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Axle
Bethesda, Maryland

Moonlighter Physician

Internal MedicineIncludes callFull-Time

Listed compensation

$120k-$124k

The week · per this posting · weekdays assumed

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

Posted 5m ago · Verified live

Job Description

(ID: 2026-3943)

Axle is a bioscience and information technology company that offers advancements in translational research, biomedical informatics, and data science applications to research centers and healthcare organizations nationally and abroad.

With experts in biomedical science, software engineering, and program management, we focus on developing and applying research tools and techniques to empower decision-making and accelerate research discoveries.

We work with some of the top research organizations and facilities in the country including multiple institutes at the National Institutes of Health (NIH).

Axle is seeking a Moonlighter Physician to join our vibrant team at the National Institutes of Health (NIH) supporting the National Heart, Lung, and Blood Institute (NHLBI) located in Bethesda, MD.

Benefits We Offer

  • 100% Medical, Dental & Vision Coverage for Employees
  • Paid Time Off and Paid Holidays
  • 401K match up to 5%
  • Educational Benefits for Career Growth
  • Employee Referral Bonus

Flexible Spending Accounts

  • Healthcare (FSA)
  • Parking Reimbursement Account (PRK)
  • Dependent Care Assistant Program (DCAP)
  • Transportation Reimbursement Account (TRN)

Position Information

The purpose of this position is to provide all physician care coverage needed by patients under care of the NHLBI inpatient services.” Specific duties include communicating with the attending physician regarding “questions, concerns, or major events,” providing admission and on-call care, documenting interventions in the medical record, and assessing “acute and non-acute clinical problems and toxicities

Additional Qualifications

  • Certifications & Licenses
  • Ph.D./MD - Board Certified
  • Obtain Maryland medical license within 90 days of hire
  • Field of Study
  • Biology
  • Molecular Biology
  • Software
  • Microsoft Suite

Skills

  • Thorough understanding of the complexity of medical research in humans
  • Strong oral and written communication skills

Deliverables

  • Meet with lab members to present updates - Weekly
  • Updates will be provided to the coordinator, Attending Physician and other Medical Staff as needed. - Weekly

Statement of Work Details

Communicate with the responsible attending physician or designated fellow for each patient on any questions, concerns, or major events involving these inpatients during their time on call. - 1

Document any interventions or clinically relevant discussion in the patient's medical record and communicate these to the relevant clinical care team at the conclusion of coverage. - 2

Distinguish between normal and abnormal findings and determine which findings need further evaluation and/or collaboration assessment. - 3

Designs and performs original immunological research.

Conduct and evaluate diagnostic tests, balancing risks and benefits to establish treatment plans and conducting immunological therapies.

Work as a member of a multidisciplinary clinical team to provide comprehensive care to patients in a research environment.

Demonstrate expertise in related healthcare, individual initiative and independent judgement.

Evaluates, tests and implements new processes, methodologies and tools for complex immunological testing and research.

Research emerging trends, methodologies and approaches to cellular immunology and immune cell function, as well as relevant cellular and antibody-based immunological techniques.

Write admission notes on stable patients admitted for routine evaluations, admit acutely ill patients to the NHLBI wards, and assume responsibility for their care during hours covered by the service.

  • Medically diagnose common short-term or stable chronic health problems, injuries and illnesses.
  • Monitor and evaluate health effects related to new/ongoing protocol studies.
  • Provide medical evaluation and longitudinal follow-up of participants enrolled in clinical trials.
  • Evaluate, modify and revise care plan at appropriate intervals.

Assess acute and non-acute clinical problems and toxicities as well as assess needs and/or problem areas and plan appropriate therapeutic measures.

Diagnose and monitor common acute or stable chronic health problems, injuries, and illnesses making assessments of acute and nonacute clinical problems and toxicities.

Documents research findings and maintains accurate logs and records of all experimental activities and outcomes.

  • Input accurate record of all research activities and findings in in-house databases and repositories.
  • Prepare routine status updates and outcome briefings to peer researchers and senior program executives.
  • Provide routine activity updates and briefings to senior researchers and program executives.
  • Complete in-depth documentation through written progress notes, dictation summaries and communication with referring physicians according to medical record documentation requirements.
  • Perform comprehensive health care assessments by obtaining health and family medical histories.
  • Complete physical examinations.
  • Perform clinical data recording and medical chart entries.
  • Maintain and complete medical records and place orders for medications and tests.
  • Perform retrievals from electronic medical information system.

Interpret and document diagnostic tests and studies related to clinical trial interventions and patient conditions.

Provide documentation and monitoring/grading of side effects related to a variety of study interventions including drugs and psychological behaviors.

  • Provides subject matter expertise to senior scientists and program executives.
  • Consult with diverse, cross-functional stakeholder groups to identify opportunities, develop problem statements and understand context to inform research strategies.
  • Provide a highly proficient level of professional health care to patients.
  • Provide clear communication to the nursing team.

Explain the plan of care/discharge needs to the incoming on-call resident as well as the patient’s assigned case manager at sign out.

Provide coverage for the post-call resident’s patients, while working closely with the inpatient/fellowship staff.

Prepares results of experimental findings for presentation and publication.

Produce final reports and presentations of experiments and findings for distribution internally among researchers and senior administrators.

Review and edit papers, reports, presentations and articles produced by other researchers for distribution internally and externally.

Participate in clinical rounds and conferences.

Disclaimer: The above description is meant to illustrate the general nature of work and level of effort being performed by individuals assigned to this position or job description. This is not restricted as a complete list of all skills, responsibilities, duties, and/or assignments required. Individuals may be required to perform duties outside of their position, job description or responsibilities as needed.

The diversity of Axle’s employees is a tremendous asset. We are firmly committed to providing equal opportunity in all aspects of employment and will not tolerate any illegal discrimination or harassment based on age, race, gender, religion, national origin, disability, marital status, covered veteran status, sexual orientation, status with respect to public assistance, and other characteristics protected under state, federal, or local law and to deter those who aid, abet, or induce discrimination or coerce others to discriminate.

Accessibility: If you need an accommodation as part of the employment process please contact: careers@axleinfo.com

This role has a market-competitive salary with an anticipated base compensation range listed below. Actual salaries will vary depending on a candidate’s experience, qualifications, skills, and location.

Salary Range

$120,000—$124,000 USD

Key Responsibilities

The physician will provide inpatient care coverage, including admissions, on-call support, and clinical interventions for patients at the National Heart, Lung, and Blood Institute. Additionally, the role involves conducting immunological research, documenting patient progress, and collaborating with multidisciplinary teams to ensure comprehensive care.

Requirements

Candidates must hold an MD or PhD and be board certified, with the ability to obtain a Maryland medical license within 90 days. Strong communication skills and a thorough understanding of medical research complexities are required.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
5+ years of experience

Certifications

Board Certification

Key Skills

Medical documentationDiagnostic testingPatient evaluationMedical diagnosisTreatment planningData managementResearch methodologiesMedical record maintenanceMultidisciplinary collaboration

Internal Medicine — Physician Career Context

Of the 50 active Internal Medicine listings this role was benchmarked against, 10% are remote, 30% have no call, 70% require no weekends.

Internal Medicine pay on WeekdayDoc is up 4.4% vs. the prior quarter (through Oct 2026).

Internal Medicine by the numbers
MeasureThis jobMarket
Listed pay$120k–$124kInternal Medicine median $250k (middle half $240k–$278k)119 comparable listings, Nov 2026
Cost-of-living adjusted pay~$116k in purchasing powerMaryland index 105.0 (US = 100)BEA Regional Price Parities (2024)
Internal Medicine listings in Maryland18 active1,370 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 10% remote · 30% no call · 70% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedMaryland physician listings (all specialties): 21% state a sign-on bonus (median $50k) · 9% offer loan repayment395 active listings, Nov 2026
Internal Medicine hiring demand#3 of 28 specialtiespostings stay open a median 38 days · 33% state a sign-on bonusWeekdayDoc Hiring Index, October 2026 · 579 postings, 472 closed
New Internal Medicine listings544 in the last 30 days357 the 30 days before (+52%)U.S., first seen on WeekdayDoc, Nov 2026
Internal Medicine pay trend+4.4% 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.

Top Internist Jobs

46 matches · ranked by pay

Salary Distribution

46 jobs · 36 employers
12
<$290k
11
$290k-330k
16
$330k-370k
5
$370k-410k
2
$500k

Annual compensation range

Benefits & Perks

41 jobs · 36 employers
401k / retirement match
85% this job
Sign-on bonus
63%
CME allowance
61%
Relocation assistance
39%
Loan repayment
24%

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Work-life snapshot

median 6.4this job 3.0
Better work-life than 20% of Internal Medicine listings

Listing-based score, 0–10, across 1,363 comparable listings. Shaded area = the share scoring below this one.

  • Includes call
Axle logo

About Axle

Biotechnology Research
Rockville, Maryland
201-500 employees

Benefits & Perks

100% Medical, Dental & Vision Coverage for Employees
Paid Time Off and Paid Holidays
401K match up to 5%
Educational Benefits for Career Growth
Employee Referral Bonus
Flexible Spending Accounts (Healthcare FSA)
Parking Reimbursement Account (PRK)
Dependent Care Assistant Program (DCAP)