A specialist desk, built around physician hiring.

Why we built a physician-only desk.

General staffing firms tend to handle physician roles the same way they handle a registrar or a pharmacy tech. The brief is a job spec, the candidate is a CV, the placement is a fee. That model breaks down the moment a hospital actually needs a hospitalist on the floor by Monday. State licensure, NPDB queries, credentialing packets, malpractice tail coverage, J-1 waivers, payer enrollment - none of these get done by an account manager who handles physicians as a sideline.

Top Tier MD Staff was built around the realities of physician hiring. Every consultant on our desk works exclusively with MDs. We hold a credentialed bench across the ten core hospital specialties. We know the licensure timelines in each state. We negotiate physician contracts every week, not every quarter.

What we do differently

• One consultant runs your whole search, brief through aftercare. No queue of account managers.
• Credentialing is part of the search, not a downstream task. Licensure, DEA, board certification, malpractice history and NPDB are verified before a CV reaches you.
• Locum coverage operates from a credentialed bench. We do not start vetting after you call.
• Locum-to-perm transitions are negotiated transparently for both sides upfront, not bolted on later.
• Aftercare runs at day 7, 30 and 90. We are paid to keep physicians in seat, not just to make placements.

Who we work with

Community hospitals, regional health systems, academic centers, FQHCs, urgent care groups, ambulatory surgery centers, behavioral health systems and concierge practices. Most of our work is recurring with the same hospital partners, year over year. New partners typically start with a single locum search and expand from there.

Credentialing & compliance

We hold contracting and compliance frameworks for credentialing across all 50 states. Malpractice tail coverage, NPDB queries, FCVS, OIG / SAM exclusion checks and state-specific licensure pathways are all run in-house. Your medical staff office gets a clean credentialing packet, not a scramble.