§ 01The role
We treat type 2 diabetes and obesity with evidence-based metabolic care, including GLP-1 / GIP-GLP-1 therapy when it is appropriate. This is longitudinal care, not a refill mill.
You decide who is a candidate, titrate, manage side effects, read labs, and work with dietitians and APPs. You are an independent contractor. You control your hours. We pay per completed encounter. You start in the states you already hold.
We fund additional licenses after you start. We do not require a 10-state stack on day one. The work is 100% remote inside the United States.
§ 02What you will do
- Intake: eligibility, contraindications (MEN2, MTC history, pancreatitis, pregnancy, severe gastroparesis), comorbidities, and treatment goals.
- Prescribe and titrate FDA-approved GLP-1s (semaglutide, tirzepatide, and orals as indicated) for type 2 diabetes and chronic weight management.
- Manage the metabolic picture around the drug: A1c, hypoglycemia risk, blood pressure, lipids, GI side effects, gallbladder, nutrition, and lean-mass preservation.
- Review labs and, for diabetes patients, CGM data. Adjust therapy instead of auto-refilling.
- Mix of video visits and async chart review, per state law. Confirm patient location at the start of every encounter.
- Optional, if asked: collaborate with dietitians, or serve as collaborating physician for NPs or PAs in restricted-practice states. That work is paid separately.
§ 03Must-haves
- MD or DO, board-certified in Family Medicine, Internal Medicine, Endocrinology, or Emergency Medicine.
- At least one unrestricted US license in good standing. IMLC eligibility is a plus, not a gate.
- Real experience managing type 2 diabetes and/or obesity pharmacotherapy. GLP-1 experience strongly preferred.
- Your own malpractice policy that covers multi-state telehealth, or willingness to enroll in ours if we offer a group policy.
- Clean NPDB, no federal exclusion. Active DEA, or ability to obtain one.
- Comfortable with async care, an EMR, and e-prescribing. US work authorization. You handle your own 1099 taxes.
§ 04Strong pluses
- ABOM diplomate, or sitting the 2026 exam.
- Endocrinology, or comfort with insulin, CGM, and pumps.
- Extra licenses already in hand, especially CA, NY, TX, FL, GA. Those states get more volume. They are not a hire requirement.
- Prior telehealth GLP-1 or virtual diabetes clinic experience.
- Already a collaborating physician for NPs or PAs. Spanish.
§ 05What you get
- $55 / $15 / $15 as posted, paid for completed encounters. No hidden rate.
- We cover new state licenses and IMLC filings after you start. The licenses you hold now are enough to begin.
- Clear formulary and pharmacy partners. Branded FDA-approved GLP-1s. Compounding stance is discussed on the first call, not after you start.
- Fully remote. You pick blocks. We aim for consistent volume so you are not sitting on an empty panel.
- Dietitian support so you are not doing nutrition counseling alone. No W-2 benefits. You can keep other 1099 panels.