Direct Primary Care Provider

OUR PRACTICE
Lineage Wellness (A Trivida Company) is where primary care meets purpose. We believe wellness isn't a moment in time. It's a living story. Our approach honors the continuity of health across a patient's life, blending proactive medical care with the insight of functional medicine.

For nearly 13 years, Trivida Functional Medicine has helped clients heal and thrive through deeply personalized, rootcause care. Lineage Wellness expands that mission through a membership-based Direct Primary Care model built to bring time, trust, and true partnership back into medicine.

Our patients choose to pay out of pocket for this level of care, even when insurance would otherwise cover a primary care visit. They do it because they want a provider who knows their story, has time for them, and treats them like a person instead of a chart to move through the day. That trade-off is the whole point of what we do, and it's the standard every provider on our team is expected to meet.

THE ROLE
We're looking for a Nurse Practitioner or Physician Assistant to join our growing DPC practice on a part-time basis.

This isn't a high-volume, insurance-driven clinic, and it isn't a role for someone who needs a rigid protocol for every scenario. Patients come to us specifically because they want something different, and we need a provider who wants to deliver that difference: real relationships, real time, and care that flexes to fit the person in front of them.

About 60% of our current panel arrives at Lineage Wellness after completing Trivida's 4–6 month intensive functional medicine deep-dive. These patients are usually already on a protocol that's working. Your job isn't to start from scratch, it's to maintain what's successful and keep an eye out for the next opportunity to fine-tune it as their goals and labs evolve.

WHO YOU ARE
We think you'll love this role if:

• You see patients as people, not data points. You're building a relationship over years, not processing a chief complaint and moving to the next room.
  
• You get why patients pay for this. You understand why someone would choose to pay a membership when insurance would cover a visit elsewhere, and you see it as your job to make that choice feel worth it every time.
  
• You enjoy thinking on your feet. Protocols shift and patients don't always fit a standard template, and you like having room to make a thoughtful clinical judgment call rather than following a fixed script.
  
• You're naturally curious. When a case doesn't have an obvious playbook, you enjoy digging in, researching, and working through it rather than needing someone to hand you the answer.
  
• You're a team player about coverage. With two providers in the office, sometimes a patient needs support during a window when you're not the one on schedule.
  
• You're glad to coordinate with your teammate so patients get a timely, thoughtful response, because that kind of teamwork is part of what makes the care here feel different.
  
• You appreciate autonomy. You'd rather have room to practice thoughtfully than a stack of rules to follow for their own sake.
  

RESPONSIBILITIES
Clinical Care

• Provide comprehensive primary care across the lifespan (teens through seniors), including physicals, chronic disease management, and acute visits.
  
• Confidently manage men's and women's hormone therapy, peptide therapy, and other advanced or alternative protocols, alongside standard primary care needs.
  
• Order and interpret advanced labs, imaging, and diagnostics, and build supplementation and lifestyle protocols tailored to the individual.
  
• Run efficient, well-structured 45-minute visits that make time for both reviewing lab and testing data and building the forward-looking care plan, without running long or shortchanging either part.
  
• Take over care for patients transitioning from Trivida's intensive functional medicine program, maintaining protocols that are already working and identifying opportunities to fine-tune them further.
  
• Adapt care plans as new information, research, or patient response comes in, rather than defaulting to a fixed protocol. Relationship & Membership Guidance
  
• Build long-term, trust-based relationships that make patients feel known, not managed.
  
• Help patients understand and choose the right membership tier, testing, and protocol options for their goals, in a way that feels like guidance, not a pitch.
  
• Take the time to listen, educate, and empower patients to take ownership of their health. Communication & Flexibility
  
• Respond to patient messages between visits with sound judgment, including occasional light-touch communication outside standard clinic hours.
  
• Exercise independent clinical judgment in nuanced or non-standard situations without needing constant oversight. Collaboration & Growth
  
• Work closely with the Trivida Functional Medicine team for coordinated, comprehensive care.
  
• Contribute to clinic systems, membership structure, and processes as the practice grows.
  
• Stay current with evolving research in conventional, functional, and integrative medicine.
  

Requirements

Must-Have

• Licensed NP or PA in good standing, with Colorado licensures in place.
  
• Minimum 2 years of clinical experience; primary care experience strongly preferred.
  
• Demonstrated confidence in men's and women's HRT, peptide therapy, and alternative or integrative protocols, in addition to standard chronic disease and primary care management.
  
• Comfort making independent clinical decisions without needing a rigid protocol or constant sign-off.
  
• A track record of researching and problem-solving independently rather than needing a predetermined answer.
  

Nice-to-Have

• Experience in functional or integrative medicine.
  
• Prior experience in a DPC or membership-based practice.
  
• Comfort discussing cost, value, and membership decisions directly with patients.
  

Schedule & Location

• Part-time, with a flexible schedule built around the practice's and provider's needs. Options may include three 10-hour days, four 8-hour days, or a similar structure.
  
• In-person role based in Denver Tech Center / Centennial, with virtual visits available for patient flexibility.
  
• Occasional light-touch patient communication outside scheduled clinic hours; this is not a formal on-call structure, and we're intentional about keeping it manageable.
  

Benefits

• Hourly rate: $60–$70 per hour.
  
• Performance-based bonuses tied to patient retention and practice growth.
  
• Benefits available once weekly hours reach 30 or more.
  
• Long-term growth and partnership potential within two years.
  
• No insurance billing, quotas, or production-based pressure. Systems and operations are already in place so you can focus on patients.
  

HOW TO APPLY
Please submit your resume and a cover letter. In your cover letter, or as a separate attachment, answer the following:

1. Tell us about a time a clinical guideline or protocol didn't fit a patient's situation. What did you do?
   
2. Describe your experience with hormone therapy, peptides, or alternative protocols, and how you keep learning in areas without a fixed, established playbook.
   
3. A significant share of our patients arrive already on a protocol that's working well, built during their time in Trivida's functional medicine program. How would you approach taking over that patient's care, maintaining what's working, and finding ways to fine-tune it further?
   

We're being upfront about what this role requires because we'd rather find genuine alignment than a fast hire. If you're energized by ambiguity, relationships, and practicing medicine on your own judgment rather than a checklist, we'd love to hear from you.