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Med America
Richmond Heights, Missouri

Assistant Medical Director - Emergency Medicine

Emergency MedicineFull-Time

Listed compensation

$275k-$900k

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 1h ago · Verified live

Job Description

Up to $100K Sign On Bonus – Richmond Heights, MO – Seeking Emergency Medicine Assistant Medical Director

Join the Physician Partnership Where You Can Increase Your Impact

Vituity’s ownership model provides autonomy, local control, and a national system of support, so you can focus your attention where you want it to be – on your patients.

Join the Vituity Team. Vituity is a 100%25 physician-owned partnership and is led by frontline physicians that are all equitable owners.

As an equal and valued partner from day one, our ownership model provides you with financial transparency, a comprehensive benefits package including profit distribution, and multiple career development opportunities.

Our leadership understands what your practice needs to thrive and gives you autonomy and local control so you can provide care when, where, and how your patients need it. You are backed by a best-in-class corporate healthcare team and supported by the broad peer-level expertise of 9,000 Vituity clinicians.

At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.”

Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.

Vituity Locations: Vituity has opportunities at 900 practices across the country, serving 14.5+ million patients a year. With Vituity, if you ever need to move, you can take your job with you.

The Opportunity

  • Up to $100K sign on bonus for qualified, full-time candidates.
  • Help lead an ED on the rise, and shape the role around what you care about.

St. Mary’s is a busy St. Louis Emergency Department seeing roughly 130 patients a day.

Over the last two years, the team has improved discharge turnaround time by over an hour. This is a chance to help lead the next chapter.

About 20 hours a month of leadership time alongside your clinical shifts.

Pick One or Combine

  • Scheduling and shift design
  • Provider wellness
  • Team culture and social events

Patient Experience and Service Recovery

  • Quality, throughput, clinical pathways, or anything else you want to build.
  • Work with ED nursing, hospital leadership, and Vituity operations, and have a real say in how the department runs.
  • Paid admin/leadership time.

Required Experiences and Competencies

  • Licensed physician as a Medical Doctor (M.D.) or Doctor of Osteopathic Medicine (D.O.) degree from an accredited medical school and completion of an accredited EM residency.
  • Current MO license and hospital privileges.
  • Partnership eligibility.
  • Interest in leadership, communication, process improvement, and working with diverse teams.
  • Prior administrative experience is a plus, not a requirement.

The Practice

SSM Health St. Mary’s Hospital – Richmond Heights, Missouri

SSM St. Mary’s Hospital is an academic and community hospital.

  • 525-bed facility with a 50-bed Emergency Department.
  • Level II Time Critical Diagnosis STEMI Center.
  • Chest Pain Center and Certified Stroke Center.
  • Annual volume of 46,000 with a 25%25 admit rate.
  • All sub-specialty backups available excluding neurosurgery, interventional stroke, and PEDS.

The Community

Richmond Heights, Missouri, is a vibrant, family-friendly community with a prime location just minutes from downtown St. Louis.

Known for its excellent schools, beautiful parks, and proximity to the St. Louis Galleria, this city offers a blend of suburban charm and urban convenience.

  • Enjoy a walkable downtown, great restaurants, Forest Park, and the Washington University area close by.
  • Live in Clayton, home to the top-ranked public schools in Missouri and walk to work.
  • The weather features four distinct seasons, with hot summers perfect for outdoor activities and mild winters.

Located near Busch Stadium, it’s a great spot for St. Louis Cardinals fans.

Benefits & Beyond*

Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.

  • Superior Health Plan Options
  • Dental, Vision, HSA, life and AD&D coverage, and more
  • Partnership models allows a K-1 status pay structure, allowing high tax deductions
  • Extraordinary 401K Plan with high tax reduction and faster balance growth
  • Eligible to receive an Annual Profit Distribution/yearly cash bonus
  • EAP and travel assistance included
  • Student loan refinancing discounts
  • Purpose-driven culture focused on improving the lives of our patients, communities, and employees

Estimated annual base compensation of $275,000 – $900,000, depending on site, specialty, clinical volume, schedule, and experience. Compensation for part-time and per diem roles is prorated based on clinical hours worked.

In addition, Vituity physicians participate in our partnership model from day one, which includes profit distributions, equity ownership, and K-1 tax advantages. Total compensation including partnership income varies by site and may significantly exceed the range shown.

We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.

Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.

*Visa status applicants benefits vary. Please speak to a recruiter for more details.

Applicants only. No agencies please.

Key Responsibilities

The Assistant Medical Director will lead emergency department operations, including scheduling, provider wellness, and quality improvement initiatives. They will balance clinical shifts with administrative leadership duties to enhance department performance and patient care.

Requirements

Candidates must hold an M.D. or D.O. degree, have completed an accredited Emergency Medicine residency, and possess a current Missouri medical license. Prior administrative experience is preferred but not required.

Qualifications

Experience
5+ years of experience

Key Skills

Clinical operationsTeam managementStrategic planningMentorshipEmergency department management

Emergency Medicine — Physician Career Context

The cost-of-living index for Missouri is 90.8 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$588k midpoint carries the purchasing power of roughly $647k in an average-cost state. 60.1% of Missouri clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Emergency Medicine by the numbers
MeasureThis jobMarket
Listed pay$275k–$900kEmergency Medicine median $374k (middle half $273k–$588k)17 comparable listings, Oct 2026
Cost-of-living adjusted pay~$647k in purchasing powerMissouri index 90.8 (US = 100)BEA Regional Price Parities (2024)
Emergency Medicine listings in Missouri27 active1,093 nationallylive on WeekdayDoc, Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Emergency Medicine Jobs

8 matches · ranked by pay

Salary Distribution

5 jobs
3
<$540k
1
$650k
0
$665k-790k
1
$900k

Annual compensation range

Work-Life Balance Distribution

8 jobs
0
1-2
0
3-4
0
5-6
6
7-8
2
9-10

Higher = better work-life balance

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Remote Emergency Medicine Radiologist

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$550k-$650k
#3

Emergency Medicine Physician

$200k-$500k
#4

Emergency Medicine Physician | $460K + $75K Sign-On | Charleston, Illinois

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+ 6 more · ranked by pay

Work-life snapshot

median 1.5this job 0.9
Below most Emergency Medicine listings for work-life

Listing-based score, 0–10, across 1,086 comparable listings. Shaded area = the share scoring below this one.

Med America logo

About Med America

Hospitals and Health Care
Emeryville, CA
201-500 employees

Benefits & Perks

Up to $100K sign-on bonus
Superior health plan options
Dental, vision, HSA, life and AD&D coverage
Partnership model with K-1 status pay structure
Extraordinary 401K plan
Annual profit distribution/yearly cash bonus
EAP and travel assistance
Student loan refinancing discounts

Living in Richmond Heights

Typical 3-bedroom home value
$400k≈ 1.5× annual pay
Typical market rent
$1,704/mo≈ 7% of gross pay
Residents’ average commute
18 min
Metro price indexU.S. average = 100
95.1
State income tax
Up to 5.3%
Sources & methodology

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

BEA 2024 · St. Louis, MO-IL metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.