician listings evaluated on our platform. Contributing factors include remote work flexibility.
Internal Medicine — Physician Career Context
In Texas, the Internal Medicine weighted monthly median benchmark on WeekdayDoc is ~$298k (45 salary observations; 174 listings), vs ~$268k nationally (1,074 salary observations; 2,615 listings). Monthly aggregates cover 2025-12-01 through 2026-09-01; these are not the modal's selected comparable-job medians.
Of the 50 active Internal Medicine listings this role was benchmarked against, 2% are remote, 52% have no call, 62% require no weekends — this position is remote.
Internal Medicine pay on WeekdayDoc is up 10.2% vs. the prior quarter (through Aug 2026).
The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$655k midpoint carries the purchasing power of roughly $675k in an average-cost state. 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
Location & Logistics
Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$655k midpoint, that is roughly $26k–$46k a year versus a typical 4–7% state rate.
Position Insights
AI ANALYSISThis role scores 6.0/10 on work-life balance for Internist roles.
Career trajectory: This position offers advancement within 2-3 years. The compensation analysis shows this employer pays...
Benefits analysis: Compared to 294 similar roles, this listing's benefits package ranks...
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