Join a rapidly expanding cardiovascular institute committed to building one of the premier Advanced Heart Failure programs in the Upper Midwest. Rather than replacing a retiring physician, this newly created position offers the rare opportunity to shape the future of an established program with significant institutional investment and executive support. You’ll step into a robust clinical practice backed by experienced APPs, fellowship-trained colleagues, advanced remote monitoring, and a thriving cardiovascular service line while helping develop next-generation heart failure services. Leadership opportunities are available from day one, allowing you to influence program growth, physician recruitment, and clinical strategy across a large regional referral network. If you’re seeking a position that blends clinical excellence, academic engagement, and the opportunity to build a lasting legacy, this is an exceptional career opportunity. Position, Compensation & Organization Highlights • Lead and expand an established Advanced Heart Failure program with significant institutional investment • Flexible practice model including 100% Advanced Heart Failure, Heart Failure with Pulmonary Hypertension, or a hybrid Heart Failure/General Cardiology practice • Opportunity to serve as Medical Director or Program Director for Advanced Heart Failure • Clinical leadership for development of LVAD, Adult ECMO, cardiogenic shock, and pulmonary hypertension programs • Join one of the Upper Midwest’s largest cardiovascular institutes with General Cardiology, Interventional Cardiology, Electrophysiology, Advanced Imaging, and Cardiothoracic Surgery • Strong APP support for outpatient clinics, inpatient rounding, transitional care, and remote monitoring • Established CardioMEMS program with 360 enrolled patients and a large active heart failure population • Accredited General and Interventional Cardiology Fellowship programs with fellows providing first-call coverage • Teaching, clinical research, quality improvement, and protected academic time available • Collaborative multidisciplinary environment with Cardiothoracic Surgery, Critical Care, and regional transplant center partnerships • Opportunity to help establish destination therapy LVAD and Adult ECMO programs while expanding regional cardiovascular services Compensation & Benefits • $700,000 guaranteed base salary for the first two years • Productive physicians projected to earn $800,000 annually after transition to the wRVU model • $150,000 sign-on bonus • Up to $10,000 relocation assistance • 20 days PTO plus 6 paid holidays • 10 CME days with a $5,000 annual CME allowance • Comprehensive health, dental, vision, disability, life insurance, malpractice with tail coverage, retirement plans, and deferred compensation options Community Overview Build your career in one of the Midwest’s fastest-growing metropolitan communities while enjoying an exceptional quality of life. As the healthcare, financial, and cultural hub of South Dakota, this vibrant city combines the amenities of a larger metropolitan area with affordable living, short commutes, and no state income tax. Families appreciate outstanding public and private schools, a safe community, and abundant recreational opportunities throughout all four seasons. Physicians enjoy easy access to parks, trails, lakes, golf, hunting, skiing, and a thriving downtown filled with restaurants, entertainment, shopping, and cultural events. With a growing economy, expanding medical education, and convenient national air service, this community offers an ideal setting for both professional success and personal fulfillment. Community Highlights • One of the Midwest’s fastest-growing metropolitan areas • No state income tax and cost of living below the national average • Average commute of just 15-20 minutes • Highly regarded public, private, and faith-based schools • Expanding medical education and academic opportunities • More than 80 parks, miles of recreational trails, and year-round outdoor activities • Regional airport with nonstop service to major U.S. destinations • Thriving downtown featuring dining, breweries, shopping, festivals, and live entertainment • Family-friendly neighborhoods with diverse housing options • Strong regional economy supported by healthcare, finance, biotechnology, and technology industries