Oral & Maxillofacial Surgeon - Site Leadership, Clinical Autonomy & Owner-Level Earnings Greater Seattle
- Adara Surgical Institute
- Issaquah, Washington
- Full Time
A full-scope OMS group with an established patient base, strong referring relationships, and a proven operational backbone is opening a new location in the greater Seattle area in approximately three months. We're looking for a determined oral and maxillofacial surgeon to anchor and lead it.
This is a site leadership role - not a fill-in associate position. If you want clinical autonomy, compensation tied to your own performance, and the opportunity to shape a practice from the ground up without the personal financial exposure of a cold start, read on.
The Role
You will be the primary surgeon at a new location, supported by the infrastructure, referral pipeline, and operational systems of an established group. The position ramps with the site: starting at 1-2 days per week and building to 4 days per week as volume grows, with a target of full-time occupancy over time. The ramp is structured and supported - not left to chance.
At launch, the office will participate with PPO, HMO, and Medicaid, providing broad access and a strong volume foundation from day one. Payor mix is adjustable over time as demand and case mix develop.
Compensation is collections-based, calibrated to experience, with owner-level earning potential tied directly to site performance. This is intentional - we want our surgeon aligned with the long-term success of the location, not just compensated for showing up.
Clinical Scope
This is genuinely full-scope. Dentoalveolar, implants, pathology, trauma, orthognathic, and anesthesia. We are not looking for a single-focus associate. We are looking for a surgeon who practices the breadth of the specialty and wants the clinical environment to reflect that.
You will have meaningful input into:
Workflow and operatory protocols
Case mix and referral development strategy
Staffing recommendations and clinical structure
Payor participation decisions as the site matures
Established systems and experienced oversight are available when useful. They are not imposed.
Infrastructure & Support
Starting a new location is hard. We have handled the parts that aren't surgery:
Staffing: Support staff provided; hiring and training assistance for site-specific needs
Credentialing: Full payor credentialing support across all participating plans
Billing & Revenue Cycle: Complete in-house billing and collections management
Compliance: Regulatory infrastructure already in place - OSHA, HIPAA, and DEA compliance covered
Facility & Equipment: Fully equipped operatories, ready on day one
Patient Flow: Parent office actively supports early volume, overflow emergencies, and warm referral transfers during ramp-up
Referral Network: You inherit established relationships with referring dentists and specialists - built over years, available to you immediately
You focus on surgery and growth. We handle the rest.
The Market
Greater Seattle is a high-demand, undersupplied market for oral surgery. General dentists in this region are actively looking for OMS partners they can trust and refer to consistently. The infrastructure is in place. The market timing is right. What this location needs now is the right surgeon.
Who We're Looking For
DMD or DDS with completed OMS residency
Board certified or board eligible
Full-scope clinical experience - comfortable across dentoalveolar, implants, pathology, and trauma
Washington state license held or obtainable prior to start
Current DEA registration or obtainable
MD and/or FACS a plus, not a requirement
Collegial, referral-minded - you understand that relationships drive a surgical practice
Entrepreneurial in orientation - you see a new location as opportunity, not uncertainty
Group or multi-site experience is helpful but not required. Residents completing training who are ready to step into a leadership role are encouraged to apply.
Compensation & Benefits
Collections-based percentage - commensurate with experience
Owner-level earning potential tied to site growth and performance
Structured ramp-up to support early-stage volume
Malpractice coverage provided
Credentialing and licensing assistance
Paid time off
CME allowance
Equity or partnership discussion possible as site matures, based on performance and mutual fit
To Apply
Submit your CV and a brief note about what draws you to this type of opportunity. All inquiries handled promptly and confidentially. We are serious about this search and will respond in kind.
We are building something here. We'd like to find the surgeon who wants to build it with us.