Full Job Description
Top Tier Wellness & Weight LossLocation: Littleton, COSchedule:
- Monday–Thursday: 7:15am – 4:15pm
- Friday: 7:15am – 12:15pm
- No nights, weekends, or major holidays
About Top Tier Wellness & Weight Loss
Top Tier Wellness & Weight Loss is a modern, cash-pay clinic focused on regenerative health and longevity.
We provide comprehensive, relationship-driven medicine—not rushed visits or insurance-driven care. Every patient receives in-depth evaluation, advanced labs, and a personalized plan designed for real results.
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.
Position Overview
We are hiring an experienced Physician Assistant (PA-C) to lead 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 role for a provider who wants to practice medicine at a higher level—combining:
- Direct primary care
- Women’s health
- Urgent care
- Weight loss and metabolic care
- Foundational hormone and peptide 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.
Who This Role Is For
This role is ideal for a PA who:
- Has 5+ years of experience in primary care and/or 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
Core Responsibilities
1. Direct Primary Care (DPC) Panel Management
- 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
2. Women’s Health & Preventive Care
- Perform routine gynecologic care within PA scope
- Manage contraception, perimenopause, and menopause care
- Order and interpret labs, imaging, and preventive screenings
- Integrate appropriate hormone support within established protocols
3. Urgent & Acute Care Visits
- Evaluate and treat same-day and acute concerns
- Manage a broad range of primary care presentations efficiently
- Triage appropriately and escalate when needed
4. Hormone, Metabolic & Program-Based Care
- Evaluate and manage patients for:
- Weight loss (GLP-1 therapies and metabolic support)
- Foundational hormone therapy (TRT/HRT within protocol)
- Peptide therapies per clinic guidelines
- Order and interpret labs to guide treatment decisions
- Monitor patient progress and adjust care within established frameworks
5. Scope Within Longevity & Optimization Care
- 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
6. Patient Experience & Relationship Building
- Build strong, long-term relationships with patients
- Deliver a high-touch, concierge-level experience
- Communicate clearly, confidently, and proactively
- Support patient adherence and engagement in care plans
7. Collaboration & Clinical Leadership
- 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
Qualifications
- Active Colorado Physician Assistant (PA-C) license
- Minimum 5 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 in:
- Hormone therapy (HRT/TRT)
- Weight loss and metabolic care
- Peptide therapy (preferred but not required)
- Excellent communication and patient relationship skills
- Highly organized, proactive, and accountable
What Sets This Role Apart
- True Direct Primary Care model with time and autonomy
- Integration of primary care + metabolic + hormone services
- Opportunity to build and own a patient panel
- Collaborative, high-performing team environment
- No insurance constraints, nights, or weekends
Bottom Line
This role is for a provider who wants to:
- Practice relationship-driven, high-quality medicine
- Take ownership of a patient panel and outcomes
- Work in a structured but progressive clinical model
- Be part of a clinic that is raising the standard of care
Why Join Top Tier
- No nights, weekends, or holidays.
- Cash-pay practice with no insurance-driven constraints.
- Time to build meaningful patient relationships.
- Collaborative, supportive care team with shared clinical decision-making.
- Exposure to cutting-edge hormone, peptide, and longevity therapies.
- Opportunity to grow with a rapidly expanding clinic focused on excellence and impact.
Employment is contingent upon successful completion of background screening and any applicable training requirements.
Top Tier Wellness is an equal opportunity employer. We welcome applicants of all backgrounds and do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or any other legally protected status.
Job Type: Full-time
Pay: $100,000.00 – $115,000.00 per year
Benefits:
- 401(k) matching
- Dental insurance
- Employee discount
- Health insurance
- Paid time off
- Professional development assistance
- Vision insurance
Application Question(s):
- Are you able to work onsite Monday–Thursday 7:15am–4:15pm and Fridays 7:15am–12:15pm?
- Do you currently hold an active CO PA license?
- How much are you looking to make a year?
- How many years of experience do you have practicing as a PA? (not including clinicals during training)
- Do you have experience managing patients in a primary care setting or in women’s health?
Work Location: In person
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