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Pacific Companies is proud to present a unique anesthesiology opportunity with a leading healthcare institution in the Midwest. This position offers the rare chance to help build a brand-new in-house anesthesiology team, transitioning from a long-established private group model. With a high-volume case mix, cutting-edge facilities, and leadership opportunities, this is an ideal role for experienced anesthesiologists seeking both professional growth and stability. Join a forward-thinking hospital dedicated to clinical excellence and physician collaboration. Position Highlights Groundbreaking Opportunity - Be part of the founding team of a brand-new hospital-employed anesthesiology group. Diverse Case Mix - Work across general surgery, orthopedics, urology, OB, neurosurgery, oncology, and cardiology (TEE & EP). High-Volume Practice - Over 1,200 surgical cases per month in a fast-paced, well-equipped hospital. Flexible Scheduling - Choose between 8-hour or 10-hour shifts, with additional earnings for call coverage. Manageable Call Ratio - 1:10.5 call, with post-call days off. Leadership Pathways - Early hires have the opportunity for directorship roles in medical leadership, CRNA integration, and acute pain management. CRNA Expansion - Collaborate in launching a CRNA program, starting in endoscopy and outpatient settings. Compensation & Benefits Competitive Salary - Guaranteed base of $600,000, with total earning potential exceeding $700,000 through additional call and leadership incentives. Sign-On Bonus - $300,000 (