WAGI logo
WAGI
Tacoma, Washington

Advanced Practice Provider - NP or PA, Ta

Nurse PractitionerIncludes weekendsFull-Time Full Practice Authority

Listed compensation

$115k-$160k

The week · per this posting · Monday – Friday

Weekend work is also flagged as required; confirm which days and how often.

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

Posted 1h ago · Verified live

Job Description

WAGI is seeking a Full-Time Advanced Registered Nurse Practitioner (ARNP) or Physician’s Assistant (PA-C) to join our gastroenterology medical practice.

The Advanced Practice Practitioner (APP), as an independent healthcare provider, is responsible for delivering comprehensive treatment to both well and sick patients while working collaboratively within the gastroenterology health team.

Via direct patient care, consultation, research, education, and partnership with other healthcare providers, demonstrates a high level of clinical experience in providing gastroenterology healthcare.

Patients and families are educated by the APP on how to encourage wellbeing, avoid health complications, improve current health, and engage in acute and chronic illness. APPs are mentored by practice Physicians; PA-Cs practice within the WA State licensing to include practicing medicine with Physician supervision.

Responsibilities

  • Provide care autonomously to a case load of patients in a gastroenterology practice
  • Conduct comprehensive or episodic health history, physical assessment, and pre-procedure workups of patients with acute or chronic gastrointestinal health problems
  • Prescribe and regulate medications per prescriptive authority in Washington State
  • Document patient data to ensure continuity in the provision and coordination of patient care to include verbal and phone communications
  • Collaborates with physicians in managing acute and long-term medical needs of patients
  • Provides monitoring and continuity of care between physician visits; maintains and reviews patient records, charts and other pertinent information; triages patient telephone calls and provides medical advice and guidance
  • Participate in clinical research studies as requested
  • Infusion clinic coverage as needed
  • May include inpatient hospital coverage as needed

Other Duties as Assigned

This position will typically practice within WAGI clinics, Monday - Friday. However, there are additional requirements to also provide periodic coverage on weekends or holidays as needed for hospital coverage.

Qualifications

  • The following are requirements for Physician Assistant candidates:
  • Graduate of a Physician Assistant program approved by the CAHEA
  • Current WA State Physician Assistant License required
  • DEA prescriptive authority

Current BLS Certification Required

  • Current Washington State Driver’s license to be able to travel to other local clinics or hospitals as needed
  • Extensive knowledge base of physical assessment, differential diagnosis, pathophysiology, pharmacology, and management of acute and chronic patient health problems
  • Clinical experience in gastroenterology preferred or practice relevant area preferred
  • The following are requirements for Advanced Registered Nurse Practitioner candidates:
  • Current WA State RN License
  • Current WA State Nurse Practitioner License
  • Skills and Abilities
  • Treat patients and families with respect and dignity
  • Maintains professional working relationships with physicians and all staff members
  • Interacts positively with other offices, hospitals, pharmacies, etc.
  • Knowledge of APP authorized Washington State scope of practice
  • Responsible for personal and professional growth and effective communication
  • Delegates appropriately to support staff
  • Develops and implements training for patients and staff

Collaborates with Mangers for Process Improvement

  • Ability to maintain sustained concentration and attention to detail while working with frequent interruptions, conflicting demands, and deadlines
  • Completes work in the time allotted and seeks other duties when time allows
  • Exhibits strong listening skills
  • Ability to work independently with minimal supervision as well as with other team members
  • Excellent verbal and written communication skills
  • Strong analytical and problem-solving skills
  • Ability to prioritize tasks and to delegate them when appropriate
  • Proficient in Microsoft Office products, specifically Excel and Word
  • Ability to multitask in a fast-paced environment
  • Physical Activities and Requirements
  • Ability to stand and walk throughout the day, up to 10 hours per day
  • Prolonged periods of sitting and performing administrative duties including the use of computers
  • Ability to bend, twist, stoop, and reach
  • Ability to lift and carry supplies and equipment as needed (up to 15 pounds)
  • Must have the ability to utilize visualization, touch, and hearing to assess changes in patients’ condition
  • Fine manipulation and ability to hold medical instruments

Work Environment

Individuals in this position will be working in our Medical Clinics and may also work within the local hospitals

Individuals in this position be able to perform some work remotely from their homes.

This will require that the individual have a location to work from where they are able to ensure the protection of Personal Health Information (PHI), have the minimum internet connection required to utilize systems, and meet the other requirements for the Telecommuting Agreement.

In general, WAGI allows employees that are approved to work remotely to work anywhere in the state of Washington. However, due to unique city ordinances that impact employers, WAGI does not allow anyone to work remotely from Seattle, WA.

In addition, employees may not work outside of the state of Washington without receiving prior approval from the Director of Human Resources and COO.

Washington Gastroenterology has an excellent compensation and benefit package that includes the following:

Employees (and their families) who work full time (defined as working 30 or more hours per week) will be eligible for medical, dental, vision, long-term disability, accidental death and dismemberment, and basic life insurance. In addition employees are able to enroll in our company’s 401(k) plan which includes a company provided safe harbor contribution of 3% of annual earnings and the potential for a company discretionary profit sharing contribution.

All employees will be eligible to accrue PTO at a rate of.04 hours per payroll hour (1.6 hours for a 40 hour week) which can be used for and exceeds the required mandatory WA State and other local ordinances. In addition, full time employees will be eligible for a Vacation accrual with a maximum annual accrual of 77 hours as a new hire.

WAGI has 8 standard Holidays each year for which full time employees are eligible to receive paid holiday. In addition, full time employees will be given 1 Float Holiday each year that they can schedule.

WAGI provides Malpractice Insurance, a Continuing Medical Education (CME) reimbursement budget of $5,400 per two year cycle; and 5 days of paid CME Time Off per year to complete CME.

A new hire full time employee in this role will be eligible for a Hiring Bonus in the amount of $10,000.

This is an Salary position and the anticipated Compensation range is $115,000 - $160,000. The hired applicant is also eligible for annual discretionary bonuses.

Patients Come First.

Every decision we make is anchored in strengthening patient care. Our physicians lead with a commitment to quality, access, and outcomes, and our shared infrastructure ensures they have the tools, data, and support to continually elevate care in every community we serve.

A Physician-Led Organization at Every Level.

Our model is built on physician leadership. Through our Physician Executive Committee, Regional Clinical Governance Boards, and Local Head Physicians, clinical decision-making remains with those who deliver care. This physician-led structure, supported by national-scale resources, preserves autonomy while strengthening specialty excellence.

True Partnership That Enables Physicians to Focus on Patients.

Instead of a traditional management model, we operate as a Management Services Organization (MSO). Our national infrastructure, which includes analytics, technology, revenue cycle, compliance, and operational support, reduces administrative burden so physicians can devote their time and expertise to patients. We enable, we support, and we align. We do not manage.

Outcomes Matter.

Our leadership is driven by the measurable value we deliver to physicians, practices, and patients. Our partnership-first approach, combined with data insights and operational strength, has fueled significant clinical, operational, and practice growth. As more top-tier physicians join our specialty-led ecosystem, we continue to expand access and raise the standard of specialty-care nationwide.

Interested in Learning More?

We are just a click away. No pressure. Just information and a partnership built for physicians who want to lead the future of specialty care.

Be empowered to make your best next career move!

The Specialty Alliance is a physician-led Management Services Organization (MSO) that supports leading specialty practices with national-scale infrastructure, data, and resources. Our partnership model preserves clinical autonomy while enabling responsible growth and high-quality specialty care nationwide. To learn more about The Specialty Alliance, visit thespecialtyalliance.com.

  • The Specialty Alliance Corporate Headquarters, 550 Reserve St., Suite 550, Southlake, TX 76092, USA
  • The Specialty Alliance | GI Alliance | Urology Alliance

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Certifications

DEA License

Key Skills

Patient educationElectronic medical recordsTriageAnalytical skillsTime management

Gastroenterology — Nurse Practitioner Career Context

The cost-of-living index for Washington is 107.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$138k midpoint carries the purchasing power of roughly $129k in an average-cost state. 59.8% of Washington clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 43 active Gastroenterology listings this role was benchmarked against, 44% are remote, 60% have no call, 74% require no weekends.

What does the Gastroenterology market look like in Washington?
MeasureThis jobMarket
Cost-of-living adjusted pay~$129k in purchasing powerWashington index 107.0 (US = 100)BEA Regional Price Parities (2024)
Gastroenterology listings in Washington6 active186 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 44% remote · 60% no call · 74% no weekends43 benchmarked listings
Sign-on & loan repayment$10k sign-onWashington Nurse Practitioner listings: 21% state a sign-on bonus (median $30k) · 14% offer loan repayment324 active listings, Nov 2026
Gastroenterology hiring demand#15 of 19 specialtiespostings stay open a median 36 days · 9% state a sign-on bonusWeekdayDoc Hiring Index, October 2026 · 70 postings, 105 closed
New Gastroenterology listings175 in the last 30 days138 the 30 days before (+27%)U.S., first seen on WeekdayDoc, Nov 2026
Gastroenterology pay trend−7.3% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024), WeekdayDoc Hiring Index; as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Location & Logistics

Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$138k midpoint, that is roughly $6k–$10k a year versus a typical 4–7% state rate.

Top Nurse Practitioner Jobs

36 matches · ranked by pay

Salary Distribution

36 jobs · 23 employers
12
<$150k
14
$150k-190k
3
$190k-230k
7
$230k-270k

Annual compensation range

Benefits & Perks

33 jobs · 23 employers
401k / retirement match
94% this job
Sign-on bonus
67% this job
CME allowance
52% this job
Loan repayment
15%
Relocation assistance
9%

Share of similar jobs offering each benefit

#1

PMHNP Nurse Practitioner @ Philadelphia / Rittenhouse Square, PA

LifeStance Health · Philadelphia, Pennsylvania

$230k-$260k
#2

PMHNP Nurse Practitioner @ Philadelphia / Penn, PA

LifeStance Health · Philadelphia, Pennsylvania

$230k-$260k
#3

Child & Adolescent PMHNP @ Haverford, PA

$230k-$260k
#4

Child & Adolescent PMHNP @ Multiple Philadelphia Suburbs PA

$230k-$260k
+ 34 more · ranked by pay

Work-life snapshot

median 6.1this job 4.8
Better work-life than 40% of Gastroenterology (NP) listings

Listing-based score, 0–10, across 184 comparable listings. Shaded area = the share scoring below this one.

  • On-site
  • Includes weekends
WAGI logo

About WAGI

Medical Practices
Southlake, Texas
201-500 employees

Benefits & Perks

Medical, dental, vision insurance
Long-term disability
Accidental death and dismemberment
Basic life insurance
401(k) with 3% safe harbor contribution
PTO accrual
Vacation accrual
8 standard holidays plus 1 float holiday

Living in Tacoma

Typical 3-bedroom home value
$483k≈ 4.2× annual pay
Typical market rent
$1,773/mo≈ 19% of gross pay
Residents’ average commute
29 min
Metro price indexU.S. average = 100
111.1
State income tax
None
Sources & methodology

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

BEA 2024 · Seattle-Tacoma-Bellevue, WA metro prices. Housing figures are city-level.

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