Join a rapidly expanding cardiovascular institute committed to building one of the premier Advanced Heart Failure programs in the Upper Midwest. Rather than replacing a retiring physician, this newly created position offers the rare opportunity to shape the future of an established program with significant institutional investment and executive support. You’ll step into a robust clinical practice backed by experienced APPs, fellowship-trained colleagues, advanced remote monitoring, and a thriving cardiovascular service line while helping develop next-generation heart failure services. Leadership opportunities are available from day one, allowing you to influence program growth, physician recruitment, and clinical strategy across a large regional referral network. If you’re seeking a position that blends clinical excellence, academic engagement, and the opportunity to build a lasting legacy, this is an exceptional career opportunity. ? 

Position, Compensation & Organization Highlights 

• Lead and expand an established Advanced Heart Failure program with significant institutional investment 
• Flexible practice model including 100% Advanced Heart Failure, Heart Failure with Pulmonary Hypertension, or a hybrid Heart Failure/General Cardiology practice 
• Opportunity to serve as Medical Director or Program Director for Advanced Heart Failure 
• Clinical leadership for development of LVAD, Adult ECMO, cardiogenic shock, and pulmonary hypertension programs 
• Join one of the Upper Midwest’s largest cardiovascular institutes with General Cardiology, Interventional Cardiology, Electrophysiology, Advanced Imaging, and Cardiothoracic Surgery 
• Strong APP support for outpatient clinics, inpatient rounding, transitional care, and remote monitoring 
• Established CardioMEMS program with 360 enrolled patients and a large active heart failure population 
• Accredited General and Interventional Cardiology Fellowship programs with fellows providing first-call coverage 
• Teaching, clinical research, quality improvement, and protected academic time available 
• Collaborative multidisciplinary environment with Cardiothoracic Surgery, Critical Care, and regional transplant center partnerships 
• Opportunity to help establish destination therapy LVAD and Adult ECMO programs while expanding regional cardiovascular services ? 

Compensation & Benefits 

• $700,000 guaranteed base salary for the first two years 
• Productive physicians projected to earn $800,000+ annually after transition to the wRVU model 
• $150,000 sign-on bonus 
• Up to $10,000 relocation assistance 
• 20 days PTO plus 6 paid holidays 
• 10 CME days with a $5,000 annual CME allowance 
• Comprehensive health, dental, vision, disability, life insurance, malpractice with tail coverage, retirement plans, and deferred compensation options ? 

Community Overview 

Build your career in one of the Midwest’s fastest-growing metropolitan communities while enjoying an exceptional quality of life. As the healthcare, financial, and cultural hub of South Dakota, this vibrant city combines the amenities of a larger metropolitan area with affordable living, short commutes, and no state income tax. Families appreciate outstanding public and private schools, a safe community, and abundant recreational opportunities throughout all four seasons. Physicians enjoy easy access to parks, trails, lakes, golf, hunting, skiing, and a thriving downtown filled with restaurants, entertainment, shopping, and cultural events. With a growing economy, expanding medical education, and convenient national air service, this community offers an ideal setting for both professional success and personal fulfillment. ? 

Community Highlights 

• One of the Midwest’s fastest-growing metropolitan areas 
• No state income tax and cost of living below the national average 
• Average commute of just 15-20 minutes 
• Highly regarded public, private, and faith-based schools 
• Expanding medical education and academic opportunities 
• More than 80 parks, miles of recreational trails, and year-round outdoor activities 
• Regional airport with nonstop service to major U.S. destinations 
• Thriving downtown featuring dining, breweries, shopping, festivals, and live entertainment 
• Family-friendly neighborhoods with diverse housing options 
• Strong regional economy supported by healthcare, finance, biotechnology, and technology industries ?