Gary and Mary West PACE logo
Gary and Mary West PACE
San Marcos, California

Medical Director - $10,000.00 sign on bonus

Internal MedicineFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, call expectations and weekend coverage.

Posted 57m ago · Verified live

Job Description

  • This position is located in San Marcos, CA.
  • Relocation package available
  • Join the Team Voted Best Place to Work!
  • Why Work for Gary and Mary West PACE?
  • Because you're looking for more than just a job - you want work/life balance and the opportunity to make a meaningful impact in the lives of North County seniors and their families.
  • At Gary and Mary West PACE, we support your personal and professional well-being with:
  • Generous pay and a comprehensive benefits package focused on your health and wellness
  • 11 paid holidays, 18 days of PTO, and 5 days of sick time
  • A 5% employer match to our 403(b) retirement plan

We invest in our team with an annual education allowance and a commitment to professional growth, helping you expand your skills and advance your career.

You'll thrive in a supportive, mission-driven culture where collaboration feels like family. As part of our multi-disciplinary team, your voice is heard, and your work is truly valued.

Join us and do your best work-because here, your contribution matters.

About PACE

Philanthropists Gary and Mary West founded West Health with the mission of enabling seniors to successfully age in place with access to high-quality, affordable health and support services that preserve and protect their dignity, quality of life, and independence.

The Gary and Mary West PACE (Program of All-inclusive Care for the Elderly), affiliated with West Health, is a non-profit that delivers medical, social, and behavioral services to the frail elderly to the North County of San Diego.

This PACE center is entrepreneurial in nature and focuses on innovations and bringing new processes to the traditional PACE environment.

We're looking for passionate healthcare providers who want to be part of a team dedicated to enable seniors to live in their communities as independently as possible by providing compassionate, comprehensive health and supportive care.

One Team One Mission

Position Summary

Under the direction and supervision of the Executive Director, provides leadership and is responsible for all PACE program medical services, including planning, development, implementation, and ongoing delivery of participant care and clinical outcomes. Defines and implements the role of PACE program physicians.

Essential Functions

Lead, advise and inform the PACE program Leadership team and board of directors on PACE program medical care development and operations.

Work with the Executive Director to develop plans and committee oversight for medical care, utilization review, and ethics, so that all PACE program quality, medical, and program standards are met. Oversee and implement quality requirements and monitor effective functioning of quality committees to maintain a high level of program quality.

Implement and oversee the PACE program quality improvement (QI) program and report to the PACE program board on all clinical matters. On an annual basis, present QI work plan and prior year's outcomes to board of directors for review revision and formal approval.

Conduct documentation audits regularly to include, in part, the following:

  • Conduct monthly audits of Orders Tracking, Unsigned Notes, and Care Plan Interventions (QI will conduct quarterly audits).
  • Assure that the team is documenting ED visits and other encounters properly, with a check-in and check-out process.

Work collaboratively with the PACE QI and Compliance Director to compile, present, and act on all relevant data regarding program participants' utilization of services and medications, as well as compliance with state and federal regulations.

Work with the Executive director and Contracting team to establish an array of medical service delivery contacts to complete the service network and set up the quality assessment and performance improvement infrastructure. Maintain positive relationships with network providers.

Confer with the PACE Program Director on standards for interdisciplinary team care, participants and caregiver and satisfaction, quality, protocols, grievances and appeals, enrollment and dis-enrollment, infection and exposure control, emergency preparedness, data and medical records management, service access, and overall program performance.

Oversee the development and annual review of PACE program policy and procedures on medical care.

Promote safe work practices; conduct environmental rounds; attend to, investigate, and report accidents promptly; assist with medical surveillance; and provide PACE program-specific safety training.

Oversee the Clinical Department annual budget and appropriately participate in efforts to consistently meet or exceed PACE program targets for productivity.

Work with the PACE Executive director and HR Director to recruit, interview, credential, hire, and orient primary care physicians and nurse practitioners to work cohesively as a member of the interdisciplinary team.

Provide supervision and performance evaluation to PACE Providers (NPs, PAs, MDs) to maintain high quality participant primary care and regulatory compliance.

Coordinate clinical coverage and fill in for clinical role on emergency basis as needed.

Work collaboratively with West Health Institute research team to meet the goals and projects agreed upon in the annual Statement of Work, aligning with the PACE organizational metrics.

Demonstrate proficiency in delivering age-specific care, and provide direct primary care, including inpatient management, routine assessments, reassessments and episodic care, and medical record documentation during periods of program transition or emergency.

Demonstrate respect for and promote participants rights including dignity, self-determination, access to care, confidentiality, and independence.

Work collaboratively with the Clinical Services Director and Center Director, holding regular meetings to discuss participant care and clinic operations.

Utilize interpersonal skills to maintain supportive relationships with the Leadership team and other PACE program staff.

Participate in the continuing education and training of all PACE program staff.

Communicate and uphold PACE program standards of care and how they are to be implemented to the physicians/providers, staff, and contractors, providing information and conducting presentations as required.

Participating in pre-enrollment process, seeing prospects and conducting assessments as needed to develop better processes in collaboration with enrollment team.

Participate in PACE program committees and work groups as required.

Understand the importance of community involvement and participate as appropriate in activities that link PACE program to its communities.

  • Coordinate educational rotations for residents and fellow employees.
  • Comply with all policy and procedures of PACE program.
  • Accept assigned duties in a cooperative manner; and perform all other related duties as assigned.
  • Will require use of personal vehicle.

Education and Certification

Graduate of an accredited school of medicine.

Board certified in internal medicine or family practice. Board certification granted by the American Boards of Internal Medicine and Family Practice for Added Qualification in Geriatric Medicine preferred.

  • Licensed by the California Medicine Board to practice medicine in California.
  • Member of the American College of Physician Executives.
  • Medicine Directors Certification preferred.

Is medically cleared for communicable diseases and has all immunizations up-to-date before engaging in direct participant contact. TB screening and successful completion of a health examination by a hospital-designated nurse practitioner or physicians is required for employment.

  • Basic Life Support certification.
  • Valid DEA required.
  • Original valid driver's license with proof of auto insurance.

Skills and Experience

  • Minimum of five (5) years of experience in caring for seniors.
  • Minimum of two (2) years of documented experience working with a frail or elderly population in a long-term care setting.
  • Medical knowledge of physical, mental, and social needs of frail older adults.
  • Knowledge and ability to maintain a consistent level of productivity.
  • Understanding of detailed requirements in action plans and implementation.
  • Knowledge required to commission and conduct data analysis for decision-making.
  • Excellent interpersonal skills that result in team building, successful negotiation, conflict resolution, and effective handling of complex interpersonal situations.
  • Leadership skills to work effectively within an interdisciplinary team setting.
  • Ability to inspire confidence and open communication necessary for a learning environment.
  • Ability to maintain a positive attitude and balance in relationships with others.
  • Effective social interaction with physicians, management, board members, and business and community contacts.
  • Strong organizational and supervisory skills.
  • Ability to complete duties within an agreed-upon timeframe and adapt appropriately to change of priorities and workload and to adjust personal schedule, if required.
  • Sound written and verbal communication skills to convey information effectively.

Medical Clearance

Employees must have medical clearance for communicable diseases and up-to-date immunizations before having direct participant contact.

Job offers are contingent upon a successful pre-employment drug screen, background check, and physical assessment.

Gary and Mary West PACE provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, pregnancy, military and veteran status, age, physical and mental disability, genetic characteristics, gender, gender identity, gender expression or sexual orientation or any other considerations made unlawful by applicable state or local laws.

Key Responsibilities

Lead and oversee PACE medical services, clinical quality improvement, regulatory compliance, provider supervision, and participant care. Collaborate with program leadership, clinical teams, network providers, and research partners to improve care delivery, operations, and outcomes for older adults.

Requirements

Requires graduation from an accredited medical school, board certification in internal medicine or family practice, a California medical license, BLS certification, a valid DEA registration, and a valid driver's license with auto insurance. Requires at least five years caring for seniors and at least two years working with frail or elderly people in a long-term care setting; geriatric medicine board certification and medical director certification are preferred.

Qualifications

Education
Professional certificate or licensure
Experience
5+ years of experience

Certifications

DEA License

Key Skills

Medical LeadershipGeriatric CarePACE Program OperationsClinical SupervisionInterdisciplinary Team LeadershipClinical Documentation AuditingBudget OversightProvider Recruitment

Internal Medicine — Physician Career Context

Of the 50 active Internal Medicine listings this role was benchmarked against, 4% are remote, 42% have no call, 66% require no weekends.

Internal Medicine pay on WeekdayDoc is up 1.9% vs. the prior quarter (through Sep 2026).

Internal Medicine by the numbers
MeasureThis jobMarket
Listed paynot listedInternal Medicine median $304k (middle half $275k–$324k)423 comparable listings, Oct 2026
Cost of livingCalifornia index 110.7US average = 100BEA Regional Price Parities (2024)
Internal Medicine listings in California190 active1,326 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 4% remote · 42% no call · 66% no weekends50 benchmarked listings
Sign-on & loan repayment$10k sign-onCalifornia Physician listings: 30% state a sign-on bonus (median $100k) · 27% offer loan repayment1,000 active listings, Oct 2026
Internal Medicine pay trend+1.9% vs prior quarter—through Sep 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 Internist Jobs

50 matches · ranked by pay

Salary Distribution

50 jobs · 40 employers
11
<$325k
13
$325k-350k
12
$350k-375k
11
$375k-400k
3
$400k+

Annual compensation range

Benefits & Perks

43 jobs · 40 employers
401k / retirement match
81% this job
CME allowance
77% this job
Sign-on bonus
63% this job
Loan repayment
51%
Relocation assistance
51% this job

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Work-life snapshot

median 6.3this job 3.9
Better work-life than 30% of Internal Medicine listings

Listing-based score, 0–10, across 1,313 comparable listings. Shaded area = the share scoring below this one.

  • On-site
Gary and Mary West PACE logo

About Gary and Mary West PACE

Hospitals and Health Care
San Marcos, California
51-200 employees

Benefits & Perks

Generous pay and comprehensive benefits package
11 paid holidays
18 days PTO
5 days sick time
5% employer match to 403(b) retirement plan
Annual education allowance
Relocation package available
$10,000 sign-on bonus

Living in San Marcos

Typical 3-bedroom home value
$865k
Typical market rent
$3,311/mo
Residents’ average commute
27 min
Metro price indexU.S. average = 100
111.9
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 · San Diego-Chula Vista-Carlsbad, CA metro prices. Housing figures are city-level.

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