TT

Physician Assistant Fellow

Texas Tech University Health Sciences Center El Paso H-1B Health and Care Full-timeAlpine, Texas $100K/yr
Posted Oct 4, 2026 · Expires Oct 26, 2026

Quick facts

Pay
$100K/yr
Type
Full-time
Location
Alpine, Texas
Background
MD / physician
Industry
Health and Care — 3223 open jobs
Visa in listing
H-1B
Apply
Free to apply — never pay anyone for a job offer or visa sponsorship

Job description

Introduction Nationally recognized as a Great College to Work For, TTUHSC provides much more than just a job! Enjoy excellent benefits, including paid leave, retirement plans, wellness programs, health insurance and so much more. Ready to start building a rewarding career in a positive environment where you can develop and thrive? Join us as we change the future of health care.

About TTUHSC Texas Tech University Health Sciences Center is enriching the lives of others by educating students, providing excellent patient care, and advancing knowledge through innovative research. TTUHSC graduates more health care professionals than any other health care institution in the state, conferring 24.2% of all degrees and certificates awarded from health-related institutions in Texas. By providing comprehensive clinical services to more than 10 million individuals across 121 counties, TTUHSC is dedicated to advancing the health of people throughout Texas and beyond. This is where world-class education meets compassionate patient care - and we believe that our people are the reason for our institution's lasting success and bright future. Being part of the TTUHSC team means being part of an innovative and supportive community that empowers each individual to do their best work. Through our values-based culture, TTUHSC is committed to cultivating an exceptional workplace community with a positive culture that puts people first.

Visa Information TTUHSC, at its sole discretion, may initiate new H-1B I-129 visa petitions in accordance with the directive issued by Governor Abbott. Approval from the Texas Workforce Commission is required. On a limited, case-by-case basis, the institution may also sponsor eligible individuals for change-of-status or change-of-employer petitions for qualifying positions. TTUHSC will not pay the $100,000 fee, if applicable.

Position Description The TTUHSC Rural Medicine Physician Assistant (PA) Fellow participates in a structured, 12-month postgraduate fellowship focused on advanced clinical practice in rural and underserved communities. The Fellow is based at the Preventative Care Health Services (PCHS) federally qualified health center in Alpine, Texas, with clinical experiences throughout the Trans-Pecos region and potential rotations at a critical access hospital. The fellowship combines supervised patient care, procedural training, structured didactics, scholarly activity, and community-based rural medicine experiences.

Major/Essential Functions

  • Provide evaluation, diagnosis, treatment, follow-up, preventive care, and patient education within the physician assistant's scope of practice and assigned clinical privileges.
  • Provide care at the Alpine clinical site and affiliated rural and telehealth sites throughout the Trans-Pecos region.
  • Participate in ambulatory and hospital-based rural medicine experiences, including exposure to acute care, emergency care, inpatient care, women's health, and procedural medicine.
  • Develop competence in common rural ambulatory and hospital procedures appropriate to the Fellow's training, supervision, and clinical privileges.
  • Participate in rural house calls and community-based clinical experiences.
  • Participate in sports medicine activities involving local high school and university athletic programs.
  • Participate in structured didactics, mentoring, clinical supervision, and professional development activities.
  • Complete an approved scholarly product, which may include a quality-improvement project, grant application, research paper, or scholarly manuscript.
  • Collaborate effectively with physicians, physician assistants, resident physicians, students, and other members of the health care team.
  • Maintain accurate and timely clinical documentation and comply with institutional, regulatory, credentialing, and patient-safety requirements.

Required Qualifications

Graduation from an ARC-PA-accredited PA program. Master's degree in PA studies or related discipline. Current NCCPA certification or eligibility for certification within required timelines. Current Texas PA license or eligibility for licensure before beginning clinical practice. Eligibility for credentialing and clinical privileges at participating clinical sites. Eligibility for required prescriptive authority and registrations. Current Basic Life Support certification. Ability to travel regularly to rural clinical sites and participate in clinical activities that may occur outside traditional business hours.

Preferred Qualifications

Previous rural, underserved, or community-based experience. Ability to communicate in Spanish.

Benefits TTUHSC is committed to creating an environment where our team members can do their best work, with programs and benefits to support head-to-toe well-being. Explore just a few of the advantages of being a TTUHSC team member:

  • Health Plans + Supplemental Coverage Options - Individual health insurance provided at no cost for full-time team members
  • Paid Time Off - Including holidays, vacation, sick leave and more
  • Retirement Plans
  • Wellness Programs
  • Certified Mother-Friendly Workplace

Additionally, TTUHSC invests in the success of our team members by providing opportunities for personal and professional growth, including lifelong learning programs, recognition programs, and health and wellness initiatives. Team members also enjoy a variety of other perks, such as special membership rates at local gyms and golf courses, access to state-of-the-art software and facilities, and discounts on travel, technology, entertainment and more.

Pay Statement Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as the institutional pay plan. For additional information, please reference the institutional pay plan website at https://app4.ttuhsc.edu/payplan.

EEO Statement All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information or status as a protected veteran.

Jeanne Clery Act The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information.

By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. To view this report, visit the TTUHSC Clery Act website at https://www.ttuhsc.edu/compliance/clery-report.aspx.

Visa sponsorship record: Texas Tech University Health Sciences Center El Paso

Sponsors actively
39H-1B labor applications (LCA)100% certified
0H-1B petitions approved by USCIS
0Green card filings (PERM)no filings found
$210kMedian H-1B salaryfrom LCA filings
Fiscal yearH-1B LCAsUSCIS approvalsUSCIS denialsPERM
FY20268———
FY202523———
FY20248———

✔ Texas Tech University Health Sciences Center El Paso filed 2 H-1B applications for this kind of role (Physicians, All Other) in the period above.

Roles they sponsor most

  • assistant professor radiology6 LCAs · median $303k
  • assistant professor5 LCAs · median $225k
  • assistant professor internal medicine3 LCAs · median $450k
  • instructor2 LCAs · median $218k
  • research associate2 LCAs · median $56k

Full sponsorship history of Texas Tech University Health Sciences Center El Paso →

Which visas can work for this job

Occupation: Physicians, All Other (SOC 29-1229) — estimated from the job title.

  • Mentioned in the listing

    H-1B

  • H-1B cap-exempt employer

    Likely cap-exempt (university, affiliated hospital or nonprofit research body): H-1B can be filed any time of year, with no lottery. Confirm with HR.

  • TN (citizens of Canada and Mexico)

    This kind of role may fit the USMCA profession “Physician (teaching or research only)” — it depends on the actual duties. No lottery, no cap; you need the matching degree or license.

  • E-3 (Australia) and H-1B1 (Chile, Singapore)

    Same degree requirement as H-1B, but no lottery and a separate quota that is rarely filled.

  • O-1 (extraordinary ability)

    For candidates with awards, publications, press, a high salary or critical roles at distinguished organizations. No cap, no lottery; the employer files a petition.

Salary vs prevailing wage

Below Level I

Physicians, All Other · Northwestern Region of Texas nonmetropolitan area. Annual prevailing wages set by the Department of Labor (OFLC).

L1L2L3L4
LevelPrevailing wageH-1B lottery odds*
Level I$106,371~15%
Level II$185,578~31%
Level III$264,763~46%
Level IV$343,970~61%

This job pays $100,000 a year — below the Level I prevailing wage. For H-1B the employer must pay at least the prevailing wage, so the offer would have to go up.

* Odds are DHS projections for the FY2027 wage-weighted lottery (actual results vary by year and employer). Since the FY2027 cap season the H-1B lottery is weighted by wage level: Level I = 1 entry, II = 2, III = 3, IV = 4. The level is set by the offered wage against the prevailing wage for the occupation and worksite. Separately, a $100,000 fee for new H-1B petitions for workers outside the US was announced in 2025; as of September 2026 a federal court ruling keeps it unenforceable while appeals continue — check the current status.

Sources: U.S. Department of Labor OFLC disclosure data (H-1B/H-1B1/E-3 LCA, PERM), OFLC prevailing wage data, USCIS H-1B Employer Data Hub, E-Verify participating employers. Data loaded: LCA FY2024–FY2026, PERM, USCIS Data Hub, OFLC wages; updated 2026-10-03. Employers are matched by name, so records of companies with similar names can occasionally be mixed up. This is general information, not legal advice — talk to an immigration attorney about your case.