Physician Assistant; PA-C or Nurse Practitioner; NP - Concierge Primary Care

Top Tier Wellness & Weight Loss is a modern, science-backed hormone, weight loss, primary care, and longevity clinic focused on helping patients restore vitality, optimize metabolic health, and achieve long-term performance.

We operate a high-touch, cash-pay model, allowing our team to practice medicine the right way—without insurance limitations. Our patients are investing in transformation, not transactions. They come to us for energy, confidence, longevity, and elite-level care. We are a fast-growing, high-performance clinic with a driven team. We value ownership, results, strong patient relationships, and people who take pride in delivering an exceptional experience.

We are building a high-level Direct Primary Care (DPC) program that delivers concierge-style access, continuity, and proactive care. Our team operates in a fast-paced, high-performance environment with a strong focus on patient outcomes, experience, and accountability.

• Monday–Thursday: 7:15am – 4:15pm
• Friday: 7:15am – 12:15pm

We are hiring an experienced Physician Assistant (PA-C)/ Nurse Practitioner NP tolead and operate our Direct Primary Care (DPC) program while supporting urgent care, metabolic, and foundational hormone services within the clinic.

This is a high-autonomy, patient ownership rolefor a provider who wants to practice medicine at a higher level—combining:

• Direct primary care
• Women’s health
• Weight loss and metabolic care
• Foundational hormone therapy

You will manage your own patient panel, serve as a primary provider, and play a key role in building and refining our DPC offering.

• Has 5+ years of experience in primary care and women’s health
• Is confident practicing independently within a collaborative team
• Wants to move beyond insurance-based medicine into a cash-pay model
• Values time with patients, continuity, and long-term outcomes
• Has baseline familiarity or interest in hormones, peptides, and metabolic health
• Is comfortable operating within structured protocols and team-based care models

• Serve as the primary provider for DPC patients
• Annual physicals (male and female)
• Women’s health exams (well-woman visits)
• Preventive care and screenings
• Develop and manage long-term patient care plans
• Provide ongoing, accessible, concierge-style care and follow-up

• Perform routine gynecologic care within PA/NP scope
• Manage contraception, perimenopause, and menopause care
• Order and interpret labs, imaging, and preventive screenings
• Integrate appropriate hormone support within established protocols
• Evaluate and treat same-day and acute concerns
• Manage a broad range of primary care presentations efficiently
• Triage appropriately and accelerate when needed

• Evaluate and manage patients for:
• Weight loss (GLP-1 therapies and metabolic support)
• Foundational hormone therapy (TRT/HRT within protocol)
• Order and interpret labs to guide treatment decisions
• Monitor patient progress and adjust care within established frameworks

• Identify patients who may benefit from advanced wellness or longevity programs
• Initiate appropriate workups (labs, history, screening) to assess candidacy
• Provide high-level education on available treatment options
• Collaborate with the clinical team on program placement and next steps

• Build strong, long-term relationships with patients
• Communicate clearly, confidently, and proactively
• Support patient adherence and engagement in care plans

• Work closely with RNs and MAs to coordinate patient care
• Provide clear direction and support to the care team
• Ensure smooth clinic flow and continuity of care
• Contribute to protocol refinement and program development

• Minimum5 years of experience in primary care and/or women’s health
• Strong clinical judgment across preventive, acute, and chronic care
• Experience with:
  Annual physicals and preventive care, Women’s health (preferred), aesthetics (a plus), Acute/urgent care management
• Interest or experience…