Gotham Enterprises logo
Gotham Enterprises
Helena, Montana

Medical Director

Family MedicineNo weekendsFull-Time

Listed compensation

$200k-$220k

The week · per this posting · Monday – Friday

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

Posted 33m ago · Verified live

Job Description

  • Medical Director
  • Location: Helena, MT
  • Work Setting: Full-Time
  • Employment Type: Full-Time
  • Salary: $200,000 to $220,000 per year
  • Schedule: Monday-Friday, 9:00 AM – 5:00 PM

Job Summary

We are looking for a Medical Director who can evaluate how care is delivered and help address problems before they affect patient outcomes. This role focuses on clinical quality, patient safety, and the review of medical practices.

Responsibilities include examining care trends, participating in incident reviews, and working with clinical teams on corrective measures when needed.

Applicants should have a strong background in patient care, experience interpreting clinical information, and the ability to make balanced decisions when reviewing quality concerns.

Key Responsibilities

  • Evaluate medical care quality using clinical records and established performance measures.
  • Investigate clinical safety concerns within the assigned scope of authority.
  • Participate in peer review and other quality assurance activities.
  • Recommend changes to medical protocols when deficiencies are identified.
  • Review documentation practices for accuracy and clinical appropriateness.
  • Help establish processes for reporting and addressing patient safety concerns.
  • Work with providers to implement corrective or preventive measures.
  • Monitor progress on assigned clinical improvement initiatives.
  • Doctor of Medicine or Doctor of Osteopathic Medicine degree.
  • Active, unrestricted medical license in the state of practice.
  • Appropriate residency training.
  • Understanding of medical ethics, regulatory compliance, and quality management.
  • Ability to exercise independent clinical judgment.

Preferred

  • Board certification in the relevant clinical specialty, unless required by the employer or setting.
  • Medical staff leadership or committee experience.
  • Previous involvement in clinical policy development.
  • Health insurance
  • Paid time off
  • Retirement options
  • CME support
  • Professional liability coverage

Start Your Application

Qualified physicians may submit their resume and professional credentials for review.

Requirements

Candidates must hold a Doctor of Medicine or Doctor of Osteopathic Medicine degree with an active, unrestricted medical license. Applicants should possess residency training and demonstrate expertise in medical ethics, regulatory compliance, and quality management.

Qualifications

Experience
10+ years of experience

Key Skills

Medical practice reviewIncident reviewClinical documentationClinical leadershipData analysisPerformance measurement

Family Medicine — Physician Career Context

The cost-of-living index for Montana is 94.6 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$210k midpoint carries the purchasing power of roughly $222k in an average-cost state. 59.2% of Montana clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Gotham Enterprises holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 82/100, 731 active listings.

What does the Family Medicine market look like in Montana?
MeasureThis jobMarket
Work-life score6.4 / 10 · above average in family medicineranked against 2,625 Family Medicine listingslisting-based score, 0–10
Listed pay$200k–$220kFamily Medicine median $275k (middle half $253k–$300k)21 comparable listings, Nov 2026
Cost-of-living adjusted pay~$222k in purchasing powerMontana index 94.6 (US = 100)BEA Regional Price Parities (2024)
Family Medicine listings in Montana11 active2,631 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 8% remote · 42% no call · 76% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedUS Physician listings: 38% state a sign-on bonus (median $30k) · 7% 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 listings2,131 in the last 30 days1,435 the 30 days before (+49%)U.S., first seen on WeekdayDoc, Nov 2026
Family Medicine pay trend+1.7% vs prior quarter—through Oct 2026
Gotham Enterprisessilver tier, 82/100Top Employers work-life index731 active listings
Sources: WeekdayDoc live listing index (2,625 Family Medicine listings), Top Employers work-life 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.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Medical Director at Gotham Enterprises a 6.4 out of 10 for work-life balance — classified as good. This places the position in the Above average in Family Medicine — ranked against 2,625 active Family Medicine listings on WeekdayDoc. Contributing factors include no weekend requirements.

Top Family Medicine Jobs

44 matches · ranked by pay

Salary Distribution

44 jobs · 36 employers
11
<$290k
8
$290k-330k
16
$330k-370k
7
$370k-410k
2
$500k

Annual compensation range

Benefits & Perks

37 jobs · 36 employers
401k / retirement match
89%
Sign-on bonus
65%
CME allowance
65% this job
Relocation assistance
49%
Loan repayment
32%

Share of similar jobs offering each benefit

#1

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$250k-$500k
#2

Family Medicine PhysicianContract

Skilled Wound Care · Philadelphia, Pennsylvania

$250k-$500k
#3

Outpatient Primary Care Physician (Internal Medicine / Family Medicine)

$350k-$400k
#4

Primary Care Physician

$385k-$395k
+ 42 more · ranked by pay

Work-life snapshot

median 6.0this job 6.4
Better work-life than 60% of Family Medicine listings

Listing-based score, 0–10, across 2,625 comparable listings. Shaded area = the share scoring below this one.

  • No weekends
Gotham Enterprises logo

About Gotham Enterprises

Hospitals and Health Care
Wilmington, DE
51-200 employees

Benefits & Perks

Health Insurance
Paid Time Off
Retirement Options
CME Support
Professional Liability Coverage

Living in Helena

Typical 3-bedroom home value
$477k≈ 2.4× annual pay
Typical market rent
$1,630/mo≈ 10% of gross pay
Residents’ average commute
14 min
Metro price indexU.S. average = 100
95.7
State income tax
Up to 6.8%
Sources & methodology

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

BEA 2024 · Helena, MT metro prices. Housing figures are city-level.

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