Browse real jobs. See the exact bill rate, our fee, your malpractice cost, and your take-home — before you ever commit. No recruiters. No spam. No guessing.
The Problem
The traditional model is designed to keep you in the dark. The less you know, the more they keep.
Agencies know the bill rate. You don't. They take 25–50% off the top before you ever see a number — and they're not required to tell you.
Texts at dinner. Calls during shifts. Silly gifts designed to manufacture obligation. It's not relationship-building — it's a retention tactic.
Agencies mass-submit your credentials to facilities. Two agencies claim the same placement. You find out when your placement is in dispute.
Malpractice, housing, travel — these numbers are buried or weaponized as levers. You can't negotiate what you can't see.
How It Works
No intake calls. No recruiter unlocking jobs for you. Just a clean platform that puts every number in front of you first.
Search nationwide locum positions by specialty, location, rate, and duration. No phone tag. No application required to see what's available.
Every listing shows the bill rate, our fee (always ≤10%), malpractice cost, and your exact take-home. Nothing hidden. Nothing negotiated after the fact.
Your CV goes nowhere without explicit, per-submission consent. No lock-in. No exclusivity. Work one assignment or twenty — your call.
Transparency Calculator
This is what every locums platform should show you before you sign. We show it by default.
Our Commitments
Our margin is capped in writing. You see the exact dollar amount we earn before you accept anything.
Tail and occurrence coverage costs displayed on every listing. Your insurance — your visibility.
Explicit, per-submission consent required before your credentials go anywhere. No mass blasts.
No cold texts. No dinner calls. No gifts in the mail. The platform comes to you on your time.
No exclusivity clauses, no minimum commitments, no penalties for leaving. Use us once or always.
Not private equity. Not an administrator. Built by someone who has worked the exact shifts you're about to take.
From the Founder
The recruiter who texted me during a 24-hour shift. The agency that submitted my CV to three hospitals without asking. The assignment where I found out months later the facility was paying nearly double what I received. This isn't an accident — opacity is the business model.
Pivot MD is a direct correction. Technology makes it completely possible to connect physicians with facilities without a commission-hungry middleman taking 30–50% off the top. We take ≤10%. You see everything. That's the whole deal.
It is 2026. Let technology connect you with your next locums job. Why give half your paycheck to someone who didn't put in the hours completing med school and residency?
Early Access
We're opening early access to a small founding group. Once the list is full, it's closed. No spam. No obligation.
✓ You're on the list. We'll be in touch.
First 100 physicians only · No recruiters · No obligation