BoldAge PACE logo
BoldAge PACE
Fresno, California

Medical Director California

Family MedicineIncludes callNo weekendsFull-Time

Listed compensation

$210k-$215k

The week · per this posting · Monday – Friday

Ask the employer about the work setting, nights and shift pattern and time off.

Posted 30m ago · Verified live

Job Description

Join BoldAge PACE and Make a Difference!

Why Work with Us?

  • A People First Environment: We make what is important to those we serve important to us.
  • Make an Impact: Enhance the quality of life for seniors.
  • Professional Growth: Access to training and career development.

Competitive Compensation

  • Medical/Dental
  • Generous Paid Time Off
  • 401K with Match*
  • Life Insurance
  • Tuition Reimbursement
  • Flexible Spending Account
  • Employee Assistance Program

Be Part of Our Mission!

Are you passionate about helping older adults live meaningful, independent lives at home with grace and dignity? BoldAge PACE is an all-inclusive program of care, personalized to meet the individual health and well-being needs of our participants. Our approach is simple: We listen to our participants and their caregivers to truly understand their needs and desires.

Medical Director - California

Job Summary

The Medical Director delivers high-quality primary and continuous healthcare services to PACE participants while serving as a clinical resource for primary care providers and the interdisciplinary team (IDT).

This role maintains an active participant panel and provides day-to-day clinical guidance, mentoring, workflow support, and escalation assistance in partnership with the Chief Clinical Officer and Physician Leader.

The Medical Director promotes consistent, participant-centered care, timely documentation, regulatory compliance, sound utilization practices, and continuous quality improvement across the PACE program.

Essential Duties and Responsibilities

  • Provide high-quality, person-centered primary care to an assigned panel of PACE participants, beginning with a comprehensive history and physical examination and using individualized clinical judgment to guide diagnostic evaluation and treatment.
  • Serve as a clinical resource for primary care providers, other providers, nursing staff, and the IDT; provide real-time guidance on complex cases, changes in condition, participant safety, and appropriate escalation.
  • Support the clinic with day-to-day clinical coordination, provider workflow, coverage planning, and consistent application of clinical standards, policies, and evidence-informed practices.
  • Lead by example in daily IDT meetings by presenting clear clinical recommendations, promoting productive discussion, resolving barriers, and ensuring participant-centered care plans are actionable and communicated.
  • Collaborate with the IDT and before referring participants to specialists, ensuring referrals are clinically appropriate, PACE resources are considered, and continuity of care is maintained.
  • Manage specialist referrals initiate treatment before referral when appropriate, promptly review consult notes, and incorporate recommendations into the participant plan of care.
  • Manage and monitor participant medications, including accurate medication reconciliation, deprescribing when appropriate, and identification of interactions, duplications, and adherence concerns.
  • Remain actively informed of participant status during emergency department visits, hospitalizations, skilled nursing stays, and other transitions; guide timely follow-up and safe, coordinated transitions of care.
  • Assume shared clinical responsibility for participants at the center, regardless of individual assignment, and help coordinate timely provider response when the assigned clinician is unavailable.
  • Review and respond to laboratory results, imaging, consults, diagnostic reports, and participant messages within established timeframes; communicate clinically significant findings and changes to the IDT.
  • Complete and support timely completion of initial, semiannual, annual, change-in-status, and other required PACE assessments, reassessments, care planning, orders, and documentation.
  • Monitor documentation quality and clinical workflow trends; coach primary care providers on clear, complete, and clinically supported documentation, including accurate diagnosis coding and risk-adjustment practices.
  • Mentor and orient primary care providers and other clinical team members; provide practical feedback, share best practices, and identify education or competency needs for review with the Chief Clinical Officer.
  • Facilitate clinical case reviews, huddles, or educational sessions as assigned, with emphasis on complex geriatric care, avoidable utilization, medication safety, goals of care, and participant outcomes.
  • Promote appropriate use of emergency and acute-care services by assessing changes in condition promptly and using available PACE, home-based, clinic, and after-hours resources whenever clinically appropriate.
  • Participate in the 24/7 on-call rotation, respond promptly to participant needs, and ensure complete handoffs, follow-up, and communication with the participant, caregivers, providers, and IDT.
  • Contribute to discharge planning and transitional-care processes, ensuring medication, follow-up, equipment, service, caregiver, and safety needs are addressed across care settings.
  • Partner with the Chief Clinical Officer and operational leaders on quality improvement, utilization management, audit readiness, policy development, and corrective action initiatives; help track results and sustain improvements.
  • Identify clinical resource, staffing, workflow, or safety concerns and promptly communicate recommendations and escalation needs to the Chief Clinical Officer and appropriate leaders.

Experience and Education

  • Master’s or doctoral degree in nursing from an accredited nurse practitioner program or physician assistant program.
  • Current, unrestricted Nurse Practitioner/Advanced Practice Registered Nurse or Physician Assistant license and prescriptive authority in the state of practice.
  • **NJ: Each nurse practitioner shall be certified by the New Jersey State Board of Nursing and meet all applicable joint protocol requirements.
  • Current state-controlled substance registration/certification and federal DEA registration, as required for the position.
  • Current national board certification as a Nurse Practitioner or Physician Assistant in an applicable population focus; Adult-Gerontology or Family certification strongly preferred.
  • Board certification or advanced training in geriatrics, palliative care, or complex chronic care preferred.
  • Current BLS certification required or must be obtained within 90 days of employment.
  • Minimum of five years of advanced practice clinical experience, including at least two years caring for medically complex older adults; PACE, geriatrics, home-based care, or value-based care experience strongly preferred.
  • Prior experience providing clinical leadership, mentoring providers, leading case review, or supporting quality and workflow improvement preferred. At least one year of experience working with a frail or elderly population is required unless otherwise permitted by applicable PACE regulations and completed through an approved training plan.

Full- Time Monday- Friday

Full- Time Monday- Friday

Key Responsibilities

Provide primary and continuous care to PACE participants while guiding providers and the interdisciplinary team on complex cases, care planning, referrals, medications, and transitions. Support clinical workflows, documentation, quality improvement, regulatory compliance, provider development, and 24/7 on-call coverage.

Requirements

Requires a graduate degree from an accredited nurse practitioner or physician assistant program, an unrestricted state license with prescriptive authority, applicable national board certification, and current BLS certification. Requires at least five years of advanced practice experience, including two years caring for medically complex older adults; geriatric, PACE, home-based, value-based care, and clinical leadership experience are preferred.

Qualifications

Education
Master's degree (postgraduate degree)
Experience
5+ years of experience

Certifications

DEA License

Key Skills

Provider MentoringInterdisciplinary Team CollaborationMedication ManagementClinical Documentation

Family Medicine — Physician Career Context

The cost-of-living index for California is 110.7 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$213k midpoint carries the purchasing power of roughly $192k in an average-cost state. 63.6% of California clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 50 active Family Medicine listings this role was benchmarked against, 6% are remote, 40% have no call, 70% require no weekends.

What does the Family Medicine market look like in California?
MeasureThis jobMarket
Work-life score5.7 / 10 · above average in physician rolesranked against 22,364 Physician roles listingslisting-based score, 0–10
Listed pay$210k–$215kFamily Medicine median $306k (middle half $275k–$325k)418 comparable listings, Nov 2026
Cost-of-living adjusted pay~$192k in purchasing powerCalifornia index 110.7 (US = 100)BEA Regional Price Parities (2024)
Family Medicine listings in California352 active2,629 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 6% remote · 40% no call · 70% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedCalifornia Physician listings: 31% state a sign-on bonus (median $100k) · 29% offer loan repayment1,000 active listings, Nov 2026
Family Medicine hiring demand#10 of 28 specialtiespostings stay open a median 38 days · 31% state a sign-on bonusWeekdayDoc Hiring Index, October 2026 · 857 postings, 907 closed
New Family Medicine listings1,843 in the last 30 days1,356 the 30 days before (+36%)U.S., first seen on WeekdayDoc, Nov 2026
Family Medicine pay trend+1.9% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index (22,364 Physician roles listings), BEA Regional Price Parities (2024), WeekdayDoc Hiring Index; as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Family Medicine Jobs

50 matches · ranked by pay

Salary Distribution

50 jobs · 39 employers
16
<$325k
13
$325k-350k
14
$350k-375k
6
$375k-400k
1
$400k

Annual compensation range

Benefits & Perks

44 jobs · 39 employers
401k / retirement match
84% this job
Sign-on bonus
68%
CME allowance
68%
Relocation assistance
52%
Loan repayment
36%

Share of similar jobs offering each benefit

#1

Outpatient Primary Care Physician (Internal Medicine / Family Medicine)Contract

MASC Medical · Atlanta, Georgia

$350k-$400k
#2

Primary Care Physician

Akicita Federal · Mankato, Minnesota

$385k-$395k
#3

Internal Medicine Physician - Optum CA - Torrance

$239k-$393k
#4

Physician - Family Medicine

$320k-$391k
+ 48 more · ranked by pay

Work-life snapshot

median 6.0this job 5.7
Better work-life than 50% of Family Medicine listings

Listing-based score, 0–10, across 2,598 comparable listings. Shaded area = the share scoring below this one.

  • No weekends
  • Includes call

Benefits & Perks

Medical/Dental
Generous Paid Time Off
401K with Match
Life Insurance
Tuition Reimbursement
Flexible Spending Account
Employee Assistance Program

Living in Fresno

Typical 3-bedroom home value
$376k≈ 1.8× annual pay
Typical market rent
$1,945/mo≈ 11% of gross pay
Residents’ average commute
22 min
Metro price indexU.S. average = 100
102.2
State income tax
Up to 13.3%
Sources & methodology

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

BEA 2024 · Fresno, CA metro prices. Housing figures are city-level.

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