Align Med logo
Align Med
Saint Albans Town, Vermont

Medical Director

Internal Medicine 8.7 Work-LifeNo callContract

Listed compensation

$100k–$200k

The week · per this posting · weekdays assumed

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

Posted 1mo ago

Job Description

Sub-Acute, Long-Term Care is a sector of healthcare exploding with potential and work-life balance flexibility (no on call or weekends)!

We are seeing a Fee For Service (FFS) 1099 Attending Physician/Medical Director for our St. Albans Health and Rehabilitiation Center located in St. Albans City, Vermont. The hours and days worked per week are flexible.

AlignMed Partners is a national medical group dedicated to improving health outcomes among residents of skilled nursing and senior living facilities.

Our physicians, nurse practitioners (NPs) and physician assistants (PAs) are supported by a clinical leadership team with a decades-long track record of excellence in post-acute and long-term care. At AlignMed, we believe in a better quality of life for all.

Our mission is to elevate healthcare outcomes for our patients, providers, and partners. In living out our mission, we embrace the following pillars in our day-to-day operations.

Responsibilities

The Medical Director partners with the Regional Medical Director to promote the delivery of clinical services in a manner that fulfills the AlignMed Partners mission of achieving the highest levels of clinical quality, efficiency, and outcomes. This is accomplished by coordinating with Centers, Regional Management and AlignMed Partners to oversee the implementation, utilization, and outcomes measurement of AlignMed Partners Clinical Programs.

The Medical Director is dually accountable to the Center Administrator and the AlignMed Partners Regional Medical Director for clinical care within the Center, accountable to the Center Administrator for delivery of clinical services as stipulated in the Medical Director Agreement, and accountable to the Regional Medical Director for the quality and efficiency of clinical services and outcomes within the Center.

Medical Directors partner with the Center Administrator and Director of Nursing, to achieve the highest levels of Center performance in quality, safety, and efficiency. Our Medical Directors share accountability for Center success in the evolving environment of narrow referral networks and value-based reimbursement, providing effective and proactive.

Qualifications

M.D. or D.O. required.

  • Board Certified in Internal Medicine or Family Medicine preferred, with maintenance of certification
  • Geriatrics specialization is desirable.
  • Certified Medical Director (CMD) through AMDA is desirable.

Benefits

*Variable compensation plans

*Tuition, Travel, and Wireless Service Discounts

*Employee Assistance Program to support mental health

*Employee Foundation to financially assist through unforeseen hardships

*Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off

We Also Offer Several Voluntary Insurances Such As

*Pet Insurance

*Term and Whole Life Insurance

*Short-term Disability

*Hospital Indemnity

*Personal Accident

*Critical Illness

*Cancer Coverage

Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.

Posted Salary Range

USD $100,000.00 - USD $200,000.00 /Yr.

Qualifications

Education
Professional certificate or licensure
Experience
10+ years of experience

Certifications

Board Certification (preferred)

Key Skills

Post-acute careClinical quality improvementRegulatory complianceStaff coordinationClinical program implementation

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Medical Director at Align Med a 8.7 out of 10 for work-life balance — classified as excellent. This places the position in the top 5% in Internal Medicine — ranked against 1,304 active Internal Medicine listings on WeekdayDoc. Contributing factors include no on-call duties.

Internal Medicine — Physician Career Context

Align Med ranks #17 of 18 employers hiring contract/1099 Internist on WeekdayDoc by average advertised pay, and holds silver-tier status on the Top Employers work-life index, composite score 80/100, 110 active listings.

Of the 50 active Internal Medicine listings this role was benchmarked against, 6% are remote, 52% have no call, 70% require no weekends.

The cost-of-living index for Vermont is 98.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$150k midpoint carries the purchasing power of roughly $153k in an average-cost state. 62.3% of Vermont clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top contract/1099 Internist Jobs

50 matches · ranked by pay

Salary Distribution50 jobs · 36 employers

19
<$325k
8
$325k-350k
15
$350k-375k
6
$375k-400k
2
$400k+

Annual compensation range

Benefits & Perks43 jobs · 36 employers

401k / retirement match
81% this job
Sign-on bonus
67%
CME allowance
51%
Relocation assistance
40%
Loan repayment
21%

Share of similar jobs offering each benefit

#1

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

MASC Medical · Brooksville, Florida

$420k
#2

Primary Care Physician- Arvada

Impact to Health · Arvada, Colorado

$300k-$400k
#3

Primary Care Physician

$385k-$395k
#4

Internal Coverage Physician - Family Medicine | ProHealth Physicians

$239k-$393k
+ 48 more · ranked by pay

Work-life snapshot

median 6.4this job 8.7
Among the best 10% of Internal Medicine listings for work-life

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

  • No call
  • Includes weekends

Living in St. Albans

Typical 3-bedroom home value
$377k≈ 3.8× annual pay
Typical market rent
$1,798/mo≈ 22% of gross pay
Residents’ average commute
23 min
Metro price indexU.S. average = 100
100.9
State income tax
Up to 8.8%
Sources & methodology

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

BEA 2024 · Burlington-South Burlington, VT metro prices. Housing figures are city-level.

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

Align Med logo

About Align Med

Medical Equipment Manufacturing
Irvine, California
11-50 employees

Benefits & Perks

Variable compensation plans
Tuition, Travel, and Wireless Service Discounts
Employee Assistance Program
Employee Foundation
Health, Dental, Vision
Company-paid life insurance
401K
Paid Time Off