General Dermatologist - Patient-First Driver 4-Day Template 45% Collections $1M+ Potential Springfield, MO

What if your clinic flow finally worked for you?

What if every room was set, the scribe was already in the chart, and the MA team kept the next patient ready so the only ceiling on your day was the speed and quality you choose to deliver? It sounds almost too simple. But that s the point. When you remove friction, patient care and physician earnings move.

The Setting (no drama, just execution).

This is a high-performing private dermatology group in Springfield, Missouri. You ll practice full-spectrum general dermatology in a newly remodeled flagship clinic with six procedure rooms, surgical lighting, and in-house dermatopathology. The design is not theoretical: scribe in the room, strong MA ratio (1 3 per provider), and access to 3 4 rooms if you want the pace. There s no call. If you like a little variety, you may add optional days at a new regional site about 30 minutes away purely your call.

Who thrives here.

You put patients first. You like clarity. You run toward responsibility. You don t need micromanagement; you need a clean runway and a scoreboard. If that s you, you re already picturing how you d run the template.

Let s talk numbers because numbers tell the truth.

Compensation structure.

You start with a base guarantee ($400,000 $500,000, commensurate with experience/fit) and earn 45% of net collections, with bonuses advanced during the year and a year-end true-up. (Read that again: the base functions as a draw. This is not base plus 45% stacked on top. It s transparent and aligned exactly how high performers prefer to be paid.)

What the current benchmark looks like.

A general dermatologist at this site is pacing $1.4M in net collections on a 4-day template that s roughly $630k at plan (45%). Now, what happens if you choose a 5-day week? Add APP oversight (% of APP net collections)? Layer in a measured cosmetic mix? For top performers, $1M+ total compensation is not theory it s the logical outcome of leverage and pace. (Actual results depend on schedule, payer mix, and case mix. Your call, your throttle.)

Cash-flow sanity.

You re not waiting all year to see the upside. Bonuses are advanced during the year based on trend lines, then trued up in December. That smooths cash flow without playing games.

The clinical leverage you ll feel on Day 1.

In-house dermpath ( 15,000/yr).

Shorter loops. Clearer answers. Collaboration is immediate. For exceptionally qualified physicians, a selective opportunity to read your own slides may be considered at leadership s discretion.

Operational efficiency.

This is where most clinics say they re efficient, then make you chase forms. Here, you ll have scribe support in the room, a strong MA ratio, and 3 4 rooms if you want the pace. Intake is streamlined. Turnover is tight. The goal is simple: you are the limiting factor not the staffing.

Scope you control.

Core is 100% general dermatology new and return visits, biopsies (shave/punch), cryo, ILK, simple excisions/repairs, ED&C as comfortable. Cosmetics are optional (injectables, lasers/IPL, RF-/microneedling) with training/resources available if you want that lane.

Schedule, Access & Ramp what it looks like in real life.

Template.

Standard 4 clinic days. If you want to lean in, flex to 4.5 5. The clinic is built to absorb the pace.

Throughput.

A sustainable patients/day once you re ramped, supported by scribe + MA and multiple rooms. You call the cadence; we keep the runway clear.

Ramp.

= 6 months to a full template, backed by coordinated marketing and referral introductions. The demand is there; your schedule fills because access matters in this market.

Sites.

Primary in Springfield. Optional regional days once open not required.

Benefits & Protections because details become big things later.

• Relocation: Assistance case-by-case (simple and practical).
• Malpractice: Claims-made with tail provided when departing in good standing.
• Benefits: Health & dental; 401(k) (match discussed during interview); 4 weeks PTO + holidays; CME funds/days.
• Residents: Early-commitment earn while you learn stipend available (with protective terms). J-1 and TN considered.

APP oversight (optional).

If you supervise, you earn % of the APP s net collections. If that doesn t fit your style, don t elect it. If it does, it s a meaningful lever.

The conversation you should be having with yourself.

• What would my day feel like if my scribe were always in the room and my next patient was actually ready?
• What happens to my earnings when collections are transparent and I keep 45%?
• If a colleague is pacing $1.4M on four days, what s my number with five?
• How fast could I get to full if the clinic is already built for throughput?

If those questions calm you rather than stress you, that s a tell. You re the kind of physician who thrives with autonomy, clarity, and a clean scoreboard.

Qualifications that fit the mission.

You re Board-Certified/Eligible in Dermatology (MD/DO), licensed (or license-eligible) in Missouri, procedure-ready, EMR-proficient, and a crisp communicator. You protect the brand and the patient experience because you know reputation compounds for the practice and for you.

The interview fast, respectful, decisive.

1. Introductory call (after hours available).
2. Physician panel conversation.
3. On-site visit (practice-paid): clinic tour, team dinner, community overview.
4. Decision target: within 5 business days of on-site. LOI and contract follow promptly.

No mystery. No endless loops. If it s a fit, you ll know and so will we.

Why Springfield?

Because the Ozarks give you room room for patients to get seen, room for you to practice medicine the way you trained, and room for your income to reflect your effort. Cost of living is sane. Lakes and trails are close. Flights are simple. It s the kind of place where a great clinic day still leaves daylight.

Compensation Information:
$787500.00 / Annually - $867500.00 / AnnuallyAdditional Compensation:
45.00
Details:
Under this plan, total compensation equals 45% of your net collections (the base is a draw, not stacked) plus 10% of any APP's net collections if you supervise. Hitting the ground running at the current benchmark-$1.4M NCR on a 4-day template-yields $630k; add an APP at $800k NCR and you're $710k. Bumping to 4.5 days ($1.575M NCR) is $708,750 (or $788,750 with that APP). 5 days ($1.75M NCR) is $787,500 (or $867,500 with the APP). To clear $1M, you need $2.22M NCR solo, or $2.0M with an APP at $1.0M NCR ( $2.04M with an APP at $0.8M). For context, 4 days 48 weeks 192 clinic days: $1.4M is $7,292/day ($182/encounter at 40 pts/day). A $2.0M run rate over 230 days is $8,695/day ($193/encounter at 45 pts/day). Actuals vary with schedule, payer mix, procedure/cosmetic mix, credentialing ramp, and template efficiency.