Full-time 1099 contract
$850,000 in annual compensation for full-time contract work. As an independent contractor you schedule your own time away—typically 8–10 weeks a year.
Confidential anesthesiologist opportunity · California’s Central Valley
A premier physician-led anesthesia practice is seeking a full-time contract anesthesiologist for a high-value 1099 opportunity in the Fresno–Clovis area.
Represented exclusively and handled confidentially by JCS Staffing, Inc.
Annual compensation
$850,000
Time away
8–10 weeks
Typical, and self-scheduled
Contract structure
1099
Core commitment
Weekdays
Case-driven; day length varies
Weekend call
Approx. every 4 weeks
The opportunity
This immediate opening is for a full-time independent contractor—not an employed position—with an established all-physician private practice serving patients across respected hospital environments in Fresno and Clovis.
$850,000 in annual compensation for full-time contract work. As an independent contractor you schedule your own time away—typically 8–10 weeks a year.
Cases may include general, orthopedics, bariatric, spine, endoscopy, OB, trauma and cardiac.
Your contracted commitment centers on weekdays, when most surgical volume occurs. Cases can run late or start early, and emergencies happen. Weekend call is approximately every four weeks.
Experienced anesthesiologists and new graduates are encouraged to apply.
The practice setting
Build clinical variety across established hospital environments in the Fresno–Clovis area. The opportunity combines an experienced physician group, a wide case mix and the chance to contribute meaningfully in one of California’s fastest-growing regions.
Work may span routine and complex general cases, orthopedics, spine, bariatric surgery, endoscopy and obstetrics.
Depending on assignment and credentials, the practice environment may include trauma, cardiac and other medically complex care.
An all-physician private-practice setting for anesthesiologists who value clinical ownership, teamwork and long-term community impact.
Work within a hospital environment supported by the widely used Epic electronic medical record platform.
A candid Q&A
The group’s medical leadership gave an honest account of the workload, culture, compensation model and long-term opportunity.
Responses have been edited for clarity and length. Identifying details are withheld to protect the confidentiality of the search.
This is a physician-owned anesthesiology group with a longstanding relationship with a major regional hospital system.
The physicians work hard, but those who want to work hard are rewarded. The group is looking for anesthesiologists who enjoy doing their own cases, take excellent care of patients and want to work alongside supportive physicians, surgeons, nurses and hospital staff.
Fairness is one of the group’s most important principles. A physician joining the practice enters the same compensation model and has access to the same earning opportunities as established physicians.
The group works to provide equitable access to cases and call. No physician is building their income by profiting from another physician’s work. Leadership is also creating greater flexibility for physicians who want to work more and those who may eventually prefer a reduced schedule.
The regional hospital system is growing, with leadership focused on increasing surgical and procedural volume.
At the same time, several longtime physicians are approaching retirement. The group is recruiting proactively to maintain a strong, stable practice capable of meeting growing patient and hospital needs well into the future.
Physicians who enjoy doing their own cases, want to work hard and take pride in delivering excellent patient care tend to thrive in this environment.
Clinical ability and professionalism are essential, but personality also matters. The group wants physicians who communicate well, treat people respectfully and build positive relationships with surgeons, nurses, staff and fellow anesthesiologists.
Both experienced anesthesiologists and strong new graduates are encouraged to explore the opportunity.
Someone looking for a completely predictable 7-to-5 schedule every day may not find this to be the right opportunity.
This is a busy practice with call responsibilities, heavier days and lighter days. The schedule can occasionally be demanding and unpredictable. For someone who accepts that variability and wants the opportunity to work hard and earn well, it can be an extremely rewarding career.
A physician working the regular schedule shares call on a rotating basis, with weekend call approximately every four weeks. A call may be a 24-hour call or first call from home.
After being on call, the physician is typically placed lower on the following day’s schedule, which often means finishing earlier. Some days may extend late into the night, while other days are considerably lighter. The goal is to distribute calls and cases as fairly as possible.
Physicians work across multiple hospital environments and encounter a broad clinical mix.
Some days involve bread-and-butter surgical cases. Other days may include higher-risk obstetrics, trauma, medically complex patients or serious emergency cases.
Many physicians enjoy this variety because it keeps the work interesting and allows them to use the full range of their clinical skills.
Every physician deserves fairness, honest communication, clinical support and an equitable opportunity to work.
Leadership keeps physicians informed, asks for their opinions and remains available when someone has a concern. Physicians are also expected to maintain high standards of professionalism, collegiality and clinical excellence.
While the group’s governing body handles major decisions, physicians are encouraged to provide input on matters affecting their work. Recent scheduling changes were made after physicians requested greater flexibility to accept additional shifts.
The first week focuses on orientation. During the first month, the new physician generally begins with more routine operating-room assignments while becoming familiar with the facilities, staff and processes.
As the physician becomes comfortable, the group gradually introduces OR and obstetric call responsibilities. The goal is to progress toward a full call schedule during the first two or three months without asking someone to accept responsibilities before they feel ready.
The Central Valley offers a much lower cost of living than the Bay Area or Southern California while retaining the advantages of living in California.
Physicians can find excellent schools, growing neighborhoods, new construction, restaurants, shopping and abundant recreational opportunities. It can be an excellent place to own a home, raise a family, travel and build a rewarding life outside medicine.
The summers are hot, but much of the year is pleasant. Physicians visiting from outside the area are often surprised by the quality of life available here.
The group expects to continue growing as the regional hospital system expands.
Physicians may also have opportunities to become involved in future teaching or academic initiatives while continuing to practice private-practice anesthesia.
Five or ten years after joining, the goal is for physicians to say they found the clinical work rewarding, enjoyed the people they worked with and built the career and lifestyle they wanted.
You don’t have to be ready to apply
If you are quietly wondering whether this could be the right next chapter, begin with a confidential conversation through JCS Staffing. We will give you a straightforward look at the compensation structure, call expectations, clinical environment, benefits and challenges—and if it fits your goals, coordinate a private introduction to the group’s leadership.
Your first step does not require a commitment or a formal application. Just a willingness to explore whether the opportunity deserves a closer look.
Life in the Central Valley
The Fresno–Clovis area offers room to live, sunshine to enjoy and easy access to the places that make California extraordinary—without the daily friction of a major coastal metro.
More attainable housing and space than California’s major coastal markets.
National parks, lakes, foothills and mountain escapes are within easy reach.
Positioned between Los Angeles and San Francisco, each within a few hours’ drive.
Shopping, dining, family activities and a proud local community close to home.
California within reach
Live close to the mountains, reach the Pacific in a morning, and keep many of the state’s most iconic destinations within an easy day trip or weekend drive.

About 1–2 hours
Escape to Shaver Lake, Bass Lake and the Sierra Nevada—or make Yosemite, Kings Canyon and Sequoia part of your regular California life.

About 2–3 hours
Head west for Paso Robles wineries, then continue through the coastal range to Monterey, Morro Bay, Cayucos and the Central Coast.

About 3–4 hours
Sacramento’s history, dining and major events are an easy weekend option, with Napa Valley just beyond for celebrated food and wine.

About 4 hours
Anaheim and Orange County put theme parks, major entertainment, shopping and Southern California attractions within weekend range.
Approximate drive-time ranges from the Fresno–Clovis area; actual travel varies by destination, traffic, weather and seasonal mountain-road conditions.
Photography via Wikimedia Commons: Yosemite Valley by Mark J. Miller (CC BY-SA 3.0); Arroyo Seco vineyard by Danicox40 (CC BY-SA 4.0); Atlas Peak vineyards by Deb Harkness (CC BY 2.0); Crystal Cove by NorbertNagel (CC BY-SA 4.0).
Schools & family life
The Fresno–Clovis area offers several distinct public-school systems, from nationally recognized academics and championship athletics to International Baccalaureate, dual-enrollment and career-focused pathways.
Clovis Unified includes National Blue Ribbon and California Distinguished schools. Clovis North placed among California’s top 100 high schools in the 2025 U.S. News rankings, while Buchanan’s official record lists 144 Central Section, 16 state and five national athletic championships through August 2025.
Families can explore magnet programs, Advanced Placement, transferable dual enrollment and extensive career technical education. Fresno High is an IB World School, while Design Science and Duncan Polytechnical expand middle-college, health-science and technical options.
Sanger Unified reports 24 California Distinguished School designations and three National Blue Ribbon Schools in its award history. Sanger High was also selected as a 2026 California Distinguished School.
Central Unified offers AP, career technical education and expanded dual-enrollment access through regional community colleges. Central High also supports hands-on agriculture, leadership and FFA pathways.
Regional academic standout · #7 in California · #63 nationally
An independent public charter located at Fresno State, University High earned those positions in the 2025 U.S. News high-school rankings—giving highly academic students another distinctive regional option.
Awards and program offerings change over time. Enrollment eligibility, transfers and attendance boundaries should be confirmed directly with each school or district.
Jason Scott and familyFresno, California
Meet your local recruiter
“This is home—and I know what makes it work for physicians and their families.”
I’m Jason Scott. I grew up in California’s Central Valley, and it’s where my wife, Kristen, and I chose to raise our four daughters. We’ve built our family, our friendships and more than 25 years of marriage right here in the Fresno area.
I also started a business here and grew it into a thriving company serving people and communities throughout California. The Valley gave me the room to build something meaningful while keeping family, opportunity and the best of California within reach.
As a Central Valley relocation expert and recruiter, I can help you evaluate far more than a contract. I’ll give you a candid local perspective on neighborhoods, schools, commutes, recreation and everyday life—then help you and your family picture what a successful move here could truly look like.
Who should reach out
Position terms shown reflect the current published listing and should be confirmed with JCS Staffing, Inc. during the confidential recruiting process.
Working with JCS
Questions about the recruiting process itself, answered plainly.
A confidential first step
No application required to begin. Start with a private conversation through JCS Staffing, Inc.
JCS Staffing, Inc. is representing a confidential client. Client identity will be shared with qualified candidates at the appropriate stage.