Internal Medicine Physician — Prevention-Focused Primary Care
Updated 10/18/26
$250
– $300
yearly
1501 N US HWY 441 BLDG 1100 Suite 1106, Lady Lake, Florida, 32159, United States
Physician
Internal Medicine
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Job at a glance
Degree Required
MD/DO
Position Type
Full-Time
Work Environment
Clinic/Private Practice
Visa Sponsorship
No
Experience Level
2 years
Job description
Job description
Tri-County Heart Institute is an independent, physician-owned cardiology practice serving The Villages, Lady Lake, and Leesburg, Florida. We are adding a full-time internal medicine physician to build the primary care side of our Women's Heart Center.
Dr. Nitza Alvarez, our founder and medical director, built the Women's Heart Center because she kept seeing the same problem in this community. Women were under-recognized and under-treated for cardiovascular disease, and by the time many of them reached a cardiologist, the window where prevention would have mattered most had already closed.
The program has outgrown what cardiology alone can do. Cardiology is downstream. This role exists so that blood pressure, lipids, metabolic health, weight, sleep, and menopause-related risk are managed from the beginning, rather than after an event.
Tri-County has been practicing prevention for ten years, well before prevention became popular. This is not language we adopted recently. It is how the practice was built.
Dr. Nitza Alvarez, our founder and medical director, built the Women's Heart Center because she kept seeing the same problem in this community. Women were under-recognized and under-treated for cardiovascular disease, and by the time many of them reached a cardiologist, the window where prevention would have mattered most had already closed.
The program has outgrown what cardiology alone can do. Cardiology is downstream. This role exists so that blood pressure, lipids, metabolic health, weight, sleep, and menopause-related risk are managed from the beginning, rather than after an event.
Tri-County has been practicing prevention for ten years, well before prevention became popular. This is not language we adopted recently. It is how the practice was built.
Job Responsibilities
- Provide comprehensive internal medicine care: acute visits, chronic disease management, preventive care, and coordination of specialty referrals.
- Own the modifiable risk factors that drive cardiovascular disease in this population: hypertension, lipids, diabetes and prediabetes, obesity and weight management, tobacco use, sleep, and physical activity.
- Serve as the primary care arm of the Women's Heart Center, identifying and managing cardiovascular risk in women earlier than a cardiology referral would allow, including risk associated with menopause, hypertensive disorders of pregnancy, and other sex-specific factors.
- Perform Medicare annual wellness visits and initiate advance care planning conversations.
- Participate in chronic care management and remote patient monitoring programs, working with the care coordination team.
- Coordinate directly with our cardiologists on shared patients, with in-house echocardiography, nuclear cardiology, and diagnostic testing available same-practice.
- Collaborate with and help supervise advanced practice providers as the primary care program grows.
- Maintain accurate and timely documentation, including problem list hygiene and risk-adjustment coding, and manage the clinical inbox, refills, and prior authorizations with support staff.
- Participate in quality improvement and performance measure work tied to value-based and Medicare Advantage contracts.
- Help shape the primary care program as it builds: workflows, protocols, patient education, and scope.
Qualifications
- MD or DO
- Board certified or board eligible in Internal Medicine or Family Medicine
- Florida medical license, or eligible for Florida licensure
- Active DEA registration, or eligible
- Commitment to outpatient continuity practice
Preferred:
- Training or demonstrated interest in preventive, lifestyle, or cardiometabolic medicine
- Obesity medicine certification (ABOM) or clinical lipidology (NLA)
- Menopause management experience or NAMS/MSCP certification
- Prior outpatient panel of older adults; Medicare Advantage or value-based care experience
- Chronic care management, annual wellness visit, or remote patient monitoring program experience
- Quality improvement, HEDIS, or risk-adjustment documentation experience
- Point-of-care ultrasound
- Spanish fluency
Working Hours
- Full-time, Monday through Friday, 8:00 AM to 5:00 PM.
- Four and a half or five clinical days per week, with dedicated administrative time built into the schedule.
- No evenings, no weekends, no hospital rounding, no inpatient call.
- Limited phone call coverage shared with the practice's providers.
Skills
- Comprehensive outpatient internal medicine across a continuity panel
- Hypertension and resistant hypertension management
- Lipid management, including advanced lipid testing and statin-intolerant patients
- Diabetes and prediabetes management, including GLP-1 and insulin titration
- Obesity and weight management, including pharmacotherapy
- Cardiometabolic and cardiovascular risk assessment
- Menopause and sex-specific cardiovascular risk assessment
- Geriatric primary care, polypharmacy review, and deprescribing
- Cognitive and fall-risk screening
- Point-of-care ultrasound (preferred)
Program and systems:
- Medicare annual wellness visits and advance care planning
- Chronic care management and remote patient monitoring
- Risk-adjustment and HCC documentation accuracy
- HEDIS and quality measure performance
- Value-based and Medicare Advantage care models
- EHR proficiency and efficient inbox management
- Collaboration with and clinical supervision of advanced practice providers
Professional:
- Patient education and motivational interviewing
- Clear communication with an older adult population and their families
- Comfort working directly with cardiology colleagues on shared patients
- Spanish fluency (preferred, significant in this market)
By applying you agree to our Terms of Service