Compare high-paying freelance options for Texas dermatologists: locums, telemedicine, AI training, consulting. Real pay ranges, requirements, and how to start.

TL;DR

Looking for freelance or contract work as a dermatologist in Texas? Whether you want to supplement your income or transition to independent practice, Texas offers several high-paying options. Here's how the top opportunities compare.

1.

Expert Witness / Medical-Legal Consulting

$350-$650/hr

What You'll Do

Providing expert testimony and medical opinions in legal cases involving dermatological issues, including malpractice claims, product liability, and personal injury cases. Work involves case review, report writing, deposition testimony, and courtroom appearances.

Requirements

  • Active Texas medical license (MD/DO)
  • Board certification in Dermatology
  • Minimum 5-10 years clinical experience
  • Strong communication and documentation skills
  • No disciplinary history preferred

Malpractice Insurance: Yes ($2,000-$5,000/year for expert witness coverage)

Where to Find Work

  • SEAK 2024 Fee Study, PhysicianSideGigs

Texas notes: No geographic variation; TX high volume of med-mal cases; Trial testimony $500-650/hr; Deposition $400-550/hr; File review $350-450/hr
Typical start timeline: 4-12 weeks

2.

Healthcare Consulting / Advisory Boards

$275-$550/hr

What You'll Do

Providing strategic advice to healthcare organizations, pharmaceutical companies, medical device manufacturers, or healthcare systems on dermatology-related matters. Work includes participating in advisory boards, clinical strategy development, and market analysis.

Requirements

  • Active Texas medical license (MD/DO)
  • Board certification in Dermatology
  • Minimum 5+ years clinical experience
  • Business acumen and strategic thinking
  • Strong communication skills

Malpractice Insurance: No

Where to Find Work

  • PhysicianSideGigs

Texas notes: Houston/Dallas pharma corridor; TX Medical Center hub for advisory opportunities; Pharma advisory boards $350-550/hr; Expert network calls $275-450/hr; Medical device consulting $300-500/hr
Typical start timeline: 6-12 weeks

3.

AI Training & Annotation

$150-$375/hr

What You'll Do

Healthcare AI companies hire dermatologist professionals to review, annotate, and validate training data for medical AI systems. Work involves dermatology image classification and lesion annotation — tasks like skin lesion classification, dermoscopy annotation, melanoma detection.

Requirements

  • Active clinical background in dermatologist
  • No malpractice insurance needed
  • Computer with reliable internet

Malpractice Insurance: No

Where to Find Work

  • Folio (folioworks.com)
  • Centaur Labs
  • Appen
  • Labelbox

Texas notes: Fully remote — available regardless of state. Pay based on specialty expertise, not location.
Typical start timeline: 1-2 weeks

Getting started: Join the expert community and make a free profile on Folio to browse current dermatologist AI training projects.

4.

Locum Tenens / Per Diem

$180-$320/hr

What You'll Do

Temporary physician positions filling short-term staffing needs at healthcare facilities, ranging from single days to several months. Dermatologists provide general dermatology exams, consultations, and clinical care in established healthcare settings with existing patient populations and support staff.

Requirements

  • Active Texas medical license (MD/DO)
  • Board certification or board eligibility in Dermatology
  • DEA registration
  • Current malpractice insurance or ability to obtain
  • Typically 2+ years clinical experience preferred

Malpractice Insurance: Typically provided by employer

Where to Find Work

  • Barton Associates

Texas notes: Rural West TX/Panhandle +20-30%; Dallas/Houston metro at baseline; Austin/San Antonio slightly below metro avg; Mohs Surgery $280-420/hr; General Derm $180-260/hr; Cosmetic Derm $220-320/hr
Typical start timeline: 2-6 weeks

5.

Chart Review / Utilization Review

$100-$300/hr

What You'll Do

Reviewing patient medical records and charts for quality assurance, utilization review, and medical necessity determinations. Dermatologists assess clinical appropriateness of treatments, diagnoses, and procedures for insurance companies or healthcare organizations.

Requirements

  • Active Texas medical license (MD/DO)
  • Board certification in Dermatology
  • Minimum 3+ years clinical experience
  • Attention to detail and documentation skills
  • Understanding of coding and billing practices

Malpractice Insurance: Typically provided by employer

Where to Find Work

  • PhysicianSideGigs

Texas notes: Remote work; no geographic variation within TX; Prior auth/UM reviews $100-175/hr; Complex surgical case review $200-300/hr; Workers comp/disability $150-250/hr
Typical start timeline: 2-6 weeks

6.

Telemedicine / Telehealth

$110-$200/hr

What You'll Do

Remote dermatology consultations and patient care delivery via digital platforms, including virtual visits, photo-based assessments, and follow-up care. Dermatologists evaluate patients, provide diagnoses, and recommend treatments without in-person examination.

Requirements

  • Active Texas medical license (MD/DO)
  • Board certification in Dermatology preferred
  • State-specific telemedicine registration/compliance
  • DEA registration for prescribing
  • Reliable internet and appropriate technology setup

Malpractice Insurance: Typically provided by employer

Where to Find Work

  • Indeed TX telemedicine listings, ZipRecruiter remote dermatologist, HealthJobsNationwide

Texas notes: No geographic variation (remote); TX large underserved rural areas drive teledermatology demand; Asynchronous store-forward $70-110/encounter; Live video consults $130-200/hr; After-hours +25-35%
Typical start timeline: 3-8 weeks

Common Questions People Ask

Q: What are the highest-paying freelance options for dermatologists in Texas?

A: Based on current market data, the top 3 are: Expert Witness / Medical-Legal Consulting ($350-$650/hr), Healthcare Consulting / Advisory Boards ($275-$550/hr), AI Training & Annotation ($150-$375/hr).

Q: Which freelance options for dermatologists don't require malpractice insurance?

A: 2 options don't require malpractice insurance: Healthcare Consulting / Advisory Boards ($275-$550/hr), AI Training & Annotation ($150-$375/hr). This can save $15-$40K annually compared to options requiring coverage.

Q: Can dermatologists work remotely in Texas?

A: Yes, 5 options are fully or partially remote: Expert Witness / Medical-Legal Consulting ($350-$650/hr), Healthcare Consulting / Advisory Boards ($275-$550/hr), AI Training & Annotation ($150-$375/hr), Chart Review / Utilization Review ($100-$300/hr), Telemedicine / Telehealth ($110-$200/hr).

Q: What Texas license do dermatologists need for freelance work?

A: An active Texas license from Texas Medical Board is required for most clinical freelance options.

Q: How quickly can dermatologists start freelance work?

A: Timeline varies by option: Expert Witness / Medical-Legal Consulting typically takes 4-12 weeks, while Healthcare Consulting / Advisory Boards typically takes 6-12 weeks, while AI Training & Annotation typically takes 1-2 weeks.

Q: What's the pay range for dermatologists doing AI training work?

A: AI training pays $150-$375/hour for dermatologists, varying by experience level and project complexity. No malpractice insurance required.

Getting Started with AI Training

Folio connects Texas dermatologists with frontier research labs and healthcare AI companies looking for clinical expertise. The platform vets AI companies for project quality, handles contracting and payment, and matches projects to your area of expertise.

Typical timeline:
- Application: 3 minutes
- Credential review: 2-3 business days
- Platform orientation: 1 hour
- First project: 3-7 days from application

Current project focus (February 2026): Skin lesion classification, dermoscopy annotation, melanoma detection

Most dermatologists start with 5-10 hours weekly, then scale based on preference. No minimum commitment.

Explore AI Training Opportunities

Questions? Email experts@folioworks.com

Explore Opportunities →

Frequently asked questions

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Do I need malpractice insurance for freelance dermatologist work in Texas?
Can I do freelance work while employed full-time as a dermatologist?
What is AI training for dermatologists, and how does it work?
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How do I get started with freelance dermatologist work in Texas?