Montana Collaborating Physician Jobs – Connect with Clinics Hiring Physicians
Montana is a PA-only collaboration state. NPs practice with full independence, but every PA under 8,000 hours needs a written collaborative agreement with a physician or an experienced senior PA. Under HB 313 — signed April 2023 — Montana’s lean, no-filing framework and fast-growing Bozeman, Missoula, and Billings healthcare markets create a focused, well-compensated collaboration opportunity for actively practicing Montana physicians.
Under 8,000 Hours vs. 8,000+ Hours — Who Needs a Physician Collaborator
Montana’s HB 313 created a clean, hours-based PA independence pathway. The income opportunity is focused entirely on early-career PAs who haven’t yet reached the 8,000-hour threshold.
PAs With Fewer Than 8,000 Postgraduate Clinical Hours
PAs under 8,000 hours must have a written collaborative agreement with one or more collaborating providers — either a licensed physician OR a PA with 8,000+ hours in the same or similar area.
• Written policies and procedures required — specifying how collaboration will occur and methods to evaluate the PA’s competency, knowledge, and skills
• Agreement kept on file at practice; submitted to Board on request
• No ratio cap; no proximity requirement
• First-time Montana collaborating physicians must complete the Board’s online PA collaboration training
• This is the physician income opportunity in Montana
PAs With 8,000+ Postgraduate Clinical Hours — Fully Independent
PAs who have accumulated 8,000+ hours of postgraduate clinical experience are completely exempt from the collaboration agreement requirement under MCA § 37-20-203. They may practice medicine fully independently — without a physician or any formal collaboration agreement.
• No collaboration agreement required
• Still expected to consult and refer as appropriate for patient care
• We do not match physicians with PAs who have already achieved 8,000+ hours, as no agreement is needed
Montana’s Lean, No-Filing Collaborative Framework Creates Focused, Low-Overhead Physician Demand in Big Sky Country
Montana enacted HB 313 on April 18, 2023 — one of the landmark PA practice reforms of that year — replacing mandatory physician supervision with a targeted collaboration requirement for early-career PAs. The framework is deliberately lean: no Board pre-filing, no ratio cap, no proximity requirement, and no mandatory chart review percentage. The collaborative agreement is kept on file at the practice and submitted to the Board on request only.
Montana’s one unique administrative requirement is the online training course: physicians (and PAs) who have never previously acted as a collaborating provider in Montana must complete the Board of Medical Examiners’ online PA collaboration training and keep a certificate of completion available upon request. This one-time training course ensures collaborating physicians understand Montana’s specific framework and their responsibilities as a collaborating provider.
Montana is one of six states nationwide — alongside Iowa, New Hampshire, North Dakota, Utah, and Wyoming — where PAs can own and operate practices without any physician involvement after reaching 8,000 hours. This makes Montana’s early-career PA market particularly vibrant as PAs establish independent clinics and need physician partners for their first years of practice.
Montana State Requirements
A PA with fewer than 8,000 hours of postgraduate clinical experience must practice with a collaborative agreement between the PA and one or more collaborating providers, who may be a licensed physician OR a licensed PA with 8,000+ hours. PAs with 8,000+ hours are fully exempt from the collaboration agreement requirement. MCA § 37-20-203; HB 313 (eff. April 18, 2023)
Montana law requires collaborative providers and PAs to develop written policies and procedures governing the collaborative relationship. At a minimum, these policies must specify: (1) how collaboration will occur; and (2) methods the collaborating provider will use to evaluate the PA’s competency, knowledge, and skills. MCA § 37-20-203; ARM 24.156.405
A physician (or PA) who has NEVER previously acted as a collaborating provider in Montana must complete the Montana Board of Medical Examiners’ online training for PA collaboration and provide the certificate of completion upon request. The collaborative agreement must be available at the practice site at all times. ARM 24.156.1622; Montana BME FAQ
The collaborative agreement and written policies/procedures must be submitted to the Board or Department upon request. No mandatory chart review percentage. No proximity requirement. No ratio cap. No Board pre-filing required. ARM 24.156.1622; MCA § 37-20-203
NPs have full practice authority in Montana — no physician collaboration required for NPs. Governed by the Montana Board of Medical Examiners. Physician must hold an active, unrestricted Montana medical license.
What a Collaborating Physician Does in Montana
Montana’s collaboration framework is one of the leanest in the series — written policies and procedures, on-file agreement, no Board pre-filing, no chart review mandate, no proximity rule. The one unique step is the one-time online training for first-time Montana collaborators.
Complete the One-Time Online Training
If you have never previously acted as a collaborating provider in Montana, complete the Montana Board of Medical Examiners’ online PA collaboration training course. Keep the certificate of completion available for Board request. This is a one-time requirement — once completed, it applies to all future Montana collaborations.
Develop Written Policies and Procedures
Co-develop written policies and procedures with the PA specifying: (1) how collaboration will occur between you and the PA; and (2) the methods you will use to evaluate the PA’s competency, knowledge, and skills. These policies are kept at the practice site and available for Board inspection.
Sign the Collaborative Agreement
Execute the written collaborative agreement establishing the collaborative relationship. The agreement is kept on file at the PA’s practice location and must be available at the site at all times. Submit to the Montana Board of Medical Examiners upon request. No proactive Board filing required.
Exercise Appropriate Direction and Guidance
As a collaborating provider, exercise appropriate direction and guidance over the PA in accordance with Montana Board of Medical Examiners statutes and rules — particularly MCA § 37-20-203 and ARM 24.156.405. The specific nature of oversight is defined in the written policies and procedures.
Support the 8,000-Hour Transition
When the PA accumulates 8,000+ hours of postgraduate clinical experience, they become fully exempt from the collaboration agreement requirement. We track this milestone and coordinate the formal conclusion of the collaborative agreement, freeing your slot for a new early-career PA.
Earn Income Per Collaboration
Receive income for each PA collaborative agreement. With no ratio cap, Montana’s lean framework, and a fast-growing PA workforce across the Bozeman-Missoula-Billings corridor and Montana’s rural frontier communities, the collaboration opportunity is consistent and growing.
Get Started in 3 Simple Steps
Many physicians in our network are matched and onboarded within 24 to 48 hours.
Apply
Submit your credentials and active Montana medical license number. It takes less than 2 minutes. If you’ve never collaborated in Montana before, we coordinate the online training course completion as part of onboarding.
Get Matched
We connect you with Montana PAs under 8,000 hours who need a physician collaborative agreement — across Billings, Missoula, Bozeman, Great Falls, and Montana’s rural frontier corridor.
Start Collaborating
Begin with a compliant collaborative agreement and written policies and procedures on file at the practice — with 8,000-hour milestone tracking and training certificate documentation managed from day one.
A Smarter Way to Work as a Montana Collaborating Physician
Montana’s online training requirement, written policies and procedures, Board-available documentation, 8,000-hour milestone tracking, and “physician or senior PA” dual-eligibility structure all need precise coordination. We handle it.
We coordinate the online training course
For first-time Montana collaborators, we guide you through the Montana Board of Medical Examiners’ online PA collaboration training course — ensuring your certificate of completion is on file before your first Montana agreement is executed.
Start within 24–48 hours
Many Montana physicians in our network are matched and onboarded within 24 to 48 hours. No Board pre-filing means no processing delay once the agreement and policies are signed.
MCA § 37-20-203 & ARM 24.156-compliant agreements
Our collaborative agreements and written policies and procedures meet Montana Board of Medical Examiners requirements under HB 313 — including the competency evaluation methodology and collaboration process specifications.
8,000-hour milestone tracking
We track each PA’s progress toward the 8,000-hour independence threshold — coordinating the formal conclusion of the collaborative agreement at the right time and matching you with a new early-career PA entering the window.
No cap, no chart review, no proximity
Montana’s framework imposes no ratio cap, no mandatory chart review percentage, and no proximity requirement — making it one of the most streamlined PA collaboration frameworks in the series for physicians.
Big Sky Country’s growing PA market
Montana’s fast-growing Bozeman and Missoula healthcare markets, combined with the state’s extensive rural and frontier healthcare corridor, create a consistent pipeline of early-career PAs needing physician collaborative agreements.
Montana Clinic Types We Work With
PA-staffed clinics across Montana’s growing urban healthcare markets and extensive rural frontier communities — from Billings’ regional medical hub to Bozeman’s tech-corridor wellness clinics and Montana’s rural critical access hospitals.
This Opportunity Is Ideal For
Physicians with an active, unrestricted Montana medical license issued by the Montana Board of Medical Examiners
Physicians willing to complete the one-time Montana Board online PA collaboration training (if never previously a collaborating provider in MT)
Those seeking focused, low-overhead additional income with no ratio cap, no chart review mandate, and no proximity requirement
Physicians comfortable with defining collaborative policies and procedures and exercising appropriate direction over early-career PAs
Your Montana medical license must be active and unrestricted with the Montana Board of Medical Examiners. If you have never previously acted as a collaborating provider in Montana, the online training course is required — it is a one-time requirement and we coordinate completion as part of onboarding. No specialty matching requirement is specified in Montana’s collaborative PA framework. No proximity or chart review mandate applies.
Montana Collaborating Physician Jobs — PA-Only, 8,000-Hour Window Across Billings, Missoula, and Big Sky Country
Montana’s NPs practice with full practice authority, so the physician income opportunity is entirely in the PA collaboration market — every Montana PA under 8,000 postgraduate hours needs a written collaborative agreement with a physician or senior PA under HB 313 (2023). With no ratio cap, no chart review mandate, no proximity requirement, and Montana’s one-time online training requirement for first-time collaborators, the Treasure State offers streamlined, accessible remote physician jobs and part time physician jobs across Billings, Missoula, Bozeman, Great Falls, and Montana’s extensive rural frontier communities.
Remote Physician Jobs — No Proximity, No Chart Review, No On-Site
Montana’s PA collaboration framework imposes no geographic proximity requirement, no mandatory chart review percentage, and no on-site visit mandate. The physician must be available for consultation by phone or electronic means. For physicians seeking remote physician jobs with a clean, administratively lean structure, Montana’s HB 313 framework is among the most accessible in the Mountain West — once the one-time online training is complete, the collaboration obligations are straightforward and fully remote.
Part Time Physician Jobs — No Ratio Cap, 8,000-Hour Window
Montana has no ratio cap on the number of PAs a physician may collaborate with simultaneously. The 8,000-hour threshold — approximately 4 years of full-time PA practice — creates multi-year, stable part time physician jobs per arrangement. Physicians can hold multiple concurrent Montana collaborative agreements, building a portfolio of part time physician jobs that span several years per PA before each arrangement concludes at independence.
Physician Consulting Jobs — Bozeman and Billings Wellness Markets
Bozeman’s downtown and West End wellness corridor and Billings’s Rimrock and Heights healthcare districts generate demand for physician consulting jobs beyond standard PA collaboration income. PA-operated medspas, GLP-1 weight loss clinics, and telehealth practices across Montana seek physician consulting jobs for protocol development, payer credentialing, and QA oversight — structured as retainer arrangements alongside collaborative agreement income.
Physician Advisor Roles for Montana NP Clinics
Montana NPs are fully independent but many NP-led practices voluntarily engage a physician advisor for payer credentialing, QA governance, and protocol oversight. These physician advisor jobs are structured at the practice level with no Montana Board of Medical Examiners filing obligation and are available as remote physician advisor jobs for Montana-licensed physicians statewide — including physicians who primarily practice in neighboring states but hold Montana licenses.
CollaboratingPhysician.com maintains an active pipeline of collaborating physician jobs across Montana and matches physicians with PA practices within 24 to 48 hours. Whether you are looking for collaborating physician jobs, remote physician jobs in Billings or Missoula, part time physician jobs across the Bozeman and Great Falls corridor, or remote physician advisor jobs with Montana-based telehealth platforms, we coordinate the one-time online training requirement, structure collaborative agreements to meet ARM 24.156.1622 requirements, manage the 8,000-hour milestone transition, and handle every arrangement throughout.
Frequently Asked Questions — Montana
Start Building Additional Income as a Montana Collaborating Physician
Montana PAs under 8,000 hours at independent clinics need a physician collaborative agreement across Big Sky Country’s growing healthcare markets. We connect you, coordinate the Board training course, structure compliant policies and procedures, and track 8,000-hour milestones throughout.
Apply Now — Takes Less Than 2 MinutesOr call us at +1 (817) 857-2726 to get started today.
Serving physicians and PA clinics across Montana, including Billings, Missoula, Great Falls, Bozeman, Butte, Helena, Kalispell, Havre, Anaconda, Miles City, Belgrade, Livingston, Lewistown, Sidney, Laurel, Whitefish, Cut Bank, Polson, Hamilton, and surrounding communities statewide.
Collaborating Physician Intake Form
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