Internal Medicine Physician Openings; Create Roots in the Community Without Concerns About Relocating Between Clinic Sites

Esse Health•St Louis, MO

2d•$350,000 - $750,000•Onsite

About The Position

Internal Medicine Physician Openings; Create Roots in the Community Without Concerns About Relocating Between Clinic Sites. Build Your Practice at Esse Health: At Esse Health, we believe physicians deserve a workplace where they can practice medicine the way it’s meant to be—patient centered, collaborative, and supported by a culture that values innovation and work life balance. If you’re looking for a place where your ideas matter and your impact is felt every day, Esse Health is where you can truly thrive. We are seeking compassionate, entrepreneurial-minded Primary Care Physicians to join our team, with 2027–2029 opportunities to take over established patient panels as physicians transition toward retirement.

Requirements

MD or DO
Must be Board Certified or Board Eligible with plans to certify (AB or AOA)
Missouri licensed or eligible to obtain licensure in Missouri

Nice To Haves

Entrepreneurial-minded Primary Care Physicians
Eligible for shareholder consideration, typically achieved in years 4 or 5, offering pathway to ownership and long-term rewards
In-office procedures based on physician preference and comfort; partners available for precepting if interested in learning
Telehealth available
Physician Ownership & Meaningful Influence
Governance structure that values physician input
Autonomy with Support—Not Isolation
Centralized infrastructure and operational support designed for success
Value-Based Care That Works for Physicians
Physicians directly benefit from the success of their practice and the organization
Continuity That Matters
High-quality, outcome-focused care emphasizing prevention and whole-person health
Longitudinal relationships that foster trust and improve outcomes
A Culture of Trust, Belonging, and Respect
Collaborative culture with mentorship and peer support
Accessible leadership, transparency, and shared accountability
Career Fulfillment & Longevity
Designed for retention, engagement, long-term growth, and balance
Meaningful work, stronger connections, lower cost of care, and better patient outcomes
Physician-owned, multi-specialty group focused on high-quality, value-based, longitudinal care
More than 30 years of independence with a strong, established presence
40 outpatient clinics across the St. Louis metro area and surrounding communities
Specialties include: Allergy & Immunology, Child Psychiatry, Family Medicine, Gastroenterology, Internal Medicine, Pediatrics, Urology
Infrastructure, transparency, and support that align quality outcomes with financial sustainability
Disease Management Programs: Diabetes, Heart Failure, COPD, Obesity, Palliative C.A.R.E Program, Wellness Program
Care Management: Support team includes in-practice Health Coaches, Dietitians, Home Health, Transition Care, Memory Care, Behavioral Health referral process, facility Case Managers, Hospice/Palliative Care, Fit Kits, and much more
Hospital at Home Services: Home Care, Home Medical Equipment, Lab, Infusion Pharmacy, Imaging, EMS Transport, Remote Monitoring and more (MO only currently)
Practice Support Services: EMR, Care Management, Lab, Corporate Development, IT, Ins/Patient Accts, Clinical Programs, Credentialing, Human Resources, Coding/Compliance, Quality, Practice Operations, Finance/Accounting, Purchasing, In-House Legal, Marketing, and Hospital at Home

Responsibilities

Deliver proactive, relationship-based care supported by Medicare Advantage panel management and a team-based approach that improves patient outcomes, enhances care coordination, and lowers the total cost of care
Join a collaborative team of Physician partners, APPs, MAs, office managers, and support staff
Take over a retiring physician’s practice, with an overlap period to allow for mentorship, collaboration, and a smooth handoff of patients—ensuring continuity of care and patient retention
Choose either an outpatient-only model or a traditional clinic-plus-inpatient model that utilizes hospitalists
Flexibility to focus on clinical interests (ADHD, mental health, women’s health, LGBTQ+ care, etc.)
Opportunity to incorporate subspecialty care and mentor medical students and residents if desired
Deliver care at a significantly lower cost than hospitals
Focus on patient care, maintain balance, and build rewarding careers within a model designed for their success
Shape how care is delivered while benefiting from the tools, infrastructure, and support needed to succeed
Make real influence over clinical, operational, and strategic decisions
Engage in clinical decision-making led by physicians, not administrators
Utilize centralized infrastructure and operational support designed for success
Participate in team-based care models that protect physician time
Benefit from reduced administrative burden through technology, population health resources, and centralized services
Align compensation with quality, sustainability, and long-term success—not volume alone
Directly benefit from the success of their practice and the organization
Emphasize prevention and whole-person health
Foster longitudinal relationships that foster trust and improve outcomes
Engage in collaborative culture with mentorship and peer support
Benefit from accessible leadership, transparency, and shared accountability
Focus on retention, engagement, long-term growth, and balance
Experience meaningful work, stronger connections, lower cost of care, and better patient outcomes

Benefits

3-year guaranteed salary
No cap on earning potential; physicians are earning $350K-$750K on average
Shareholder track
4 weeks paid time off, with even more flexibility as a shareholder
9 paid holidays and 5 paid days for CME
Profit sharing based on total years in practice
7% for 0-9 years, 11% for 10+ years
401k with match
Eligible for Sign-on, Relocation, CME Allowance, and Retention Bonus
Medical, Dental, Vision, Life, Long/Short Term Disability, Health Savings Account/Flexible Spending Account, Fraud Protection, Legal, Pet and other miscellaneous