Dedicated to Access, Quality, Affordability, and Physician Satisfaction

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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 a compassionate, entrepreneurial-minded Primary Care physician to join our team late in 2027 or early 2028.
What Sets Us Apart:
- Physician autonomy that supports a healthy work-life balance, with greater control over your practice, schedule, staff, and more
- A collaborative culture where physicians are supported and have access to leadership
- Innovative care model with dedicated support services —that support physician wellness, efficiency, and quality of care
- Career fulfillment and satisfaction, delivering care at a significantly lower cost than hospitals
- Robust infrastructure, proven best-practice training, and transparent reporting that connect quality care with financial sustainability
- An environment free from hospital bureaucracy that allows faster decision-making
Practice Highlights:
- Join a collaborative team including 3 Family Medicine Physician partners, APPs, MAs, an office manager, and support staff
- Opportunity to gradually take over an established physician’s panel, with mentorship and warm patient hand-offs as they transition toward retirement
- Create roots in the community without concerns about relocating between clinic sites
- Outpatient only practice with flexibility to focus on clinical interests (ADHD, mental health, women’s health, LGBTQ+ care, etc.)
- Opportunity to incorporate subspecialty care and mentor and teach medical students and residents if desired
Schedule & Hours:
- Clinic hours:
- Monday–Thursday: 8:00 AM – 4:00 PM
- Friday: 8:00 AM – 2:00 PM
- Schedule: 4.5 days patient care + 0.5 day administrative (greater flexibility as a shareholder)
Call:
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1:4 shared call rotation
- One weekend every four weeks and one weekday evening per week
- Outpatient phone call only
- Triage-first call model
Patient Volume & Support:
- Gradual onboarding ramp-up to build confidence with the EMR, patient care, flow, and coding
- Target at least 18 patients/day as comfort and efficiency increase for financial success
- Care Management and Hospital at Home resources available, extending care outside of the clinic
- Support staff function at the top of their training, assisting with in-basket management, refills, prior authorizations, and care coordination
Procedures & Office Details:
- In-office procedures based on physician preference; precepting available for those interested in learning (current physician performs injections and biopsies)
- In-house lab and other services
- Daily courier service to main Esse lab; results integrated into EMR
Additional:
- Telehealth available
- NextGen EMR with AI scribe technology and Dragon dictation
What We Offer:
- 3-year guaranteed salary with long-term financial stability
- Unlimited earning potential with no cap on earnings
- Ties to patient outcomes, practice success, and quality care
- Compensation model rewards keeping patients healthy, preventing disease, and managing chronic conditions
- Physicians are earning $350K-$750K on average, depending on practice performance and career stage
- Opportunity to earn shareholder status, typically in years 4-5
- 4 weeks of paid time off, 9 paid holidays, and 5 paid days for CME, with even more flexibility as a shareholder
- 401k with match
- Profit sharing
- Available Benefits (within 30 days of starting): Medical, Dental, Vision, Life, Long/Short Term Disability, Health Savings Account/Flexible Spending Account, Fraud Protection, Legal, Pet, and other miscellaneous
- Eligible for sign-on, relocation, CME allowance, and retention bonus
Requirements:
- MD or DO
- Must be Board Certified or Board Eligible with plans to certify (ABMS or AOA)
- Missouri licensed or eligible to obtain licensure in Missouri
To Learn More or to Apply, Contact:

Esse Health
Esse Health offers physicians a better way to practice medicine—one built on physician ownership, meaningful influence, strong operational support, and long-term career satisfaction. As a physician-owned and physician-led organization, we create an environment where physicians can focus on patient care, maintain balance, and build rewarding careers within a model designed for their success.
Unlike traditional hospital systems, Esse Health gives physicians the opportunity to shape how care is delivered while benefiting from the tools, infrastructure, and support needed to succeed. The result is a practice model that offers more voice, more balance, and a stronger connection to both patients and peers.
Private Practice, Elevated
Esse Health's hybrid practice model combines the independence of private practice with the support, resources, and collaboration of a large physician-owned group.
- Physician Ownership & Meaningful Influence
- Real influence over clinical, operational, and strategic decisions
- Governance structure that values physician input
- Autonomy with Support—Not Isolation
- Clinical decision-making led by physicians, not administrators
- Centralized infrastructure and operational support designed for success
- A Sustainable & Supported Workday
- Team-based care models that protect physician time
- Reduced administrative burden through technology, population health resources, and centralized services
- Value-Based Care That Works for Physicians
- Compensation aligned with quality, sustainability, and long-term success—not volume alone
- 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
Organization Overview
- 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 locations 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 include diabetes, heart failure, COPD, obesity, Palliative C.A.R.E, and wellness
- 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 include home care, home medical equipment, lab, infusion pharmacy, imaging, EMS transport, remote monitoring and more (MO only currently)
- Practice Support Services include EMR, care management, lab, corporate development, IT, insurance/patient accounts, clinical programs, credentialing, human resources, coding/compliance, quality, practice operations, finance/accounting, purchasing, in-house legal, marketing, and hospital at home
St. Louis is a vibrant Midwestern city known for its welcoming community, affordable cost of living, and rich cultural heritage. Home to iconic landmarks like the Gateway Arch, diverse neighborhoods, and strong professional networks, St. Louis offers a high quality of life with easy access to parks, sports, music, and dining.
Perks of Living in St. Louis
- Affordable living: Lower housing and everyday costs compared to many U.S. cities.
- Cultural attractions: Museums, theaters, festivals, and historic sites.
- Outdoor lifestyle: Miles of parks and trails along the Mississippi River and Forest Park.
- Sports & entertainment: Passionate fan base for Cardinals (MLB), Blues (NHL), and more.
- Central location: Easy travel with major highways and an international airport.
- Strong community: Friendly neighborhoods and growing job market.
Explore St. Louis - From local favorites to world renowned attractions, check out the best restaurants, attractions, and entertainment St. Louis has to offer.
Explore St. Louis 2026 - Virtual Visitors Guide


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