About this role
At a glance
Gastroenterologist with Intermountain Health in Billings, MT. Listed from the employer's own careers site.
- Employer: Intermountain Health
- Location: Billings, MT
- Posted by employer: 2026-09-22
- Schedule: Full-time
- Pay stated in the posting: $765,000
- Sign-on bonus: $50,000
- Procedures: ERCP / EUS named in the posting
- Visa: H-1B named in the posting
- Also mentioned: Student loan help, Relocation help
- License: ABIM
Apply on the employer site. The full job description, benefits, and contact are there.
The contract: what this ad says, and what to ask
- Advanced procedures ERCP / EUS named
- APP and staff support APP support mentioned
- Visa H-1B, sponsorship stated
The ad does not say. Ask the recruiter:
- Pay model. Base salary, wRVU rate and threshold, or collections percentage? What did year-2 doctors actually earn?
- Call. Call ratio, weekends, GI bleed call, and is advanced (ERCP) call separate?
- Partnership. Years to partner, buy-in amount, and what you buy: ASC units, ancillaries, or a title without equity?
- Schedule. Endoscopy days versus clinic half-days per week, and how many hospitals you cover.
- Malpractice. Occurrence or claims-made, and who pays for tail coverage if you leave?
- Noncompete. Radius in miles and length in months, and does it apply if they end your contract?
Read from the employer's posting by DigestiveJobs. Confirm every term in the written contract.
Know before you apply
Public data about this job's location and employer, collected in one place.
Local GI market
10 gastroenterologists
within 30 miles. That is 16.8 per 100,000 adults aged 45-74, 24% more than the US average (13.6).
30% of them finished medical school 30 or more years ago (US: 36%).
Source: CMS Doctors and Clinicians file; Census ACS 2019-2023.
Procedure mix nearby
66% colonoscopy
Medicare fee-for-service procedures billed within 30 miles in 2024: 1,664 colonoscopies, 738 EGDs, 115 ERCPs, 0 EUS.
ERCP volume is heavy and no EUS for the population, compared with the US (adjusted for Medicare Advantage share). 100% done in a hospital or surgery center; 76% by gastroenterologists.
63.8% of adults 45-75 in this county are up to date on colorectal screening, about the same as the state (63.8%).
38% of Medicare patients here are in Medicare Advantage (state: 30%). Medicare procedure counts above cover only the other 62%.
Source: CMS Medicare Physician and Other Practitioners by provider and service, 2024 (fee-for-service only; services for fewer than 11 patients hidden). CMS MA penetration; CDC PLACES 2025 (2022 survey).
Cost of living
Prices in Montana are 5.4% below the US average.
$765k here buys what $809k buys in an average-priced state
Montana state income tax on $765k: about $43k (5.6%), single filer, before deductions. Local taxes not included.
Source: BEA regional price parities, 2024. State level; big metros cost more. Tax: Tax Foundation 2026 state brackets.
Employer
Nonprofit health system, 501(c)(3)
The employer is a 501(c)(3) nonprofit. W-2 jobs with it usually count toward Public Service Loan Forgiveness (PSLF). Confirm which entity pays you.
Visas (H-1B / J-1)
This employer filed 3 H-1B wage filings for attending GI physicians (2025), at $550k-$600k (median $600k).
Parts of this county are federal primary care shortage areas (HPSAs). Check the exact practice address. Conrad 30 J-1 waiver jobs usually must be in a shortage area; each state sets its own rules. State J-1 waiver contacts (3RNET).
Source: US Dept. of Labor LCA disclosure data (certified H-1B, FY2024-FY2026); HRSA HPSA data. All GI H-1B employers