Green Card Regional Medical Director Jobs
Regional Medical Director roles qualify for EB-2 or EB-3 green card sponsorship through PERM labor certification, where your employer documents that no equally qualified U.S. worker is available. Health systems and managed care organizations regularly sponsor foreign-trained physicians and clinical leaders for permanent residency, making this one of the more sponsorship-active leadership tracks in U.S. healthcare.
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Get Access To All JobsRegional Medical Director
The Regional Medical Director (RMD) serves as the senior clinical leader responsible for the quality and performance of care delivered to medical group patients within an assigned geographic region. This role oversees both inpatient and ambulatory care, ensuring delivery of high-quality, evidence-based, timely, and cost-effective services.
Key responsibilities include partnering with inpatient physicians, leading interdisciplinary rounds, and proactively managing ambulatory populations to reduce avoidable emergency department visits and hospital utilization. The RMD will drive clinical performance through defined KPIs and lead initiatives that expand safe, high-quality care outside of acute settings.
As the clinical point of contact for the region, this leader collaborates closely with hospital leadership, health plan partners, physicians, and vendors, while influencing care delivery and operational improvements across teams.
Essential Duties & Responsibilities:
- Lead development and implementation of Utilization Management (UM) and Quality Management (QM) policies and procedures
- Establish and apply clinical criteria for authorization and utilization review
- Provide ongoing UM/QM education to medical staff; may serve as committee chair
- Oversee utilization review for ambulatory, inpatient, mental health, and SNF services
- Review utilization data and present recommendations to Medical Staff and leadership committees
- Assign and manage reviews for off-site outpatient services
- Collaborate with Member Services and UM leadership on care management strategies
- Serve on Grievance and Quality Management Committees as needed
- Ensure 24/7 physician coverage for urgent/emergent utilization issues
- Supervise, educate, and support IPA providers
- Act as liaison between the Medical Group and health plans; manage utilization-related communications
- Initiate and oversee corrective action plans when necessary
- Ensure adequate staffing and resources for utilization activities
- Address urgent matters on behalf of committees between meetings
- Maintain current knowledge of clinical standards, health plan requirements, and regulatory guidelines
- Attend required health plan meetings, JOCs, and other leadership forums
- Perform additional duties as assigned
The pay range for this position at commencement of employment is expected to be $250,000 year - $350,000 year; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.
The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.
Details of participation in these benefit plans will be provided if an employee receives an offer of employment.
If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.
As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.
Full Time Position Benefits:
The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.
Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.
Health and Wellness:
- Employer-paid comprehensive medical, pharmacy, and dental for employees
- Vision insurance
- Zero co-payments for employed physician office visits
- Flexible Spending Account (FSA)
- Employer-Paid Life Insurance
- Employee Assistance Program (EAP)
- Behavioral Health Services
Savings and Retirement:
- 401k Retirement Savings Plan
- Income Protection Insurance
Other Benefits:
- Vacation Time
- Company celebrations
- Employee Assistance Program
- Employee Referral Bonus
- Tuition Reimbursement
- License Renewal CEU Cost Reimbursement Program
- Business-casual working environment
- Sick days
- Paid holidays
- Mileage
Qualifications
- Board-certified MD with an unrestricted California medical license and current DEA registration
- Minimum 5 years of clinical practice experience
- At least 2 years of managed care experience within an IPA, HMO, or medical group
- Experience overseeing both inpatient and outpatient clinical care
- Prior leadership or management experience, with demonstrated ability to influence and lead at a senior level
- Experience in Utilization Management (UM), Quality Management (QM), and risk management
- Strong knowledge of clinical best practices across care settings and healthcare operations (finance, IT, and organizational management)
- Proven ability to drive high-value care, balancing quality outcomes and cost efficiency
- Excellent communication, negotiation, and organizational skills
- Strategic, solutions-oriented mindset with the ability to lead quality improvement initiatives
- Strong clinical reputation preferred
- MBA, MPH, or related advanced degree preferred
Compensation: $250,000-$350,000 year
Regional Medical Director
The Regional Medical Director (RMD) serves as the senior clinical leader responsible for the quality and performance of care delivered to medical group patients within an assigned geographic region. This role oversees both inpatient and ambulatory care, ensuring delivery of high-quality, evidence-based, timely, and cost-effective services.
Key responsibilities include partnering with inpatient physicians, leading interdisciplinary rounds, and proactively managing ambulatory populations to reduce avoidable emergency department visits and hospital utilization. The RMD will drive clinical performance through defined KPIs and lead initiatives that expand safe, high-quality care outside of acute settings.
As the clinical point of contact for the region, this leader collaborates closely with hospital leadership, health plan partners, physicians, and vendors, while influencing care delivery and operational improvements across teams.
Essential Duties & Responsibilities:
- Lead development and implementation of Utilization Management (UM) and Quality Management (QM) policies and procedures
- Establish and apply clinical criteria for authorization and utilization review
- Provide ongoing UM/QM education to medical staff; may serve as committee chair
- Oversee utilization review for ambulatory, inpatient, mental health, and SNF services
- Review utilization data and present recommendations to Medical Staff and leadership committees
- Assign and manage reviews for off-site outpatient services
- Collaborate with Member Services and UM leadership on care management strategies
- Serve on Grievance and Quality Management Committees as needed
- Ensure 24/7 physician coverage for urgent/emergent utilization issues
- Supervise, educate, and support IPA providers
- Act as liaison between the Medical Group and health plans; manage utilization-related communications
- Initiate and oversee corrective action plans when necessary
- Ensure adequate staffing and resources for utilization activities
- Address urgent matters on behalf of committees between meetings
- Maintain current knowledge of clinical standards, health plan requirements, and regulatory guidelines
- Attend required health plan meetings, JOCs, and other leadership forums
- Perform additional duties as assigned
The pay range for this position at commencement of employment is expected to be $250,000 year - $350,000 year; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.
The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.
Details of participation in these benefit plans will be provided if an employee receives an offer of employment.
If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.
As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.
Full Time Position Benefits:
The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.
Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.
Health and Wellness:
- Employer-paid comprehensive medical, pharmacy, and dental for employees
- Vision insurance
- Zero co-payments for employed physician office visits
- Flexible Spending Account (FSA)
- Employer-Paid Life Insurance
- Employee Assistance Program (EAP)
- Behavioral Health Services
Savings and Retirement:
- 401k Retirement Savings Plan
- Income Protection Insurance
Other Benefits:
- Vacation Time
- Company celebrations
- Employee Assistance Program
- Employee Referral Bonus
- Tuition Reimbursement
- License Renewal CEU Cost Reimbursement Program
- Business-casual working environment
- Sick days
- Paid holidays
- Mileage
Qualifications
- Board-certified MD with an unrestricted California medical license and current DEA registration
- Minimum 5 years of clinical practice experience
- At least 2 years of managed care experience within an IPA, HMO, or medical group
- Experience overseeing both inpatient and outpatient clinical care
- Prior leadership or management experience, with demonstrated ability to influence and lead at a senior level
- Experience in Utilization Management (UM), Quality Management (QM), and risk management
- Strong knowledge of clinical best practices across care settings and healthcare operations (finance, IT, and organizational management)
- Proven ability to drive high-value care, balancing quality outcomes and cost efficiency
- Excellent communication, negotiation, and organizational skills
- Strategic, solutions-oriented mindset with the ability to lead quality improvement initiatives
- Strong clinical reputation preferred
- MBA, MPH, or related advanced degree preferred
Compensation: $250,000-$350,000 year
See all 56+ Green Card Regional Medical Director Jobs
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Get Access To All JobsTips for Finding Green Card Sponsorship in Regional Medical Director
Verify your degree qualifies for EB-2
Regional Medical Director roles typically require an MD or DO plus administrative experience, which satisfies EB-2 advanced-degree requirements. Confirm your foreign medical credential has been evaluated by a USCIS-recognized credential assessment organization before your employer files.
Target health systems with PERM filing history
Large hospital networks, managed care organizations, and multistate health plans file PERM applications far more frequently than single-site practices. Prioritize employers with dedicated HR immigration teams, as they already understand the DOL's labor certification audit requirements for physician leadership roles.
Use Migrate Mate to filter green-card-sponsoring employers
Search Regional Medical Director openings on Migrate Mate to surface employers with active PERM and I-140 filing history. This cuts the time you spend cold-contacting recruiters at organizations that have never sponsored a permanent resident.
Negotiate PERM sponsorship into your offer letter
Ask for written confirmation that the employer will cover PERM labor certification and I-140 petition costs before signing. Some health systems offer sponsorship only after a probationary period, which can delay your priority date by 12 months or more.
Check the prevailing wage before accepting a salary offer
DOL requires your employer to pay at least the prevailing wage for the role and location before PERM can be certified. Run the job title and geographic area through the OFLC Wage Search to confirm the offered compensation meets or exceeds the required wage level.
Understand how country of birth affects your green card timeline
EB-2 and EB-3 backlogs vary significantly by country of birth, not citizenship. Nationals of India and China often face multi-year waits even after I-140 approval, so your employer's PERM filing date, not your job start date, determines your place in the queue.
Green Card Regional Medical Director: Frequently Asked Questions
Does a Regional Medical Director role qualify for EB-2 or EB-3 sponsorship?
Most Regional Medical Director positions qualify for EB-2 because they require an MD, DO, or equivalent advanced degree plus significant clinical leadership experience. If the role is framed more broadly or the employer files under EB-3, the skilled worker category applies. Your employer's immigration counsel determines which category fits the specific job description and minimum requirements documented in the PERM application.
How does PERM green card sponsorship differ from H-1B for this role?
H-1B visa status is temporary, subject to an annual cap and lottery, and must be renewed every three years. PERM-based green card sponsorship leads to permanent residency with no renewal cycle and no lottery. For Regional Medical Director candidates, this distinction matters because leadership roles in health systems often require long-term planning horizons that H-1B's uncertainty makes difficult for both the employer and the sponsored professional.
How long does the PERM process take for a Regional Medical Director position?
The PERM labor certification phase currently takes six to twelve months at DOL, followed by the I-140 petition at USCIS. If your country of birth has no visa backlog in the EB-2 or EB-3 category, adjustment of status or consular processing can follow relatively quickly. Nationals from backlogged countries may wait additional years after I-140 approval before a visa number becomes available.
Where can I find Regional Medical Director jobs that offer green card sponsorship?
Migrate Mate lets you search Regional Medical Director openings filtered by employers with documented PERM and employment-based green card filing history. This is more reliable than filtering by self-reported 'visa sponsorship' checkboxes on general job boards, which often include only H-1B and exclude PERM-specific sponsorship commitments.
Can a Regional Medical Director employer sponsor me if I'm currently on H-1B status?
Yes. Employers routinely initiate PERM labor certification while you remain on H-1B status. Your H-1B and the PERM process run concurrently, so there is no need to choose between maintaining current work authorization and beginning the permanent residency path. Once your I-140 is approved, you may also qualify to extend your H-1B beyond the standard six-year limit under AC21 portability rules.