Your license earns between shifts.
Get paid to review and sign off clinical work — from your phone, on your schedule. The chart is prepared; you bring the licensed judgment.
Four postures of one person hold this license:
Multi-state practice is real, filed machinery, not a promise: the Interstate Medical Licensure Compact offers a voluntary, expedited pathway to licensure for qualified physicians across its member states. Here the state lattice is designed to be computed per case — designed so a case never surfaces from a state you don’t hold.
The villain is not the health system, not the telehealth industry, and not AI. It is the credentialing stack: every existing outlet for spare clinical capacity — a moonlighting shift, one more telehealth panel, a locum contract — is another job wearing a disguise, with its own onboarding, its own scheduling, its own portal, and someone else’s machinery wrapped around every dollar. None of them sells the unit this door is built around: minutes of clinical judgment at a time, inside a compliant entity structure, at a flat fee fixed before the chart is opened.
What a case pays is your first question, and it deserves a number, not adjectives. The live door posts a $25–90 illustrative target per review — a design target as we open to a first small group, not live-marketplace data. The working Case Fee band posts here the moment real cases price it — case fee band–·–posts when first live fee data resolves — and until then that band and the five-to-fifteen-minute review target stay exactly what they are: design targets, not measured facts.
Demand-side clinical workflow → the cell’s physician-owned clinical entity (the platform as management company: intake, chart preparation, matching, coverage administration, payment) → you, prescriber of record, under your own license, in your own judgment.
You are the prescriber of record, and that is a designed feature, not a liability dumped on you: by design, nothing is prescribed, ordered, or charted under your name until you approve it, work reaches you only inside your license, your states, and your declared specialty competence, and declining costs you nothing. The regulatory structure — who may own the practice, who employs the judgment, who carries the coverage — is the platform’s burden; the judgment is yours. Nothing here is a substitute for the standard of care, and nothing in the design asks you to lower it.
The identity substrate is public, federal machinery: the NPPES NPI Registry serves today as the open, authoritative registry of provider identifiers. Verification here is designed against official sources — this registry, and the license roster each state medical board maintains for the states you hold — never self-attestation, never a badge.
“We plan to carry the malpractice coverage” is the load-bearing promise on the live door, and it is stated as a plan, not a fact. The claim posts when the program is bound and the insured is named. Nothing is signable before then — that is a hard gate, not a preference.
Candour that runs both directions. What the demand side buys through this cell is not labor — it is a decision with clinical liability behind it: your signature as prescriber of record, under your own license, with coverage planned to name you. Everything around that decision migrates — intake, history-taking, chart assembly, the draft order, the draft note — and AI keeps getting better at exactly that work. The decision itself does not migrate: a statute names a person, and a signature that carries risk is priced as risk, not as hours.
That fact is your floor, and the platform is built to pay you for it rather than around it: the flat Case Fee prices your judgment and the liability you carry — never the outcome, never the volume, never the minutes.
Every gigs.* door runs B2H2A — business to licensed human to agent — and only B2H2A, because a statute names a person. The family splits into two registers, and the split is ratified canon, not taxonomy for its own sake: the expert register, where the value is a signature and the deliverable is an approval — this door — and the work register, where the value is presence and the deliverable is a completed shift. gigs.doctor leads the healthcare pack’s expert side: physicians here, and at gigs.health, the nurse practitioners and pharmacists whose prescriptive and sign-off authority is its own tribe with its own door. The work-register twins — facility and shift staffing — are staged behind them, and the pack’s demand rail (apis.healthcare) is staged too: supply is recruited first, deliberately, because licensed supply is the constraint that cannot be marketed into existence.
The companion door is live: gigs.health recruits NPs and pharmacists against the same substrate, with recruiting language that diverged enough to earn its own door — the family’s test for shipping one.
gigs.doctor serves: the live door runs the early-access funnel for founding physicians (“tell us your state medical license and NPI”), labels its target ranges “illustrative estimates, not a live-marketplace guarantee,” states the coverage promise in the future tense it belongs in (“we plan to carry the malpractice coverage”), and says plainly it is early access, not a live marketplace yet. The namespace position is occupied.
The clinical entity is designed, not formed. Medicine is the vertical where the corporate-practice doctrine makes entity design the product: the practice must be physician-owned where the doctrine requires it, with the platform as management company — and no case routes anywhere before that structure exists in a named first state with an opinion behind it.
There is no live match queue yet, and this deck does not imply one. Early access means exactly that: founding physicians are being onboarded ahead of routing, verification is real before the word “verified” is, and the first routed case flips this claim to posted with the evidence attached — not before.
If nothing changes: the license keeps earning only when an employer schedules it — or the improvised alternative, uncovered moonlighting, which risks the one asset a decade of training produced.
If it works: minutes of actual clinical judgment between other things, paid the same day, coverage in force, nothing under your name you didn’t approve — a license turned from a cost you carry into an asset that earns.
Apply for early access at gigs.doctor. Founding physicians verified before marketplace-live hold first-case priority in their licensed states when routing begins, and the fee schedule is set with the founding cohort, not announced to it. Or read the door first — who carries the coverage, why you can always say no — written to be forwarded to a colleague before you give a name; what the flat Case Fee means is spelled out in this deck’s fee section.