Pacific Companies is pleased to present an outpatient Rheumatology opportunity in Montana for a Board-Certified or Board-Eligible physician seeking meaningful impact and balance. This role steps you into a high-demand practice with a significant unmet regional need and a complex, rewarding patient population. You’ll practice 100% outpatient rheumatology with robust onsite services and strong institutional support designed to minimize administrative burden. Flexible scheduling options and no call allow you to tailor your workweek while maintaining high-quality, patient-centered care. Optional teaching and collaboration add professional variety in a collegial, multi-specialty environment. Position, Compensation & Organization • 100% outpatient rheumatology • Practice location options in two Montana communities • Only rheumatology presence in the immediate region with strong regional referrals • Onsite infusion suite, pharmacy, radiology, lab, and DEXA scanning • Broad referral base from internal medicine, family medicine, geriatrics, and regional primary care • Pain management handled by dedicated pain providers • Infusion services focused on appropriate, patient-centered care (not volume-driven) • Flexible 3, 4, or 5-day workweek options • No call; standard weekday clinic hours • Option to add an APP for additional support and mentorship • Dedicated clinic management and strong ancillary teams • Optional teaching with internal medicine residents and medical students • Base salary of $350,000 (negotiable by experience) • 8 weeks paid time off (PTO + CME) • Sign-on and relocation bonus • $5,000 CME allowance plus $1,000 for licenses/dues • 5–7% retirement match plus 457(b) • Paid malpractice with tail • J-1 waiver and H1B sponsorship support for qualifying candidates Live Where Lifestyle and Opportunity Align Experience exceptional quality of life in the Mountain West with four seasons, mild winters, and abundant sunshine. Physicians can choose between two appealing communities—one offering a state capital and university setting with lakes and nearby skiing, and another providing a suburban feel with family-focused amenities and museums. Housing costs are significantly lower than major mountain metros, and there is no sales tax, allowing your income to go further. The region is safe, welcoming, and ideal for families, ranchers, and young professionals alike. With easy access to iconic outdoor destinations, this is a place to build a fulfilling career and life. Community Highlights • Montana ranked #1 state for physicians and #4 for compensation • Two community living options: university/capital setting or suburban family-oriented area • Approximately 50% lower housing costs than major mountain metros • No sales tax • Regional draw area of 270,000 across 25% of the state • Extremely safe, family-friendly communities • Easy access to Glacier National Park and Yellowstone National Park • Rolling hills, mountains, and a major river running through town • World-class fly fishing, skiing, boating, hiking, and horseback riding • Vibrant symphony, arts, and school music programs • Top-ranked public and parochial schools with STEM programs • Accredited colleges, a new medical school, and an Internal Medicine residency • In-town airport with direct and connecting flights