Cardiac Anesthesiologist | Autonomy, Fl
Listed compensation
$400k-$550k
The week · per this posting · weekdays assumed
Ask the employer about the work setting, nights and shift pattern and time off.
Job Description
Choose Your Cases. Shape Your Schedule. Practice with Autonomy.
- Location: Rochester, NY (multiple hospitals and surgical centers nearby)
- Organization: Rochester Regional Health
- Position Type: Full-Time
Cardiac Anesthesiologist
At Rochester Regional Health, our anesthesiologists provide comprehensive perioperative care across a wide range of surgical specialties in a collaborative, physician-led environment. We are seeking a fellowship-trained Cardiac Anesthesiologist to join our growing and highly specialized cardiac program.
This position offers substantial cardiac case exposure, flexibility in case selection, and a supportive call structure designed with long-term sustainability in mind. Physicians benefit from a practice model that combines the autonomy and flexibility often associated with private practice with the stability of an integrated health system.
Position Summary
The Cardiac Anesthesiologist provides high-quality anesthesia care for patients undergoing cardiac, thoracic, vascular, and general surgical procedures. Physicians practice at the top of their training in both personally performed and supervisory care models, with flexibility in case selection through our physician-driven scheduling system.
Cardiac anesthesiologists typically spend approximately 60–70% of their clinical time performing cardiac and thoracic anesthesia, while maintaining the option to participate in general anesthesia cases based on individual preference and departmental needs.
- Clinical Responsibilities
- Provide anesthesia care for complex cardiac surgical procedures, including:
- Coronary artery bypass grafting (CABG)
- Valve repair and replacement
- Left ventricular assist device (LVAD) placement
- Minimally invasive valve and CABG procedures
Support Structural Heart and Hybrid Procedures Including
- Transcatheter Aortic Valve Replacement (TAVR)
- MitraClip
- Watchman procedures
Additional Responsibilities Include
- Providing anesthesia for the majority of thoracic procedures
- Supporting high-complexity vascular cases
- Participating in a predominantly personally performed cardiac anesthesia model
- Collaborating with highly experienced cardiac CRNAs as the department continues to thoughtfully expand its cardiac care team model
- General Anesthesia Responsibilities
- Provide anesthesia services across a broad range of surgical specialties
- Participate in daily case assignments through an equitable physician pick system that allows flexibility to select either cardiac or general assignments
- Supervise CRNAs and/or personally perform cases as appropriate
Deliver comprehensive perioperative care including preoperative evaluation, intraoperative management, and postoperative assessment
The physician scheduling model offers a unique level of autonomy and flexibility rarely found in employed practice settings.
Call Structure
- We recognize the importance of balancing subspecialty practice with a manageable and sustainable call model.
- Cardiac Call
- One weekday cardiac anesthesia call per week (from home)
- One cardiac anesthesia weekend call approximately every 5–8 weeks (from home)
- Heart call activation rate is approximately 10%
Because heart call is home-based with a low activation rate, post-call days are not routinely scheduled. However, physicians who are called in overnight are prioritized for relief as early as possible the following day.
General Overnight Call
- Cardiothoracic anesthesiologists take reduced in-house overnight general anesthesia call responsibilities — approximately once per month — in exchange for participation in home cardiac call
- In-house overnight calls are general anesthesia calls and do not include cardiac anesthesia responsibilities
- Guaranteed post-call day off following overnight in-house call shifts
- Why Physicians Choose Rochester Regional Health
- Physician-led department with collaborative leadership and meaningful physician input
- Flexible scheduling model with autonomy in case selection
- Stable and growing cardiac program with strong institutional support
- Collegial culture focused on teamwork, quality, and long-term sustainability
- No non-compete clauses or exclusivity requirements
- Integrated health system with a strong reputation for community-based care
- Life in Rochester, NY
Rochester offers the advantages of a mid-sized city with easy access to the Finger Lakes, outdoor recreation, excellent public schools, and a vibrant arts and food scene. Physicians enjoy short commutes, affordable living, and proximity to all major hospitals and surgical centers.
Qualifications
- Board Certified or Board Eligible in Anesthesiology
- Completion of an ACGME-accredited Cardiac Anesthesia Fellowship
- Certification in Advanced Perioperative Transesophageal Echocardiography (TEE)
- Eligible for medical licensure in New York State
Let’s Connect
- This is a unique opportunity to build a highly specialized cardiac anesthesia practice while maintaining flexibility, autonomy, and balance within a collaborative and physician-centered department.
- Rochester Regional Health
- Purpose: Uplift Humanity through Care for our Community
- Vision: To become a national model of health and healing
- Values: Rooted in Community | Serve as One | Care Like Family | Embrace Tomorrow, Today
Education
LICENSES / CERTIFICATIONS:
Physical Requirements
Moderate - Clinical - Moderate clinical roles are patient facing roles that require continual movement, including standing, walking, and lifting 20–50 lbs., along with pushing and pulling medical equipment and assisting with patient positioning.
Employees perform frequent bending, twisting, and reaching while completing fine motor tasks in busy or confined clinical environments. High sensory acuity is essential for monitoring patient status and responding to alarms or safety concerns.
Emotional and cognitive demands are substantial, involving decision-making under pressure, responding to emergencies, and maintaining sustained focus. Environmental exposures include infectious agents, bodily fluids, chemicals, and radiation. TB testing, mask-fit testing, and physical exams are common requirements.
For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.
Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.
Pay Range
$400,000.00 - $550,000.00
City
Rochester
Postal CODE
14621
The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.
Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.
Key Responsibilities
Provide high-quality anesthesia care for complex cardiac, thoracic, and vascular surgical procedures. Collaborate with the cardiac care team while maintaining flexibility in case selection and participating in a physician-driven scheduling model.
Qualifications
- Education
- Professional certificate or licensure
- Experience
- 5+ years of experience
Certifications
Key Skills
Anesthesiology — Physician Career Context
Of the 40 active Anesthesiology listings this role was benchmarked against, 3% are remote, 80% have no call, 50% require no weekends.
The cost-of-living index for New York is 107.9 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$475k midpoint carries the purchasing power of roughly $440k in an average-cost state. 64.6% of New York clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
| Measure | This job | Market |
|---|---|---|
| Listed pay | $400k–$550k | Anesthesiology median $450k (middle half $350k–$600k)28 comparable listings, Nov 2026 |
| Cost-of-living adjusted pay | ~$440k in purchasing power | New York index 107.9 (US = 100)BEA Regional Price Parities (2024) |
| Anesthesiology listings in New York | 53 active | 792 nationallylive on WeekdayDoc, Nov 2026 |
| Work setting | on-site | peers: 3% remote · 80% no call · 50% no weekends40 benchmarked listings |
| Sign-on & loan repayment | not stated | New York Physician listings: 25% state a sign-on bonus (median $100k) · 16% offer loan repayment1,000 active listings, Nov 2026 |
| Anesthesiology hiring demand | #15 of 28 specialties | postings stay open a median 53 days · 26% state a sign-on bonusWeekdayDoc Hiring Index, October 2026 · 184 postings, 184 closed |
| New Anesthesiology listings | 289 in the last 30 days | 273 the 30 days before (+6%)U.S., first seen on WeekdayDoc, Nov 2026 |
| Anesthesiology pay trend | +2.4% vs prior quarter | —through Oct 2026 |
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