Surgical PA / NP First Assist Job in Northwest Wyoming | General Surgery | Robotics & Endoscopy

Job Description

Job Description

Pacific Companies is proud to present an exciting General Surgery Advanced Practice Provider opportunity in Northwest Wyoming. This full-time role supports a high-volume general surgeon transitioning his established private practice into the hospital-bringing immediate patient demand and strong case volume from day one. The position offers a dynamic mix of clinic, OR first assist, rounding, and inpatient care in a collaborative, well-supported rural setting. Providers will gain hands-on exposure across a broad range of general surgery cases, including robotics and endoscopy. This opportunity is ideal for an experienced surgical PA or NP who thrives in a fast-paced environment and values autonomy, variety, and meaningful impact. 

Practice, Compensation & Organization Highlights 

• Full-scope General Surgery APP role with strong procedural exposure 
• PA strongly preferred; NP considered with First Assist certification 
• Surgical first assist in OR 1-2 days per week 
• Minimally invasive & laparoscopic surgery 
• Gallbladder & appendix surgery 
• Oncologic, hernia, endocrine, foregut & anti-reflux surgery 
• Endoscopy services and Da Vinci robotic exposure 
• Clinic, rounding, and inpatient responsibilities included 
• Monday-Friday schedule with half days on Fridays 
• Approximate breakdown: 1-2 OR days + ~2.5 clinic days weekly 
• 8-10 call shifts per month (primarily surgical coverage) 
• Physicians handle primary phone call responsibilities 

Compensation & Benefits 

• Competitive base salary of $140,000 - $160,000 with productivity incentives 
• Quality bonus tied to improvement initiatives 
• Sign-on bonus and relocation assistance 
• Comprehensive benefits package 

Community Overview - Northwest Wyoming 

Northwest Wyoming offers a lifestyle defined by breathtaking natural beauty, outdoor adventure, and genuine community connection. Providers serve a catchment area of over 50,000 residents, with no other full-time specialists in the region for hours in any direction-creating immediate need and lasting impact. The area provides quick access to Yellowstone National Park and is just two hours from Billings, Montana. Outdoor enthusiasts enjoy year-round recreation including hiking, fishing, skiing, and horseback riding. With short commutes, wide-open spaces, and a strong sense of community, this region delivers true work-life balance. 

Community Highlights 

• Scenic Wyoming setting surrounded by mountains and wildlife 
• Close proximity to Yellowstone National Park 
• Approximately 2 hours to Billings, MT 
• Hiking, fishing, skiing, horseback riding, and outdoor recreation 
• Catchment area of 50K+ with strong surgical demand 
• Broad surgical scope uncommon in larger markets 
• Tight-knit community with excellent work-life balance 
• Ideal for experienced surgical APPs seeking autonomy and variety 

This is a rare opportunity for a surgical APP to practice at the top of their license, gain meaningful operative experience, and enjoy a lifestyle that blends professional growth with the unmatched beauty of Northwest Wyoming.