Skip to Main Content

Job Title


Outpatient Rheumatology | $350K | 4-Day Week | North Carolina Mountains


Company : Pacific Companies


Location : Boone, NC


Created : 2026-04-22


Job Type : Full Time


Job Description

Pacific Companies is pleased to present a rare Rheumatology opportunity in the scenic mountain region of North Carolina. This established, all-outpatient practice offers the chance to inherit a well-developed patient panel from a retiring physician, ensuring immediate volume and long-term stability. You will join a collegial two-provider team in a clinic that has served the community since 2008 and maintains an excellent local reputation. The schedule is designed for balance with a four-day work week option, dedicated administrative time, and no call or weekend responsibilities. Physicians benefit from strong RN support, in-office infusion services, and manageable patient volumes that allow you to focus on high-quality care. With a $350K+ compensation (negotiable), productivity incentives, and generous sign-on support, this position offers both financial strength and exceptional lifestyle balance. Practice, Compensation & Organization Highlights Employed Rheumatology position within a highly respected health system All-outpatient Rheumatology practice Bread-and-butter Rheumatology including RA, Psoriatic Arthritis, Lupus, and Scleroderma Two-provider practice with one physician retiring this year Assume an established patient panel with strong community demand Four-day work week with 36 patient-facing hours and dedicated admin time Optional 4.5-day schedule available No call and no weekend responsibilities Six-month waitlist ensures strong patient demand Average of ~17 patients per day Six exam rooms and six infusion chairs supported by two RNs Excellent compensation package with wRVU productivity and sign on bonuses Full benefits including health, dental, vision, 401(k), six weeks PTO, CME, and malpractice with tail Community Overview - Mountain Region of North Carolina This picturesque mountain region of North Carolina offers a lifestyle defined by natural beauty, outdoor recreation, and a welcoming small-town atmosphere. Nestled in the Blue Ridge Mountains, the area provides year-round adventure with hiking, biking, camping, golf, and scenic overlooks just minutes from home. During winter months, nearby ski destinations offer excellent skiing and snowboarding, creating a true four-season outdoor playground. The region also benefits from a vibrant university-driven culture with arts, live music, festivals, and charming downtown districts filled with cafés, galleries, and local markets. Families appreciate highly rated schools and access to higher education opportunities, while residents enjoy a strong sense of community. With its blend of culture, recreation, and mountain scenery, this area offers a quality of life rarely found elsewhere. Community Highlights Scenic Blue Ridge Mountain setting with welcoming small-town feel Population of roughly 60,000 residents with strong community atmosphere Minutes from iconic hiking trails, biking routes, and camping areas Panoramic mountain views and abundant outdoor recreation Nearby ski resorts offering winter skiing and snowboarding Vibrant university-driven culture with arts, music, and festivals Local galleries, artisan markets, and seasonal community events Charming downtown districts with cafés, breweries, restaurants, and boutiques Highly rated public schools including top-ranked STEM programs Access to university lectures, performances, and continuing education Four-season lifestyle with year-round outdoor activities This Rheumatology opportunity offers physicians the rare combination of an established outpatient practice, strong compensation, and the chance to live in one of North Carolina's most beautiful mountain regions.