Medical Director

Internal Medicine Above average in Physician rolesNo nightsFull-Time

Listed compensation

$277k-$336k

Confirm guaranteed pay, incentives and eligibility with the employer.

Employment & setting
Full-Time · on-site
Call expectations
Includes call
Weekends
Includes weekends
Posted 7h ago · Verified live

Job description

Join Texas Health & Human Services Commission as a Medical Director – State Supported Living Center, Richmond, TX in RICHMOND, TX, US. Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey.

Benefits & Compensation

  • Pension plan offered.
  • 100% Paid Employee Health Insurance
  • Generous Time Off
  • Career Advancement Opportunities

Work Schedule

  • Full-Time position.
  • On-site position.
  • Call responsibilities required.
  • Weekend coverage may be required.
  • Day shift only - no nights.

This position offers day shifts only, competitive compensation. Work with Texas Health & Human Services Commission in RICHMOND, TX, US.

Key Responsibilities

The Medical Director manages and coordinates all medical services at the State Supported Living Center, ensuring high-quality care for individuals with intellectual and developmental disabilities. They provide clinical leadership, supervise medical staff, and ensure compliance with Department of Justice settlement agreements.

Requirements

Candidates must be licensed as a medical doctor in the State of Texas and possess current DEA registration and an NPI number. The role requires significant leadership or management experience and clinical expertise in treating complex medical and psychiatric needs.

Qualifications

Education
Professional certificate or licensure
Experience
5+ years of experience

Certifications

DEA License

Key Skills

Medical leadershipClinical diagnosisTreatment planningStaff supervisionQuality assuranceCompliance managementPsychiatric careIntellectual disability careDevelopmental disability careMedical jurisprudenceData analysisInterdisciplinary collaborationEmergency responsePerformance managementCase management

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Medical Director at Texas Health & Human Services Commission a 6.1 out of 10 for work-life balance — classified as good. This places the position in the Above average in Physician roles — ranked against 18,741 active Physician roles listings on WeekdayDoc. Contributing factors include no night shifts.

Internal Medicine — Physician Career Context

In Texas, the Internal Medicine weighted monthly median benchmark on WeekdayDoc is ~$299k (51 salary observations; 189 listings), vs ~$271k nationally (1,164 salary observations; 2,805 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, 4% are remote, 56% have no call, 68% require no weekends.

Internal Medicine pay on WeekdayDoc is up 19.8% 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 ~$306k midpoint carries the purchasing power of roughly $315k 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 ~$306k midpoint, that is roughly $12k–$21k a year versus a typical 4–7% state rate.

Top Internist Jobs

50 matches · ranked by pay

Salary Distribution50 jobs · 41 employers

14
<$305k
7
$305k-330k
15
$330k-355k
8
$355k-380k
6
$380k+

Annual compensation range

Benefits & Perks45 jobs · 41 employers

401k / retirement match
89% this job
CME allowance
64% this job
Sign-on bonus
56%
Relocation assistance
51%
Loan repayment
33%

Share of similar jobs offering each benefit

#1

Family Medicine Physician- Clearwater Clinic

Centra Care · Clearwater, Minnesota

$260k-$500k
#2

Physician

MedCap Health · Oklahoma City, Oklahoma

$300k-$500k
#3

Physician, Internal Medicine - Foster City Medical Center

$370k-$425k
#4

Internal Medicine Physician

$400K+
+ 48 more · ranked by pay

Work-life snapshot

6.1/ 10
Listing-based score

Above average in Physician roles

A signal to investigate—not a guarantee about the workplace.

  • No nights
  • On-site
  • Includes call
  • Includes weekends
Texas Health & Human Services Commission logo

About Texas Health & Human Services Commission

Government Administration
Austin, TX
1,001-5,000 employees

Benefits & Perks

100% Paid Employee Health Insurance
Defined Benefit Pension Plan
Generous Time Off
Career Advancement Opportunities