Commonwealth Medical Services logo
Commonwealth Medical Services
Rapid City, South Dakota

Internal Medicine Medical Director (MD/DO) - South Dakota

Internal MedicineFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 6mo ago

Job Description

Internal Medicine Medical Director (MD/DO)

Position Summary

The Internal Medicine Medical Director provides clinical leadership and oversight for internal medicine services while maintaining an active clinical practice. This role is responsible for ensuring high-quality, evidence-based patient care; advancing quality, safety, and operational performance; and supporting physician engagement, professional development, and alignment with organizational goals.

Essential Duties and Responsibilities

Clinical Leadership

  • Provide medical leadership and direction for internal medicine physicians and advanced practice providers
  • Maintain an active clinical practice in internal medicine (outpatient, inpatient, or mixed, as applicable)
  • Promote evidence-based clinical standards, best practices, and consistent care delivery

Quality, Safety, and Performance

  • Lead quality improvement, patient safety, and clinical outcomes initiatives
  • Monitor and improve clinical performance metrics, patient satisfaction, and utilization
  • Support compliance with regulatory, accreditation, and professional standards

Operational and Administrative Oversight

  • Collaborate with operational leadership on clinic or service line efficiency, access, and workflow optimization
  • Participate in strategic planning, program development, and service line growth
  • Assist with provider scheduling, staffing models, and resource allocation
  • Support implementation of clinical policies, protocols, and care pathways

Physician and APP Leadership

  • Recruit, onboard, mentor, and retain internal medicine providers
  • Foster a culture of professionalism, collaboration, and continuous improvement
  • Provide performance feedback, coaching, and support for professional development
  • Participate in peer review and credentialing processes as required

Collaboration and Communication

  • Serve as a liaison between internal medicine providers and administrative leadership
  • Collaborate with specialty services, care management, nursing leadership, and ancillary departments
  • Support care coordination and transitions across the continuum of care

Education and Innovation

  • Support clinical education, quality improvement education, and practice transformation initiatives
  • Participate in teaching or academic activities if applicable to the organization

Qualifications

  • Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) from an accredited medical school
  • Completion of an accredited Internal Medicine residency program
  • Board-certified in Internal Medicine
  • Ability to obtain and maintain unrestricted state medical licensure
  • Demonstrated leadership experience or formal training in medical leadership preferred
  • DEA registration or eligibility

Skills and Competencies

  • Strong clinical expertise in internal medicine
  • Proven leadership, team-building, and change-management skills
  • Excellent communication and conflict-resolution abilities
  • Ability to balance clinical, administrative, and strategic responsibilities
  • Knowledge of healthcare quality, safety, and regulatory standards
  • Commitment to patient-centered, value-based care

Work Environment

  • Outpatient clinics, hospital inpatient units, or combined settings depending on practice model
  • Schedule includes a mix of clinical care, administrative leadership duties, and meetings

Physical Requirements

  • Ability to sit, stand, and move throughout clinical and administrative environments
  • Manual dexterity for examinations and clinical tasks
  • Visual and auditory acuity sufficient for patient care, documentation, and meetings

Qualifications

Education
Doctoral or professional degree (postgraduate degree)

Certifications

DEA License (preferred)Board Certification (preferred)

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Internal Medicine Medical Director (MD/DO) - South Dakota at Commonwealth Medical Services a 7.2 out of 10 for work-life balance — classified as very good. This places the position in the top 25% in Internal Medicine — ranked against 1,304 active Internal Medicine listings on WeekdayDoc.

Internal Medicine — Physician Career Context

Of the 50 active Physician listings this role was benchmarked against, 12% are remote, 50% have no call, 62% require no weekends.

Physician pay on WeekdayDoc is up 1.7% vs. the prior quarter (through Sep 2026).

The cost-of-living index for South Dakota is 88.6 (US average = 100; BEA Regional Price Parities (2024)). 58.2% of South Dakota clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

South Dakota has no state income tax, which can significantly increase take-home pay compared to high-tax states.

Top Internist Jobs

50 matches · ranked by pay

Salary Distribution50 jobs · 36 employers

14
<$330k
14
$330k-360k
12
$360k-390k
8
$390k-420k
2
$420k+

Annual compensation range

Benefits & Perks42 jobs · 36 employers

401k / retirement match
79%
Sign-on bonus
67%
CME allowance
52%
Relocation assistance
43%
Loan repayment
21%

Share of similar jobs offering each benefit

#1

Primary Care Physician

AvaMed Workforce · Chowchilla, California

$220/hr
#2

Primary Care Physician w/ Managed Care exp (Open comp.)

MASC Medical · Brooksville, Florida

$420k
#3

Physician, Family Medicine – Telemedicine Opportunity – DrHouse

$100-$200/hr
#4

Physician, Internal Medicine – Telemedicine Opportunity – DrHouse

$100-$200/hr
+ 48 more · ranked by pay

Work-life snapshot

median 6.4this job 7.2
Better work-life than 80% of Internal Medicine listings

Listing-based score, 0–10, across 1,304 comparable listings. Shaded area = the share scoring below this one.

Living in Rapid City

Typical 3-bedroom home value
$347k
Typical market rent
$1,484/mo
Metro price indexU.S. average = 100
89.2
State income tax
None
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026).

BEA 2024 · Rapid City, SD metro prices. Housing figures are city-level.

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