This is a hospital-employed Internal Medicine physician position located in Upstate New York offering a base salary of $309,000 with additional RVU productivity bonuses and a comprehensive benefits package. The role is primarily outpatient with optional inpatient rounding, providing flexible workday schedules and visa sponsorship for J-1 and H1-B candidates. The practice serves a rural community with multiple local offices and emphasizes strong patient volume and work-life balance.