Unsolicited Jobs Thread

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Sounds like a medonc package not Radonc. Wouldn’t be first time I’ve seen mistaken job title
IMG_9956.jpeg

This is their Hem/Onc package
 

This has to be for a med onc. $90/RVU is relatively unheard of for a Rad Onc. It speaks about doing 30% Heme/70% onc.
Whether there is an inpatient floor and a hospitalist team is immaterial for a Rad Onc.

*EDIT* - I see the next page has the Heme/Onc salary. The fact the salary is the same honestly does not really compute.

I encourage you to go sign up that 700-750k job!
 
Hi Dr. Gator,

Would this permanent Radiation Oncologist opening interest you near Minnesota?
Hospital employed practice seeks BC/BE Radiation Oncologist to join their team

Salary: $584,000. (🤮:vomit:🤮:vomit:)
Join 1 Radiation Oncologist, 4 Hematologist/Oncologists, and 2 skilled APCs
Average of 10-12 patients a day with an average of 25 treatments per day on the TrueBeam
Light call: rotate equally between two Radiation Oncologists; alternating weekends with weekday call respective of which physician is in clinic and alternating Wednesday
Generous benefits package offered including medical malpractice coverage, 401k, pension, relocation allowance, signing bonus, relocation stipend, student loan reimbursement and more!
Located 2 hours from Minneapolis, and 2 1/2 hours from Eau Claire, WI
Airport offered in town with flights to Minneapolis, Chicago, Fort Myers, and Phoenix
H1B visa sponsorship available
If you would like to apply, please send a copy of your updated CV to [email protected] or you can call or text me anytime at 702-788-6568.

I have clients nationwide so if you are searching in other locations, please let me know where you want to be and I will send you a list of options.

Thanks for your time!

Jina Nunez
Medicorp, Inc. | Physician Recruiter
Email: [email protected]
Phone: 877-295-7778 x5031, Fax: 636-278-6080
Direct: 636-387-5031
Cell: 702-788-6568
Physician Job link: www.medicorpinc.com
 
Last edited:
Hi Dr. Gator,

Would this permanent Radiation Oncologist opening interest you near Minnesota?
Hospital employed practice seeks BC/BE Radiation Oncologist to join their team

Salary: $584,000
Join 1 Radiation Oncologist, 4 Hematologist/Oncologists, and 2 skilled APCs
Average of 10-12 patients a day with an average of 25 treatments per day on the TrueBeam
Light call: rotate equally between two Radiation Oncologists; alternating weekends with weekday call respective of which physician is in clinic and alternating Wednesday
Generous benefits package offered including medical malpractice coverage, 401k, pension, relocation allowance, signing bonus, relocation stipend, student loan reimbursement and more!
Located 2 hours from Minneapolis, and 2 1/2 hours from Eau Claire, WI
Airport offered in town with flights to Minneapolis, Chicago, Fort Myers, and Phoenix
H1B visa sponsorship available
If you would like to apply, please send a copy of your updated CV to [email protected] or you can call or text me anytime at 702-788-6568.

I have clients nationwide so if you are searching in other locations, please let me know where you want to be and I will send you a list of options.

Thanks for your time!

Jina Nunez
Medicorp, Inc. | Physician Recruiter
Email: [email protected]
Phone: 877-295-7778 x5031, Fax: 636-278-6080
Direct: 636-387-5031
Cell: 702-788-6568
Physician Job link: www.medicorpinc.com
similar jobs out of residency 15 years ago were 7-800k. With inflation, the difference is huge.
 
Hi Dr. Gator,

Would this permanent Radiation Oncologist opening interest you near Minnesota?
Hospital employed practice seeks BC/BE Radiation Oncologist to join their team

Salary: $584,000. (🤮:vomit:🤮:vomit:)
Join 1 Radiation Oncologist, 4 Hematologist/Oncologists, and 2 skilled APCs
Average of 10-12 patients a day with an average of 25 treatments per day on the TrueBeam
Light call: rotate equally between two Radiation Oncologists; alternating weekends with weekday call respective of which physician is in clinic and alternating Wednesday
Generous benefits package offered including medical malpractice coverage, 401k, pension, relocation allowance, signing bonus, relocation stipend, student loan reimbursement and more!
Located 2 hours from Minneapolis, and 2 1/2 hours from Eau Claire, WI
Airport offered in town with flights to Minneapolis, Chicago, Fort Myers, and Phoenix
H1B visa sponsorship available
If you would like to apply, please send a copy of your updated CV to [email protected] or you can call or text me anytime at 702-788-6568.

I have clients nationwide so if you are searching in other locations, please let me know where you want to be and I will send you a list of options.

Thanks for your time!

Jina Nunez
Medicorp, Inc. | Physician Recruiter
Email: [email protected]
Phone: 877-295-7778 x5031, Fax: 636-278-6080
Direct: 636-387-5031
Cell: 702-788-6568
Physician Job link: www.medicorpinc.com

This sounds like it could be somewhere in/around Duluth MN.
 

Unique opportunity in Vibrant downtown Indianapolis to care for America's Veterans!

[td]
[/td]​
Looking for work/life balance, outstanding benefits and resources to provide high-quality care?
Join us in our mission to provide Veterans with the world-class benefits and healthcare services they have earned! Veteran Health Indiana is actively seeking an excellent Radiation Oncologist to join our established program in downtown Indianapolis, Indiana.
Position highlights:

  • High-complexity VA Medical Center with Surgery, Oncology and Radiology in house
  • Robust team support (onsite Physicist, Dosimetrists, 7 Therapists, registrars, health tech, etc.)
  • Modern equipment (2 Varian Truebeam linacs, Aria, SBRT, Siemens simulator)
  • APEx and COC accredited
  • Member of VA cooperative studies with open trials
  • High-performing, high-quality, patient-focused team
  • Opportunity for teaching and academic appointment
  • M-F 7-3:30pm; home call anticipated 1:3
  • Sign on bonus opportunity
  • Located in vibrant and affordable Indianapolis, Indiana
Qualifications:
  • MD or DO degree
  • Completion of ACGME accredited Radiation Oncology residency
  • BE/BC American Board of Radiology
  • Current full and unrestricted license to practice medicine or surgery in a State, Territory, or Commonwealth of the United States or District of Columbia.
  • US Citizenship: Non-citizens may be considered when it’s not possible to recruit qualified citizens


LEARN MORE


COMMUNITY INFORMATION
Indianapolis
: Where Opportunity Meets Affordability! This capital city is home to the NFL Colts, NBA Pacers, the Indianapolis Motor Speedway, and the world's largest Children's Museum. Discover a vibrant city bursting with career prospects, cultural richness, and a welcoming community. From its affordable cost of living to its thriving job market, world-class amenities, and family-friendly atmosphere, Indianapolis offers the perfect blend of urban excitement and Midwestern charm. Come explore our dynamic neighborhoods with highly ranked school systems, diverse culinary scene, and a multitude of recreational activities. If you're seeking a thriving career and a place to call home, Indianapolis invites you to make your mark in the Crossroads of America.


Veterans Health Administration (VHA) is America’s largest integrated health care system, providing care at 1,321 health care facilities, including 172 medical centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.
In addition to the honor of serving America’s Heroes, a career at VHA provides a robust total reward$ package and offers many benefits including:
  • Flexible work schedules and shifts
  • Low patient-provider ratios
  • Robust insurance coverage
  • The ability to work anywhere in the country with one active license  
  • Stable employment with competitive salary and regular pay increases
  • 50 days annual paid time off (26 days paid annual leave, 13 days paid annual sick leave, 11 paid federal holidays) in addition to other leave options including paid parental leave
  • Generous education support programs, including loan repayment and reimbursement   
  • Unprecedented federal retirement benefits including a traditional pension (5 years’ vesting) and a federal 401K (TSP) with up to 5% in employer contributions

Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant’s criminal history before accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.

Thank you for your consideration and we look forward to assisting you to your new, rewarding career at the Veterans Health Administration!
 
no salary range? it used be fairly easy to look up VA max salary for a given position
 
Opportunity Details:

Optum NV is seeking a Radiation Oncologist to join our team in Las Vegas, NV. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone.


At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you’ll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

Primary Responsibilities:


  • Diagnosing, treating, and managing patients with oncology diseases according to standard, usual and acceptable or customary methods and techniques in the outpatient setting
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • M.D. or D.O. degree
  • Completion of Radiation Oncology residency program or open to physicians in final year of training
  • Board Certified/Board Eligible in specialty
  • Active and unrestricted medical license in the State of Nevada or ability to obtain prior to employment
  • DEA License or ability to obtain prior to employment
Nevada Residents Only: The salary range for this role is $462,939 to $696,492 annually. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
 
Opportunity Details:

Optum NV is seeking a Radiation Oncologist to join our team in Las Vegas, NV. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone.


At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you’ll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

Primary Responsibilities:


  • Diagnosing, treating, and managing patients with oncology diseases according to standard, usual and acceptable or customary methods and techniques in the outpatient setting
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • M.D. or D.O. degree
  • Completion of Radiation Oncology residency program or open to physicians in final year of training
  • Board Certified/Board Eligible in specialty
  • Active and unrestricted medical license in the State of Nevada or ability to obtain prior to employment
  • DEA License or ability to obtain prior to employment
Nevada Residents Only: The salary range for this role is $462,939 to $696,492 annually. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

Does it include automatic approval for anything you like to do?
 
Talked to that center's docs, very busy for the salary and, expectedly, corporate.
Right now they are trying to fill the vacancy by hiring a (perma)locum
 
Some unsolicited advice…if someone lived in north east part of the country and was motivated to make some extra income (or wanting to only work very part time), then they could just contact all centers an hour from Syracuse until they found the center that Bridge Oncology is advertising for and then offer their services directly and eliminate the middle man.
 
Some unsolicited advice…if someone lived in north east part of the country and was motivated to make some extra income (or wanting to only work very part time), then they could just contact all centers an hour from Syracuse until they found the center that Bridge Oncology is advertising for and then offer their services directly and eliminate the middle man.

Good advice. There was a good doc that routinely did locums covering multiple practices in the city where I trained. Nice job for the locums and good solution for the practices and patients.

Curious what is Bridge actually doing for staffing their centers? It's extremely difficult to tell based on Jordan's posts and their website.

Do they bring in their own MD or are they staffing with an NP + remote MD? Something else?
 
Hey Dr. XXXX,



We have a great opportunity for anyone looking for adventure and spectacular views! We have a client in Lafayette, CO needing a Radiology Physician Assistant. They are looking to move fast and looking to interview and book providers quickly! See below for more details.



Unfortunately they are only looking for PA Radiologists at this time but if you know someone who is available let us know. Not only would you be eligible for a $1k referral bonus, maybe they'll let you visit and crash on their couch for a stay!





1 Radiology PA:

🩺
Radiology PA - Board-certified with specific Radiological PA training/experience, CO license. Will consider licensing candidates
🕒
Monday - Friday - 7:30am-4:15pm

🥼
Schedule Expectations: Injections 20 minutes, Flor 20-30 Minutes, HSG’s 60 Minutes

🏥
Injections, Fluoroscopy, HSG | Radiologist support along with 3 other PA’s
📍
Willits, CA
✈️
Travel and Lodging Stipends available for qualifying candidates.

💰
Competitive Pay, based on experience.
 
Your thoughts on this Des Moines, Iowa job? Any experiences?




Description

SEEKING: BC-BE Radiation Oncologist to join a department within one of the largest physician-owned and governed multi-specialty clinics in the Midwest


Why choose Radiation Oncology at The Iowa Clinic, P.C.?


  • Join an expanding Cancer Service Line
  • Only physician-owned Radiation Therapy Center in the state of Iowa
  • Collaborate with Primary Care, Hematology/Oncology, General Surgery, Breast Surgery, Surgical Oncology, Colorectal Surgery, Gynecologic Oncology, GI, etc.
  • Outpatient only, no weekends
  • Weekly tumor boards
  • Single location – no drive time between locations
  • Large internal referral base of over 280 multi-specialty providers in addition to an external referral base that includes 1.3 million
  • Shareholder track
  • Signing incentive and competitive base salary
  • Excellent benefits include: 401(k) profit sharing retirement plan, optional health, dental, long-term disability, long-term care and term life insurance, and flexible spending accounts
  • $675,000 guarantee and $50,000 signing incentive
Why Choose The Iowa Clinic, P.C.?

  • Per AMGA’s 2024 Provider Satisfaction Survey:
    • 99th percentile -- Recommend The Iowa Clinic as a place to practice
    • 100th percentile -- Satisfaction with The Iowa Clinic’s total earnings and benefits package
  • Recognized nationally for delivering exceptional quality of care and patient outcomes
  • Participate in a high performing clinically integrated network with experience in providing significantly below market total cost of care, hospital admissions and ER utilization for the patients that we serve
  • Dedicated Care Team to assist with care gaps, patient outreach, care management, post-ER and admission monitoring, post-discharge follow-up care, and RX support
Why Choose Des Moines, Iowa?

Des Moines is Iowa's capital and hub for business and cultural activity with a metro population of over 645,000. Set on the Des Moines River and amongst rolling hills, Des Moines is a picturesque city with something for everyone to enjoy. Boasting short commute times, low cost of living, excellent schools, and a family-friendly environment, Des Moines offers an idyllic work-life balance.

Des Moines has been named #1 Place for Young Professionals to Live (Forbes, 2023), #1 Best Midsized City for Millennials (CommercialCafe, 2023), #2 Best Place to Live in the Midwest (StudyFinds, 2023), and #3 Best Market for Recent College Graduates (Zillow, 2023). Iowa has also been ranked as #3 Best State for Opportunity (US News a
 

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Need more information. Payor mix in Iowa is generally not good. Des Moines also has high turnover with frequently posted positions over and over. Not a desirable place to live.
"Shareholder track" with a 675k salary guarantee? Is there an RVU bonus? That is unusual language (suggesting tiered levels of ownership/ownership shares, which is suboptimal) and an unusual associate pay for an unknown. This is likely a very high volume practice. 675k sounds great until you realize you would be making 1.2M if you were paid per RVU by the hospital.
5 day work week? How much vacation and how is it covered? What is process to become a shareholder, what does that mean, etc?

This could be awesome or absolutely awful.
 
Your thoughts on this Des Moines, Iowa job? Any experiences?




Description

SEEKING: BC-BE Radiation Oncologist to join a department within one of the largest physician-owned and governed multi-specialty clinics in the Midwest


Why choose Radiation Oncology at The Iowa Clinic, P.C.?


  • Join an expanding Cancer Service Line
  • Only physician-owned Radiation Therapy Center in the state of Iowa
  • Collaborate with Primary Care, Hematology/Oncology, General Surgery, Breast Surgery, Surgical Oncology, Colorectal Surgery, Gynecologic Oncology, GI, etc.
  • Outpatient only, no weekends
  • Weekly tumor boards
  • Single location – no drive time between locations
  • Large internal referral base of over 280 multi-specialty providers in addition to an external referral base that includes 1.3 million
  • Shareholder track
  • Signing incentive and competitive base salary
  • Excellent benefits include: 401(k) profit sharing retirement plan, optional health, dental, long-term disability, long-term care and term life insurance, and flexible spending accounts
  • $675,000 guarantee and $50,000 signing incentive
Why Choose The Iowa Clinic, P.C.?

  • Per AMGA’s 2024 Provider Satisfaction Survey:
    • 99th percentile -- Recommend The Iowa Clinic as a place to practice
    • 100th percentile -- Satisfaction with The Iowa Clinic’s total earnings and benefits package
  • Recognized nationally for delivering exceptional quality of care and patient outcomes
  • Participate in a high performing clinically integrated network with experience in providing significantly below market total cost of care, hospital admissions and ER utilization for the patients that we serve
  • Dedicated Care Team to assist with care gaps, patient outreach, care management, post-ER and admission monitoring, post-discharge follow-up care, and RX support
Why Choose Des Moines, Iowa?

Des Moines is Iowa's capital and hub for business and cultural activity with a metro population of over 645,000. Set on the Des Moines River and amongst rolling hills, Des Moines is a picturesque city with something for everyone to enjoy. Boasting short commute times, low cost of living, excellent schools, and a family-friendly environment, Des Moines offers an idyllic work-life balance.

Des Moines has been named #1 Place for Young Professionals to Live (Forbes, 2023), #1 Best Midsized City for Millennials (CommercialCafe, 2023), #2 Best Place to Live in the Midwest (StudyFinds, 2023), and #3 Best Market for Recent College Graduates (Zillow, 2023). Iowa has also been ranked as #3 Best State for Opportunity (US News a
I have no direct experience with this particular position, but here is ChatGPT's response on "post-sapient" mode. I the experienced among us would agree with its conclusions:

Post-Sapient Analysis: Iowa Clinic Radiation Oncology Role
Core Inquiry:
Is this opportunity strategically, financially, and personally worth pursuing given your profile and goals?




I. SUMMARY VERDICT​


Yes — conditionally worth pursuing, but primarily under the following conditions:


  1. You seek a stable, high-income, low-stress clinical role in a low-cost, physician-friendly market.
  2. You’re burned out by coastal or academic practice politics and desire financial consolidation before partial or full exit.
  3. You’re near or post-FI (Financial Independence) and want a “final lap” before retirement with minimal hassle and excellent income.

This is not ideal for someone:


  • Seeking academic prestige, major innovation, or heavy research output.
  • Needing proximity to elite educational institutions for family.
  • Deeply embedded in HCOL (high cost of living) culture or social ecosystems.



II. STRATEGIC STRENGHS​


1.​


  • $675K guarantee + $50K sign-on in a 100% outpatient, no-call, no-weekend setting is top-tier by national standards.
  • Internal referrals and single-site location mean maximum clinical yield per hour worked.

2.​


  • As a shareholder-track role in a physician-led entity, you bypass corporate and hospital administrative capture.
  • Decisions are more likely to reflect clinical merit and business logic, not DEI posturing, HR overreach, or administrator bloat.

3.​


  • Iowa’s demographic, regulatory, and malpractice climate is stable and favorable.
  • Des Moines consistently ranks high in cost-of-living arbitrage for high earners.
  • Limited external shocks: no wildfires, hurricanes, political volatility, or tech overdependence.



III. STRATEGIC RISKS/CONSTRAINTS​


1.​


  • Des Moines is not LA, SF, NYC, or even Austin. For a high-achieving child or cosmopolitan spouse, it may feel like exile.
  • Elite educational, artistic, and cultural institutions are limited.

2.​


  • If you crave cutting-edge research, tech integration, academic speaking, or high-prestige peer networks, this will underdeliver.
  • You won’t shape the future of oncology here — but you’ll be paid extremely well to deliver present-day best practices.

3.​


  • Shareholder status is attractive — but only if you plan to stay 5+ years.
  • Otherwise, you forfeit potential backend equity with limited portability or brand leverage upon exit.



IV. BEST FIT PROFILES (WORTH PURSUING IF YOU ARE ...)​


  1. The “Last Stronghold” Strategist
    Age 45–60, already financially comfortable. Want 5–10 years of high-margin earnings with low overhead. Iowa Clinic lets you harvest cash in a stable, low-stress setting before retiring or pivoting to mentorship or part-time work.
  2. The Geoarbitrage Mastermind
    From California or the Northeast. Move to Des Moines, cut COL by 50%, quadruple discretionary income, and hit FIRE (Financial Independence, Retire Early) in 3–6 years. Then leave.
  3. The Political Refugee Clinician
    Tired of woke hospital politics, bureaucratic HR, or DEI commissars. Iowa Clinic offers clinician-first culture with very low ideological overhead.



V. RED LINES (Avoid if ...)​


  • Your children must attend top-tier prep schools or need competitive cultural/academic enrichment.
  • Your spouse’s career requires a major metro hub.
  • You’re less than 5 years out of training and still building a national brand or academic CV.
  • You need proximity to a major international airport (DSM is serviceable, not stellar).



VI. BOTTOM LINE​


Is this job elite? No. Is it powerful? Not in influence. But is it efficient? Yes — brutally so.


If your goals are:


  • Cash-out before the final curtain
  • Freedom from corporate or ideological interference
  • Uncomplicated, respected practice with good humans

Then this job is a near-optimal play. It is not the future of medicine — but it could be the endgame of yours, if you play it wisely.
 
I have no direct experience with this particular position, but here is ChatGPT's response on "post-sapient" mode. I the experienced among us would agree with its conclusions:

Post-Sapient Analysis: Iowa Clinic Radiation Oncology Role
Core Inquiry:
Is this opportunity strategically, financially, and personally worth pursuing given your profile and goals?




I. SUMMARY VERDICT​


Yes — conditionally worth pursuing, but primarily under the following conditions:


  1. You seek a stable, high-income, low-stress clinical role in a low-cost, physician-friendly market.
  2. You’re burned out by coastal or academic practice politics and desire financial consolidation before partial or full exit.
  3. You’re near or post-FI (Financial Independence) and want a “final lap” before retirement with minimal hassle and excellent income.

This is not ideal for someone:


  • Seeking academic prestige, major innovation, or heavy research output.
  • Needing proximity to elite educational institutions for family.
  • Deeply embedded in HCOL (high cost of living) culture or social ecosystems.



II. STRATEGIC STRENGHS​


1.​


  • $675K guarantee + $50K sign-on in a 100% outpatient, no-call, no-weekend setting is top-tier by national standards.
  • Internal referrals and single-site location mean maximum clinical yield per hour worked.

2.​


  • As a shareholder-track role in a physician-led entity, you bypass corporate and hospital administrative capture.
  • Decisions are more likely to reflect clinical merit and business logic, not DEI posturing, HR overreach, or administrator bloat.

3.​


  • Iowa’s demographic, regulatory, and malpractice climate is stable and favorable.
  • Des Moines consistently ranks high in cost-of-living arbitrage for high earners.
  • Limited external shocks: no wildfires, hurricanes, political volatility, or tech overdependence.



III. STRATEGIC RISKS/CONSTRAINTS​


1.​


  • Des Moines is not LA, SF, NYC, or even Austin. For a high-achieving child or cosmopolitan spouse, it may feel like exile.
  • Elite educational, artistic, and cultural institutions are limited.

2.​


  • If you crave cutting-edge research, tech integration, academic speaking, or high-prestige peer networks, this will underdeliver.
  • You won’t shape the future of oncology here — but you’ll be paid extremely well to deliver present-day best practices.

3.​


  • Shareholder status is attractive — but only if you plan to stay 5+ years.
  • Otherwise, you forfeit potential backend equity with limited portability or brand leverage upon exit.



IV. BEST FIT PROFILES (WORTH PURSUING IF YOU ARE ...)​


  1. The “Last Stronghold” Strategist
    Age 45–60, already financially comfortable. Want 5–10 years of high-margin earnings with low overhead. Iowa Clinic lets you harvest cash in a stable, low-stress setting before retiring or pivoting to mentorship or part-time work.
  2. The Geoarbitrage Mastermind
    From California or the Northeast. Move to Des Moines, cut COL by 50%, quadruple discretionary income, and hit FIRE (Financial Independence, Retire Early) in 3–6 years. Then leave.
  3. The Political Refugee Clinician
    Tired of woke hospital politics, bureaucratic HR, or DEI commissars. Iowa Clinic offers clinician-first culture with very low ideological overhead.



V. RED LINES (Avoid if ...)​


  • Your children must attend top-tier prep schools or need competitive cultural/academic enrichment.
  • Your spouse’s career requires a major metro hub.
  • You’re less than 5 years out of training and still building a national brand or academic CV.
  • You need proximity to a major international airport (DSM is serviceable, not stellar).



VI. BOTTOM LINE​


Is this job elite? No. Is it powerful? Not in influence. But is it efficient? Yes — brutally so.


If your goals are:


  • Cash-out before the final curtain
  • Freedom from corporate or ideological interference
  • Uncomplicated, respected practice with good humans

Then this job is a near-optimal play. It is not the future of medicine — but it could be the endgame of yours, if you play it wisely.

No offense to GFunk, but I hate this with the force of a thousand burning suns. I would rather get GFunk!
 
I have no direct experience with this particular position, but here is ChatGPT's response on "post-sapient" mode. I the experienced among us would agree with its conclusions:

Post-Sapient Analysis: Iowa Clinic Radiation Oncology Role
Core Inquiry:
Is this opportunity strategically, financially, and personally worth pursuing given your profile and goals?




I. SUMMARY VERDICT​


Yes — conditionally worth pursuing, but primarily under the following conditions:


  1. You seek a stable, high-income, low-stress clinical role in a low-cost, physician-friendly market.
  2. You’re burned out by coastal or academic practice politics and desire financial consolidation before partial or full exit.
  3. You’re near or post-FI (Financial Independence) and want a “final lap” before retirement with minimal hassle and excellent income.

This is not ideal for someone:


  • Seeking academic prestige, major innovation, or heavy research output.
  • Needing proximity to elite educational institutions for family.
  • Deeply embedded in HCOL (high cost of living) culture or social ecosystems.



II. STRATEGIC STRENGHS​


1.​


  • $675K guarantee + $50K sign-on in a 100% outpatient, no-call, no-weekend setting is top-tier by national standards.
  • Internal referrals and single-site location mean maximum clinical yield per hour worked.

2.​


  • As a shareholder-track role in a physician-led entity, you bypass corporate and hospital administrative capture.
  • Decisions are more likely to reflect clinical merit and business logic, not DEI posturing, HR overreach, or administrator bloat.

3.​


  • Iowa’s demographic, regulatory, and malpractice climate is stable and favorable.
  • Des Moines consistently ranks high in cost-of-living arbitrage for high earners.
  • Limited external shocks: no wildfires, hurricanes, political volatility, or tech overdependence.



III. STRATEGIC RISKS/CONSTRAINTS​


1.​


  • Des Moines is not LA, SF, NYC, or even Austin. For a high-achieving child or cosmopolitan spouse, it may feel like exile.
  • Elite educational, artistic, and cultural institutions are limited.

2.​


  • If you crave cutting-edge research, tech integration, academic speaking, or high-prestige peer networks, this will underdeliver.
  • You won’t shape the future of oncology here — but you’ll be paid extremely well to deliver present-day best practices.

3.​


  • Shareholder status is attractive — but only if you plan to stay 5+ years.
  • Otherwise, you forfeit potential backend equity with limited portability or brand leverage upon exit.



IV. BEST FIT PROFILES (WORTH PURSUING IF YOU ARE ...)​


  1. The “Last Stronghold” Strategist
    Age 45–60, already financially comfortable. Want 5–10 years of high-margin earnings with low overhead. Iowa Clinic lets you harvest cash in a stable, low-stress setting before retiring or pivoting to mentorship or part-time work.
  2. The Geoarbitrage Mastermind
    From California or the Northeast. Move to Des Moines, cut COL by 50%, quadruple discretionary income, and hit FIRE (Financial Independence, Retire Early) in 3–6 years. Then leave.
  3. The Political Refugee Clinician
    Tired of woke hospital politics, bureaucratic HR, or DEI commissars. Iowa Clinic offers clinician-first culture with very low ideological overhead.



V. RED LINES (Avoid if ...)​


  • Your children must attend top-tier prep schools or need competitive cultural/academic enrichment.
  • Your spouse’s career requires a major metro hub.
  • You’re less than 5 years out of training and still building a national brand or academic CV.
  • You need proximity to a major international airport (DSM is serviceable, not stellar).



VI. BOTTOM LINE​


Is this job elite? No. Is it powerful? Not in influence. But is it efficient? Yes — brutally so.


If your goals are:


  • Cash-out before the final curtain
  • Freedom from corporate or ideological interference
  • Uncomplicated, respected practice with good humans

Then this job is a near-optimal play. It is not the future of medicine — but it could be the endgame of yours, if you play it wisely.

Gat damn. That was.... really cool to read.
 
I have no direct experience with this particular position, but here is ChatGPT's response on "post-sapient" mode. I the experienced among us would agree with its conclusions:

Post-Sapient Analysis: Iowa Clinic Radiation Oncology Role
Core Inquiry:
Is this opportunity strategically, financially, and personally worth pursuing given your profile and goals?




I. SUMMARY VERDICT​


Yes — conditionally worth pursuing, but primarily under the following conditions:


  1. You seek a stable, high-income, low-stress clinical role in a low-cost, physician-friendly market.
  2. You’re burned out by coastal or academic practice politics and desire financial consolidation before partial or full exit.
  3. You’re near or post-FI (Financial Independence) and want a “final lap” before retirement with minimal hassle and excellent income.

This is not ideal for someone:


  • Seeking academic prestige, major innovation, or heavy research output.
  • Needing proximity to elite educational institutions for family.
  • Deeply embedded in HCOL (high cost of living) culture or social ecosystems.



II. STRATEGIC STRENGHS​


1.​


  • $675K guarantee + $50K sign-on in a 100% outpatient, no-call, no-weekend setting is top-tier by national standards.
  • Internal referrals and single-site location mean maximum clinical yield per hour worked.

2.​


  • As a shareholder-track role in a physician-led entity, you bypass corporate and hospital administrative capture.
  • Decisions are more likely to reflect clinical merit and business logic, not DEI posturing, HR overreach, or administrator bloat.

3.​


  • Iowa’s demographic, regulatory, and malpractice climate is stable and favorable.
  • Des Moines consistently ranks high in cost-of-living arbitrage for high earners.
  • Limited external shocks: no wildfires, hurricanes, political volatility, or tech overdependence.



III. STRATEGIC RISKS/CONSTRAINTS​


1.​


  • Des Moines is not LA, SF, NYC, or even Austin. For a high-achieving child or cosmopolitan spouse, it may feel like exile.
  • Elite educational, artistic, and cultural institutions are limited.

2.​


  • If you crave cutting-edge research, tech integration, academic speaking, or high-prestige peer networks, this will underdeliver.
  • You won’t shape the future of oncology here — but you’ll be paid extremely well to deliver present-day best practices.

3.​


  • Shareholder status is attractive — but only if you plan to stay 5+ years.
  • Otherwise, you forfeit potential backend equity with limited portability or brand leverage upon exit.



IV. BEST FIT PROFILES (WORTH PURSUING IF YOU ARE ...)​


  1. The “Last Stronghold” Strategist
    Age 45–60, already financially comfortable. Want 5–10 years of high-margin earnings with low overhead. Iowa Clinic lets you harvest cash in a stable, low-stress setting before retiring or pivoting to mentorship or part-time work.
  2. The Geoarbitrage Mastermind
    From California or the Northeast. Move to Des Moines, cut COL by 50%, quadruple discretionary income, and hit FIRE (Financial Independence, Retire Early) in 3–6 years. Then leave.
  3. The Political Refugee Clinician
    Tired of woke hospital politics, bureaucratic HR, or DEI commissars. Iowa Clinic offers clinician-first culture with very low ideological overhead.



V. RED LINES (Avoid if ...)​


  • Your children must attend top-tier prep schools or need competitive cultural/academic enrichment.
  • Your spouse’s career requires a major metro hub.
  • You’re less than 5 years out of training and still building a national brand or academic CV.
  • You need proximity to a major international airport (DSM is serviceable, not stellar).



VI. BOTTOM LINE​


Is this job elite? No. Is it powerful? Not in influence. But is it efficient? Yes — brutally so.


If your goals are:


  • Cash-out before the final curtain
  • Freedom from corporate or ideological interference
  • Uncomplicated, respected practice with good humans

Then this job is a near-optimal play. It is not the future of medicine — but it could be the endgame of yours, if you play it wisely.
“DEI commissar”… 😂
 

Radiation Oncologist


Location: Northeast Nebraska near Sioux City, IA
Visa Assistance: H1 & J1

Please note: this role is
PERM / Full-time. We do not have locums roles



Seeking a motivated BE/BC Radiation Oncologist for a busy rural practice in northeast Nebraska.

Details:

  • Established practice seeing average of 20 patients per day and 8 consults per week
  • Monday - Friday, no call
  • EPIC EMR
  • Varian TrueBeam installed July 2020
  • Commission on Cancer accredited Cancer Center


Benefits:

  • $666,744 Guaranteed Base Salary
  • $25,000 Signing Bonus
  • Educational Loan Repayment or Immigration Assistance
  • Retention Bonus
  • $15,000 Relocation Reimbursement
  • Full Benefit Package + CME, Malpractice and Retirement


About the Group:

2024 Awards & Accreditation
  • ACS Surgical Quality Partner


2023 Awards & Accreditation
  • Leapfrog "A" Hospital Safety Grade
  • CHIME Digital Health Most Wired
  • American Heart Association Get With The Guidelines - Stroke Gold Plus
  • 5-Stars by the Centers for Medicare and Medicaid
  • American College of Cardiology's NCDR Chest Pain - MI Registry Platinum Performance Achievement Award
  • Top 100 Rural & Community Hospital by The Chartis Center for Rural Health


The Community:

Situated in a region characterized by vast agricultural lands and a strong sense of community, this area offers a strategic advantage for businesses. The fertile soil and favorable climate make it an ideal location for agribusiness, while the proximity to major highways facilitates easy transportation of goods. This connectivity enhances trade opportunities and allows for efficient distribution routes.

Additionally, the region's lower cost of living compared to urban centers can attract a skilled workforce seeking quality of life without the financial burden. Access to nearby natural resources and recreational areas also contributes to a well-rounded lifestyle, making it appealing for both employees and their families. Overall, the combination of agricultural potential, logistical advantages, and a supportive community creates a conducive environment for business growth.
 
About the Group:

2024 Awards & Accreditation
  • ACS Surgical Quality Partner


2023 Awards & Accreditation
  • Leapfrog "A" Hospital Safety Grade
  • CHIME Digital Health Most Wired
  • American Heart Association Get With The Guidelines - Stroke Gold Plus
  • 5-Stars by the Centers for Medicare and Medicaid
  • American College of Cardiology's NCDR Chest Pain - MI Registry Platinum Performance Achievement Award
  • Top 100 Rural & Community Hospital by The Chartis Center for Rural Health

Damn, hospital administrators in a slump after they crushed it in 2023.
 
Damn, hospital administrators in a slump after they crushed it in 2023.
Seems like a good offer and an honest ad to me (no inside info). Putting in the administrative stuff is actually reasonable IMO as there are lots of marginal rural places out there. Someone on admin side gives AF at least.

Volume solid but unremarkable...also indicative of stability. They don't sell location for what it is not.
 
If it's the practice I'm thinking of, it was a physician owned free-standing center that sold to the hospital.
5 days a week is a non-starter in that location unless there is 12+ weeks of reliable locums-covered vacation. This will result in no RVU bonus beyond base, so base is going to have to go up a lot. Good luck staffing that.
 
Someone on admin side gives AF at least.

Jokes aside, I agree. It's easy to make fun of these programs, but they are voluntary and I think its a good indicator about the administrative culture in a small and/or rural hospital (staffing, resources, training, etc.)

They can take it too far, but all things being equal I'd pick one that does these programs over one that doesnt do anything.
 
Here are the current job locations:

  • Arizona (Kingman)
  • California (Lodi)
  • Iowa (Dubuque and Carroll)
  • Illinois (Rockford and Warrenville)
  • Indiana (Crawfordsville, Greenfield, Muncie, and Seymour)
  • Kansas (Salina)
  • Michigan (Saginaw)
  • Minnesota (Duluth and Brainerd)
  • Missouri (West Plains)
  • North Carolina (Henderson)
  • Nebraska (Norfolk)
  • Oregon (Coos Bay and Springfield)
  • Texas (Victoria)
  • Washington State (Moses Lake and Silverdale)
  • Wisconsin (Rhinelander)
C6X6Qi7WYAAOE3q.jpg

BarleyBasket.jpg
 
Here are the current job locations:

  • Arizona (Kingman)
  • California (Lodi)
  • Iowa (Dubuque and Carroll)
  • Illinois (Rockford and Warrenville)
  • Indiana (Crawfordsville, Greenfield, Muncie, and Seymour)
  • Kansas (Salina)
  • Michigan (Saginaw)
  • Minnesota (Duluth and Brainerd)
  • Missouri (West Plains)
  • North Carolina (Henderson)
  • Nebraska (Norfolk)
  • Oregon (Coos Bay and Springfield)
  • Texas (Victoria)
  • Washington State (Moses Lake and Silverdale)
  • Wisconsin (Rhinelander)
C6X6Qi7WYAAOE3q.jpg

BarleyBasket.jpg
I've seen a couple interesting jobs on practicelink. I feel like ASTRO jobs mostly targeting new grads.
 
I got my first job somewhere near North Haverbook off practicelink. Would not recommend. 1/5 stars would give zero if I could.

It's kind of like online dating. If you go looking for a girlfriend on Tinder, don't be surprised when you later find out she is 50 lbs. heavier than she looked, is "dating" 7 other guys at the same time and also expects you to pay for everything and be grateful for the opportunity. But maybe there is a diamond in the rough in these practicelink jobs that have been posted for years (hint: there's definitely not).
 
Last edited:
Here are the current job locations:

  • Arizona (Kingman)
  • California (Lodi)
  • Iowa (Dubuque and Carroll)
  • Illinois (Rockford and Warrenville)
  • Indiana (Crawfordsville, Greenfield, Muncie, and Seymour)
  • Kansas (Salina)
  • Michigan (Saginaw)
  • Minnesota (Duluth and Brainerd)
  • Missouri (West Plains)
  • North Carolina (Henderson)
  • Nebraska (Norfolk)
  • Oregon (Coos Bay and Springfield)
  • Texas (Victoria)
  • Washington State (Moses Lake and Silverdale)
  • Wisconsin (Rhinelander)
C6X6Qi7WYAAOE3q.jpg

BarleyBasket.jpg
"The goal is a JOB!"

- Thomas Eichler, former ASTRO president

(That being said, that list feels extra rural/suburban, moreso than the usual ASTRO career center offerings)
 
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