A Wyoming cardiology group is hiring an electrophysiologist with a guaranteed $650,000 salary for two years, productivity bonuses, visa sponsorship, relocation assistance and a potential path to partnership and permanent residency.
A cardiology group in Casper, Wyoming, is offering one of the more lucrative physician employment opportunities currently advertised, with a guaranteed annual salary of $650,000 for the first two years.
The full-time electrophysiology position also includes a productivity bonus, relocation assistance, malpractice insurance, retirement benefits and the opportunity to become a shareholder in the practice.
For international physicians, the job is particularly notable because the employer says it will consider J-1 and H-1B visa candidates.
The position could also eventually lead to shareholder status, giving a successful physician the opportunity to participate in the practice’s partnership structure.
Cardiologist salary: $650,000 guaranteed for two years
The advertised compensation starts with a $650,000 guaranteed salary for two years.
The position also includes a productivity bonus, meaning total compensation could potentially exceed the guaranteed salary depending on the physician’s production.
The practice is looking for a board-certified or board-eligible electrophysiologist to develop a new electrophysiology programme serving central Wyoming.
For a physician comparing high-paying cardiology jobs across the United States, the $650,000 guaranteed salary is a major attraction.
However, physicians should distinguish between guaranteed base compensation and total compensation. The productivity bonus and other potential income streams depend on the terms of the employment agreement and the physician’s actual production.
Visa sponsorship for international physicians
One of the strongest features of the opportunity for foreign doctors is the employer’s willingness to consider J-1 and H-1B candidates.
The listing specifically states that J-1 visa candidates will be accepted for physician roles and that the practice offers visa sponsorship.
This makes the position potentially relevant to qualified international medical graduates looking for a high-paying physician job in the United States.
However, visa sponsorship does not mean automatic approval.
Physicians must meet the relevant U.S. immigration, medical licensing and credentialing requirements, and visa availability can depend on the individual’s circumstances.
Doctors considering the position should verify the sponsorship terms directly with the employer and obtain appropriate immigration advice before making relocation plans.
Potential path to partnership and shareholder status
The opportunity goes beyond a traditional employed physician position.
According to the job listing, the physician would initially be employed for two years before moving onto a partnership or shareholder track.
The listing also says that J-1 physicians can reach shareholder status after three years.
That could give a successful physician the opportunity to participate in the financial performance of the wider practice rather than relying solely on an employment salary.
The practice advertises two buy-in options.
Real estate and building buy-in
One option involves an ownership interest in the practice’s real estate and building.
The listing estimates an average annual return of approximately $50,000 per year from this investment.
The exact investment required, distribution structure, risks and expected return should be confirmed before making any financial commitment.
PC buy-in
The second option involves a buy-in to the professional corporation and shared billings from three advanced practice providers.
The listing says shareholders can also participate in a call equalisation pool.
For physicians interested in eventually becoming practice owners, these opportunities could substantially change the long-term financial value of the position.
The practice is building a new electrophysiology programme
The position is not simply for an electrophysiologist joining an established EP department.
The physician would have the opportunity to build a new electrophysiology programme in central Wyoming.
According to the employer, the programme would be the only EP programme in the region and would serve a large geographic catchment area.
A new EP laboratory is currently under construction, while specialised equipment has already been acquired.
The practice says patients currently travel outside the region for electrophysiology treatment, creating an existing pool of cases that could potentially support the new programme.
The listing cites historical group data showing:
- 76 pacemaker procedures
- 55 ICD procedures
- Approximately 110 ablation cases leaving the area annually
The employer says this existing demand provides the volume necessary to support a full electrophysiology position.
What would the electrophysiologist do?
The successful physician would be expected to provide a broad range of electrophysiology services.
The clinical responsibilities include:
- Electrophysiology consultations
- Inpatient and outpatient follow-up
- Pacemaker implantation
- ICD implantation
- Cardiac resynchronisation therapy procedures
- Lead extraction
- Basic atrial ablation procedures
- Complex atrial ablation procedures
- Remote arrhythmia monitoring
- Device clinics
The physician would work alongside an established cardiovascular group that includes interventional and general cardiologists as well as other cardiovascular specialists.
Large regional patient base
The practice says the new programme would serve patients from across central Wyoming.
Because patients currently travel outside the state for some electrophysiology procedures, the new programme is intended to keep those cases closer to home.
The employer describes the area as having a large catchment population and says the community has a demonstrated need for electrophysiology services.
The physician would also have access to two major medical centres supporting the programme.
Benefits include retirement contributions and malpractice insurance
The compensation package extends beyond the $650,000 salary.
Benefits listed in the job advertisement include:
- $650,000 guaranteed salary for two years
- Productivity bonus
- Visa sponsorship
- J-1 and H-1B candidates considered
- Relocation assistance
- Sign-on bonus
- Paid malpractice insurance
- $1 million/$3 million claims-made malpractice coverage
- Health insurance
- Dental insurance
- Vision insurance
- Life insurance
- AD&D insurance
- Disability insurance
- Retirement plan
- Up to $45,000 per year in employer retirement contributions
- Paid time off
- Six additional three-day weekends annually
- 10 CME days
- Partnership/shareholder track
The retirement contribution is particularly notable because the listing says the money-purchase retirement plan can receive contributions of up to $45,000 annually.
What is the work schedule?
The advertised schedule is generally Monday through Friday, 8 a.m. to 5 p.m.
The position includes a 1-in-3 call schedule.
The physician would work across both outpatient and inpatient settings, with outreach locations having schedules that vary according to the clinic.
The main hospital affiliation is listed as Banner Hospital, where the physician would provide inpatient, outpatient and procedural services.
Hospital and medical facilities
The main hospital is described as a 191-bed nonprofit hospital.
According to the listing, the hospital provides most major services apart from transplant and burn care.
The physician would also need hospital privileges for certain remote locations where outpatient clinics are located.
The advertised credentialing and hospital-privileging process is estimated to take approximately six to 12 weeks.
The employer says it is seeking an ASAP start date.
Who is eligible for the position?
The employer is seeking a board-certified or board-eligible electrophysiologist.
Board certification is preferred, although board-eligible candidates may be considered with an agreement to obtain certification.
The employer is not accepting new graduates for the position.
Applicants should also be prepared to meet all applicable medical licensing, credentialing and immigration requirements.
For international medical graduates, these requirements can be particularly important because obtaining U.S. medical licensure and employment authorisation involves several steps beyond securing an employment offer.
Why this job stands out for international doctors
For international physicians, the combination of high salary and visa sponsorship is one of the most attractive aspects of the opportunity.
A $650,000 guaranteed salary is already significant, but the position also offers:
- J-1 visa consideration
- H-1B visa consideration
- Visa sponsorship
- A potential shareholder track
- Relocation assistance
- Sign-on bonus
- Retirement contributions
- Productivity-based compensation
The potential progression from employed physician to shareholder could also create a substantially different long-term financial opportunity than a conventional salaried position.
However, international physicians should carefully examine the visa terms and the conditions attached to the shareholder pathway.
Could a physician eventually earn more than $650,000?
Potentially, yes.
The $650,000 figure is the guaranteed salary for the first two years, while the job also includes a productivity bonus.
There are additional potential income opportunities through the practice’s ancillary income and shareholder structure.
The listing says the practice generated approximately $10 million in gross charges in 2019 from ancillary services, with shareholders potentially participating in income associated with the technical component of imaging.
The position also provides two buy-in opportunities.
However, these additional sources of income should not be treated as guaranteed compensation. Physicians should request detailed financial information and review the partnership agreement carefully before making assumptions about future earnings.
How much is $650,000 per month?
A $650,000 annual salary works out to approximately $54,167 per month before taxes and other deductions.
That does not represent take-home pay.
A physician’s actual income after taxes will depend on factors including federal and state taxation, filing status, retirement contributions, health insurance and other deductions.
Wyoming has no individual state income tax, which can make the state’s compensation packages particularly interesting when comparing physician jobs with opportunities in states that impose individual income taxes.
However, physicians should still calculate housing costs, insurance, transportation, healthcare expenses and other living costs before deciding whether to relocate.
What is life like in Casper, Wyoming?
The position is based in Casper, Wyoming, a community that the employer promotes for its outdoor lifestyle.
The job listing highlights approximately 300 days of sunshine, four distinct seasons and access to outdoor recreational activities.
For physicians who enjoy hiking, skiing, fishing and other outdoor pursuits, the location could offer a very different lifestyle from major U.S. metropolitan areas.
The trade-off is that Casper is considerably smaller than major healthcare markets such as New York, Los Angeles, Chicago or Houston.
Physicians considering relocation should therefore compare the professional and lifestyle advantages of the location with their personal preferences.
What international physicians should check before applying
A high salary and visa sponsorship can make a U.S. physician job extremely attractive, but international applicants should investigate the full employment package before accepting an offer.
Important questions include:
- Which visa category will the employer sponsor?
- Who pays the immigration and legal fees?
- What happens if the physician changes employers?
- What are the conditions for J-1 waiver sponsorship, if applicable?
- What medical licensing requirements must be completed?
- When does the shareholder track begin?
- How much does the buy-in cost?
- What income is actually guaranteed after the initial two years?
- How is the productivity bonus calculated?
- What happens if the physician leaves before becoming a shareholder?
- Are there repayment obligations for relocation or sign-on benefits?
- What are the exact terms of the real-estate and PC investments?
These details can significantly affect the long-term value of the offer.
The bottom line
A cardiology group in Casper, Wyoming, is recruiting an electrophysiologist with a $650,000 guaranteed annual salary for two years, plus a productivity bonus and potential shareholder opportunities.
The position also offers visa sponsorship and considers both J-1 and H-1B physicians, making it particularly interesting for international medical professionals seeking high-paying jobs in the United States.
The opportunity goes beyond a traditional salaried position. The successful physician would help establish a new electrophysiology programme, with the potential to become a shareholder after the initial employment period.
Additional benefits include relocation assistance, a sign-on bonus, malpractice insurance, health coverage and retirement contributions of up to $45,000 per year.
For an experienced electrophysiologist who meets the licensing, credentialing and immigration requirements, the position could offer a combination of high physician compensation, visa sponsorship and a potential path to medical practice ownership.
However, candidates should carefully review the employment agreement, visa arrangements, productivity formula and shareholder buy-in terms before making a decision.
Job location: Casper, Wyoming
Salary: $650,000 guaranteed for two years + productivity bonus
Visa sponsorship: Yes — J-1 and H-1B candidates considered
Partnership: Yes — shareholder track
Schedule: Monday–Friday, 8 a.m.–5 p.m.; 1-in-3 call
Experience: Board-certified/board-eligible electrophysiologist; new graduates not accepted
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