H-1B Visa Associate Medical Director Jobs
Associate Medical Director jobs at H-1B visa sponsoring employers require a medical degree plus specialty training, making this role a strong fit for the specialty occupation standard. Employers file a Labor Condition Application and an I-129 petition with USCIS, sponsoring H-1B visa status for an initial three-year period, extendable to six years.
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INTRODUCTION
At Signature Health, our purpose is to provide integrated healthcare for our community specializing in patients with mental illness and/or addiction because we want people to realize their highest potential. If you align with our core values, putting people first, striving for excellence in the work you do each day and have a can do mindset, then Signature Health is the best place for the next step in your rewarding career. As a full-time employee, you will have access to the following employer/employee paid benefits:
- Medical, Dental, Vision, 401k match, HealthJoy - a no cost medical and mental health online resource available Day 1, and much more
- Robust earned paid time off program (PTO)
- Federal Loan Forgiveness Program (available on eligible roles)
- Professional Development Support
ROLE AND RESPONSIBILITIES
Reporting to the Chief Medical Officer and working collaboratively with the Medical Director, Primary Care and Medical Director, Psychiatry, the Associate Medical Director, Integrated Care provides clinical and administrative leadership to support the delivery of integrated, whole-person healthcare across Signature Health. The Associate Medical Director, Integrated Care promotes effective collaboration between primary care, psychiatry, substance use disorder treatment, nursing, and behavioral health teams to improve patient outcomes, access to care, and operational efficiency. This role serves as a clinical leader, consultant, and champion for integrated care models while maintaining a direct patient care practice. The Associate Medical Director, Integrated Care directly supervises assigned medical providers and supports the implementation of evidence-based, patient-centered care models that address both physical and behavioral health needs.
How you’ll succeed:
- Promote a culture of integrated, patient-centered care that supports the coordination of physical health, behavioral health, and substance use treatment services.
- Serve as a clinical resource to providers managing complex patients with co-occurring medical and behavioral health conditions.
- Support development and implementation of evidence-based clinical protocols, workflows, and standards of care that improve integration across service lines.
- Champion collaborative care, population health, and measurement-based care initiatives.
- Effectively manage and oversee the daily objectives of assigned providers.
- Actively monitor provider performance through coaching, mentorship, professional development, and performance review processes.
- Promote provider engagement, retention, and professional growth.
- Assist with recruitment, onboarding, and orientation of new providers.
- Lead and participate in quality improvement initiatives aimed at improving clinical outcomes, patient experience, access, and efficiency.
- Monitor clinical quality indicators, productivity metrics, patient safety events, and operational performance measures.
- Develop and implement corrective action plans when performance concerns are identified.
- Participate in peer review processes, credentialing recommendations, and ongoing quality monitoring activities.
- Identify barriers to effective integration between primary care, psychiatry, behavioral health, and support services.
- Partner with operational and clinical leaders to develop workflows that improve patient access, care coordination, and treatment engagement.
- Support implementation and optimization of integrated care programs and emerging care delivery models.
- Facilitate communication and problem-solving among multidisciplinary teams.
- Participate in strategic planning and departmental initiatives that support organizational goals.
- Contribute to implementation of Signature Health's Quality Improvement Plan and strategic priorities.
- Represent Signature Health in internal committees, external collaborations, and community partnerships as requested.
- Assist with preparation for regulatory, accreditation, and compliance reviews.
- Maintain an active patient care practice as determined by organizational and business needs.
- Provide clinical consultation to physicians, nurse practitioners, physician assistants, behavioral health clinicians, and nursing staff.
- Participate in after-hours call responsibilities and urgent clinical consultation as assigned.
- Ensure clinical documentation complies with organizational, regulatory, and payer requirements.
- May provide telehealth services as needed.
- Promote integrated-care competencies among medical and behavioral health providers.
- Participate in educational activities, case conferences, and provider development initiatives.
- Assist with oversight of student and resident training experiences as requested.
- Other duties as assigned.
BASIC QUALIFICATIONS
- Active and unrestricted Ohio physician license (MD or DO).
- Board Certification in Family Medicine, Internal Medicine, Psychiatry, or a dual-boarded specialty required. Dual board certification in Psychiatry and Family Medicine is strongly preferred.
- DEA registration required.
- American Heart Association (AHA) Basic Life Support (BLS) certification.
- Minimum 5 years of post-training clinical practice experience required.
- Previous leadership, supervisory or administrative experience preferred.
- Experience working within an integrated care setting, Federally Qualified Health Center, Community Mental Health Center, or similar multidisciplinary environment preferred.
- Demonstrated experience managing patients with complex medical, behavioral health, and substance use conditions.
- Strong communication, leadership, relationship-building, and change management skills.
WORKING CONDITIONS
- Work is normally performed in a typical interior/office/clinical work environment.
- While hours of operation are generally standard, flexibility to work evenings and extended hours may be required.
- Requires periods of sitting, standing, telephone, and computer work.
- Hearing: adequate to hear clients or patients in person, over the telephone or through telehealth technology.
- Speaking: adequate to speak to clients or patients in person, over the telephone or through telehealth technology.
- Vision: Visual acuity adequate to perform job duties, including reading information from printed sources and computer screens.
- Physical effort required: occasional lifting and carrying items weighing up to 15 pounds, unassisted.
- Possible exposure to blood borne pathogens while performing job duties.
- Frequent bending, reaching, and repetitive hand movements, standing, walking, squatting and sitting, with some lifting, pushing and pulling exerted regularly throughout a regular workday.
- Sufficient dexterity to operate a PC and other office equipment.
This Success Profile is not an exhaustive list of all functions or requirements that you may be required to perform; you may be required to perform other job-related assignments as requested by your supervisor or the company. You must be able to perform the essential functions of the position satisfactorily; however, if requested, reasonable accommodations may be made to enable you to perform the essential functions of this job, absent undue hardship. Signature Health may revise this Success Profile at any time, with or without advanced notice.
All employees of Signature Health are required to comply with the Signature Health Annual Influenza Vaccination Policy. This policy requires employees to obtain an annual flu vaccination. A medical and/or religious exemption may be submitted for review by the Signature Health Review Committee. Exemption requests are not guaranteed to be approved. Signature Health is a drug-free workplace. After receiving a conditional job offer, all applicants must successfully pass a pre-employment drug screen.
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Associate Medical Director
Verify your credentials meet LCA requirements
Your medical degree and board certification must align with the specific SOC code your employer lists on the LCA. Use O*NET to confirm which credentials map to the Associate Medical Director classification before your employer files with DOL.
Target employers with active H-1B filing history
Search Migrate Mate to identify health systems, pharmaceutical companies, and managed care organizations that have sponsored H-1B petitions for physician leadership roles, so you're applying where the infrastructure already exists.
Clarify multi-site arrangements before the LCA is filed
If your role covers multiple clinical sites or regional offices, each worksite requires its own certified LCA from DOL. Raise this with your prospective employer early, since amending or adding sites after filing creates delays and additional filing cycles.
Use OFLC Wage Search to anchor your salary negotiation
Your employer's LCA must certify a wage at or above the DOL prevailing wage for your specific job zone and location. Run OFLC Wage Search for the relevant SOC code and metropolitan area before your offer letter stage so you're negotiating above that floor.
Prepare dual-intent documentation from day one
Associate Medical Director roles frequently sit on a physician's green card pathway. Because H-1B allows dual intent, you can begin PERM labor certification or an EB-1B extraordinary ability petition without jeopardizing your nonimmigrant status, but your employer needs to initiate that process early.
Account for premium processing when timing matters
USCIS offers premium processing for I-129 petitions, which can reduce adjudication to around 15 business days. If you're transitioning from another status or starting a new role with a fixed clinical start date, confirm with your employer that they'll request premium processing.
H-1B Visa Associate Medical Director: Frequently Asked Questions
Does an Associate Medical Director role qualify as an H-1B specialty occupation?
Yes. Associate Medical Director positions require at minimum a Doctor of Medicine or Doctor of Osteopathic Medicine degree, often combined with board certification in a clinical specialty. That direct degree requirement satisfies USCIS's specialty occupation standard. Employers document this in the I-129 petition by detailing the clinical, regulatory, and research duties that make an advanced medical degree essential to the role.
Which employers sponsor H-1B visas for Associate Medical Directors?
Health systems, integrated delivery networks, pharmaceutical and biotech companies, managed care organizations, and academic medical centers are the most active sponsors for physician leadership roles. You can browse verified H-1B sponsoring employers in Migrate Mate, which surfaces organizations with LCA filing history for medical and clinical management positions, so you're not applying blind.
How does the LCA process work for a multi-site Associate Medical Director role?
DOL requires a separate certified Labor Condition Application for each worksite where you'll spend a meaningful portion of your time. If your role covers a regional hospital network or multiple clinical locations, your employer must file individual LCAs for each address before USCIS can approve the I-129 petition. Confirm the full worksite list with HR before filing begins.
Can I pursue a green card while on H-1B status as an Associate Medical Director?
Yes. H-1B is a dual-intent visa, so pursuing permanent residence doesn't undermine your nonimmigrant status. Many physician leaders in this role pursue an EB-1B outstanding researcher or professor petition, or employer-sponsored PERM labor certification leading to an EB-2 or EB-3 preference category. Starting the green card process early matters if your country of birth has a priority date backlog.
What happens to my H-1B status if I move from one health system to another?
You can transfer your H-1B to a new employer through H-1B portability, provided the new employer files an I-129 petition before your current status expires. You can begin working for the new health system once USCIS receives the petition, without waiting for final approval. The new employer must file a fresh LCA reflecting the new worksite locations and prevailing wage obligations.