H-1B Visa Regional Medical Director Jobs
Regional Medical Director roles qualify as H-1B specialty occupations under USCIS guidelines, requiring at least a medical degree plus active U.S. licensure. Health systems, managed care organizations, and multisite clinic operators regularly sponsor H-1B petitions for this role, covering both initial cap-subject filings and cap-exempt positions at nonprofit hospitals.
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Get Access To All JobsAbout Waymark
Waymark is a mission-driven team of healthcare providers, technologists, and builders working to transform care for people with Medicaid benefits. We partner with communities to deliver technology-enabled, human-centered support that helps patients stay healthy and thrive. We're designing tools and systems that bring care directly to those who need it most—removing barriers and reimagining what's possible in Medicaid healthcare delivery.
Our Values
At Waymark, our values are the foundation of how we work, grow, and support one another:
Bold Builders: We tackle the toughest challenges in care delivery by harnessing the power of community and technology.
Humble Learners: We seek feedback, embrace diverse perspectives, and welcome challenges to our assumptions.
Experiment to Improve: We use data to inform decisions and continuously assess our performance.
Focused Urgency: Our mission drives us to act swiftly and relentlessly in pursuit of meaningful results.
If this resonates with you, we invite you to bring your creativity, energy, and curiosity to Waymark.
About This Role
You will be the second Medical Lead on a interdisciplinary population health team, serving as a primary clinical supervisor and educator for Waymark's Midwest and West Coast markets. Over the next 18 months, you will help clinically oversee our AI-augmented care navigation platform for Medicaid populations—reviewing and triaging patient escalations in real time, alternating monthly care delivery education sessions with your co-Medical Lead, and conducting weekly multidisciplinary rounds across your regional care teams.
You will also share rotating on-call coverage for urgent after-hours escalations (these are rare) and serve as Waymark's clinical face to the health system and health plan clinical leadership in your markets.
This role sits at the intersection of clinical rigor, health technology, and community-based care. You will supervise licensed behavioral health clinicians (LCSW/LMFT), advanced practice pharmacists and pharmacy technicians, and advise community health workers and care coordinators—and you will need to be as comfortable discussing motivational interviewing with a CHW as you are presenting outcomes data to a health plan CMO.
Key Responsibilities
- Conduct weekly multidisciplinary rounds with Midwest and West Coast care teams, reviewing patient goals, complex medical and social situations, and providing clinical oversight and outcome-improvement strategies.
- Serve as the designated reviewer and triaging physician for COMPASS patient escalations as they enter the queue, applying clinical judgment to prioritize and direct AI-flagged cases to appropriate next steps.
- Alternate monthly care delivery education sessions with co-Medical Lead, developing and facilitating case-based learning (e.g., SUD management, integrated behavioral health, heart failure, steroid-induced hyperglycemia, functional seizures) for CHWs, care coordinators, pharmacists, and therapists.
- Provide asynchronous and synchronous clinical supervision to licensed therapists (LCSW/LMFT) and pharmacist teams, including time-sensitive escalations such as acutely suicidal or medically unstable patients.
- Rotate on-call coverage with co-Medical Lead for rare after-hours urgent clinical escalations and questions from field teams.
- Serve as the clinical dyad partner for regional operations leads, supporting market performance against quality, HEDIS, and outcomes OKRs.
- Represent Waymark at regional and national meetings with health system and health plan physician leadership, including presentations to MCO and FQHC Chief Medical Officers on Waymark's care model and COMPASS platform.
- Maintain current knowledge of clinical best practices across primary care, integrated behavioral health, street medicine, and population health, and contribute to quarterly clinical guideline reviews.
Minimum Qualifications
- Medical degree (MD/DO) and active medical license in any U.S. state, in good standing; willingness to obtain licensure in additional states as needed.
- 3-5+ years of primary care practice beyond residency, with substantive experience in safety-net, FQHC, street medicine, or overnight/urgent triage settings.
- Board certification in family medicine, internal medicine, med-peds, or emergency medicine with active maintenance of certification.
- Demonstrated experience supervising multidisciplinary teams inclusive of non-clinical staff (CHWs, care coordinators) and licensed clinicians (PharmD, LCSW/LMFT).
- Competency in integrated behavioral health, substance use/addiction medicine, and care of people experiencing homelessness or housing instability.
- Genuine interest in health technology and AI-assisted care delivery; comfortable working in an agile product development startup environment with evolving tools and workflows.
Preferred Qualifications
- Experience in Medicaid managed care, value-based care contracting, or population health programs.
- Familiarity with SMS-based or asynchronous digital health platforms and clinical oversight workflows.
- Experience presenting clinical data or care model performance to external physician or executive audiences (e.g., health plan CMOs, FQHC medical directors).
- Background in clinical quality improvement, HEDIS measurement, or care model design.
- 2+ years in a health tech company or startup environment.
Hiring Range Salary
$207,000 – $267,000
Compensation will be based on, but not limited to, the factors listed above.
In addition to salary, we offer a comprehensive benefits package. Here's what you can expect:
Stock Options: Opportunity to invest in the company's growth.
Work-from-Home Stipend: A dedicated stipend for your first year to help set up your home office.
Medical, Vision, and Dental Coverage: Comprehensive plans to keep you and your family healthy.
Life Insurance: Basic life insurance to give you peace of mind.
Paid Time Off: 20 vacation days, accrued over the year, plus 11 paid holidays.
Parental Leave: 16 weeks of paid leave for birthing parents after six months of employment, and 8 weeks of bonding leave for non-birthing parents.
Retirement Savings: Access to a 401(k) plan with a company contribution, subject to a vesting schedule.
Commuter Benefits: Convenient options to support your commute needs.
Professional Development Stipend: A dedicated stipend supports professional development and growth.
Offer of employment is contingent upon successful completion of a background check.
Don't check off every box in the requirements listed above? Please apply anyway! Studies have shown that some of us may be less likely to apply to jobs unless we meet every single qualification. Waymark is dedicated to building a supportive, equal opportunity, and accessible workplace that fosters a sense of belonging – so if you're excited about this role but your past experience doesn't align perfectly with every preferred qualification in the job description, we encourage you to still consider submitting an application. You may be just the right candidate for this role or another one of our openings!
About Waymark
Waymark is a mission-driven team of healthcare providers, technologists, and builders working to transform care for people with Medicaid benefits. We partner with communities to deliver technology-enabled, human-centered support that helps patients stay healthy and thrive. We're designing tools and systems that bring care directly to those who need it most—removing barriers and reimagining what's possible in Medicaid healthcare delivery.
Our Values
At Waymark, our values are the foundation of how we work, grow, and support one another:
Bold Builders: We tackle the toughest challenges in care delivery by harnessing the power of community and technology.
Humble Learners: We seek feedback, embrace diverse perspectives, and welcome challenges to our assumptions.
Experiment to Improve: We use data to inform decisions and continuously assess our performance.
Focused Urgency: Our mission drives us to act swiftly and relentlessly in pursuit of meaningful results.
If this resonates with you, we invite you to bring your creativity, energy, and curiosity to Waymark.
About This Role
You will be the second Medical Lead on a interdisciplinary population health team, serving as a primary clinical supervisor and educator for Waymark's Midwest and West Coast markets. Over the next 18 months, you will help clinically oversee our AI-augmented care navigation platform for Medicaid populations—reviewing and triaging patient escalations in real time, alternating monthly care delivery education sessions with your co-Medical Lead, and conducting weekly multidisciplinary rounds across your regional care teams.
You will also share rotating on-call coverage for urgent after-hours escalations (these are rare) and serve as Waymark's clinical face to the health system and health plan clinical leadership in your markets.
This role sits at the intersection of clinical rigor, health technology, and community-based care. You will supervise licensed behavioral health clinicians (LCSW/LMFT), advanced practice pharmacists and pharmacy technicians, and advise community health workers and care coordinators—and you will need to be as comfortable discussing motivational interviewing with a CHW as you are presenting outcomes data to a health plan CMO.
Key Responsibilities
- Conduct weekly multidisciplinary rounds with Midwest and West Coast care teams, reviewing patient goals, complex medical and social situations, and providing clinical oversight and outcome-improvement strategies.
- Serve as the designated reviewer and triaging physician for COMPASS patient escalations as they enter the queue, applying clinical judgment to prioritize and direct AI-flagged cases to appropriate next steps.
- Alternate monthly care delivery education sessions with co-Medical Lead, developing and facilitating case-based learning (e.g., SUD management, integrated behavioral health, heart failure, steroid-induced hyperglycemia, functional seizures) for CHWs, care coordinators, pharmacists, and therapists.
- Provide asynchronous and synchronous clinical supervision to licensed therapists (LCSW/LMFT) and pharmacist teams, including time-sensitive escalations such as acutely suicidal or medically unstable patients.
- Rotate on-call coverage with co-Medical Lead for rare after-hours urgent clinical escalations and questions from field teams.
- Serve as the clinical dyad partner for regional operations leads, supporting market performance against quality, HEDIS, and outcomes OKRs.
- Represent Waymark at regional and national meetings with health system and health plan physician leadership, including presentations to MCO and FQHC Chief Medical Officers on Waymark's care model and COMPASS platform.
- Maintain current knowledge of clinical best practices across primary care, integrated behavioral health, street medicine, and population health, and contribute to quarterly clinical guideline reviews.
Minimum Qualifications
- Medical degree (MD/DO) and active medical license in any U.S. state, in good standing; willingness to obtain licensure in additional states as needed.
- 3-5+ years of primary care practice beyond residency, with substantive experience in safety-net, FQHC, street medicine, or overnight/urgent triage settings.
- Board certification in family medicine, internal medicine, med-peds, or emergency medicine with active maintenance of certification.
- Demonstrated experience supervising multidisciplinary teams inclusive of non-clinical staff (CHWs, care coordinators) and licensed clinicians (PharmD, LCSW/LMFT).
- Competency in integrated behavioral health, substance use/addiction medicine, and care of people experiencing homelessness or housing instability.
- Genuine interest in health technology and AI-assisted care delivery; comfortable working in an agile product development startup environment with evolving tools and workflows.
Preferred Qualifications
- Experience in Medicaid managed care, value-based care contracting, or population health programs.
- Familiarity with SMS-based or asynchronous digital health platforms and clinical oversight workflows.
- Experience presenting clinical data or care model performance to external physician or executive audiences (e.g., health plan CMOs, FQHC medical directors).
- Background in clinical quality improvement, HEDIS measurement, or care model design.
- 2+ years in a health tech company or startup environment.
Hiring Range Salary
$207,000 – $267,000
Compensation will be based on, but not limited to, the factors listed above.
In addition to salary, we offer a comprehensive benefits package. Here's what you can expect:
Stock Options: Opportunity to invest in the company's growth.
Work-from-Home Stipend: A dedicated stipend for your first year to help set up your home office.
Medical, Vision, and Dental Coverage: Comprehensive plans to keep you and your family healthy.
Life Insurance: Basic life insurance to give you peace of mind.
Paid Time Off: 20 vacation days, accrued over the year, plus 11 paid holidays.
Parental Leave: 16 weeks of paid leave for birthing parents after six months of employment, and 8 weeks of bonding leave for non-birthing parents.
Retirement Savings: Access to a 401(k) plan with a company contribution, subject to a vesting schedule.
Commuter Benefits: Convenient options to support your commute needs.
Professional Development Stipend: A dedicated stipend supports professional development and growth.
Offer of employment is contingent upon successful completion of a background check.
Don't check off every box in the requirements listed above? Please apply anyway! Studies have shown that some of us may be less likely to apply to jobs unless we meet every single qualification. Waymark is dedicated to building a supportive, equal opportunity, and accessible workplace that fosters a sense of belonging – so if you're excited about this role but your past experience doesn't align perfectly with every preferred qualification in the job description, we encourage you to still consider submitting an application. You may be just the right candidate for this role or another one of our openings!
See all 40+ Regional Medical Director jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Regional Medical Director roles.
Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Regional Medical Director
Verify your licensure covers all employer states
Your H-1B petition must reflect the states where you'll actually practice. If the role spans multiple states, confirm you hold active medical licenses in each before your employer files the LCA, since unlicensed practice states can trigger an RFE.
Target cap-exempt health systems first
Nonprofit hospitals and federally qualified health centers are cap-exempt under INA Section 214(i), so they can file your H-1B petition any time of year. You skip the April lottery entirely, which matters for director-level roles with delayed hiring timelines.
Cross-reference the LCA wage level against OFLC Wage Search
Regional Medical Directors are typically classified at DOL wage Level III or IV. Pull the OFLC Wage Search for your employer's specific MSA before signing an offer to confirm the LCA wage matches your seniority and supervisory scope.
Use Migrate Mate to find verified H-1B sponsors
Search Migrate Mate by occupation and region to surface employers with active LCA filing history for medical director roles. This filters out companies that list the title but have no documented H-1B sponsorship track record in healthcare leadership.
Request premium processing before your start date
USCIS offers 15-business-day adjudication through premium processing on Form I-907. For a Regional Medical Director transitioning from another employer mid-year, premium processing protects your start date if the standard track runs long during peak filing periods.
Confirm the SOC code matches your supervisory duties
Employers sometimes file LCAs under a general physician SOC code rather than the medical and health services manager classification. Review the O*NET occupation profile for your role's supervisory and administrative duties to ensure the SOC code on your LCA accurately reflects the position.
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Find Regional Medical Director JobsRegional Medical Director H-1B Visa: Frequently Asked Questions
Does a Regional Medical Director role qualify as an H-1B specialty occupation?
Yes. USCIS requires that a specialty occupation demand at least a bachelor's degree or its equivalent in a specific field. Regional Medical Director positions require a medical degree plus clinical experience and management competencies, clearing the specialty occupation threshold. Employers document this by attaching the job description and your credentials to the I-129 petition.
How does multi-state practice affect my H-1B petition as a Regional Medical Director?
If your role requires overseeing facilities in multiple states, your employer must file a separate LCA for each state where you'll work more than 60 workdays per year. Each LCA must reflect the prevailing wage for that state's metropolitan area. Your I-129 petition then lists all certified LCAs covering each work location.
Can a nonprofit hospital sponsor my H-1B without the lottery?
Yes. Nonprofit hospitals and federally qualified health centers are cap-exempt employers under the Immigration and Nationality Act, meaning they can file H-1B petitions outside the annual 85,000-cap and the April registration period. This makes them preferred sponsors for Regional Medical Director candidates who need a predictable hiring timeline.
How do I find health systems actively sponsoring H-1B visas for this role?
Migrate Mate lets you filter by occupation and employer to surface companies with verified H-1B LCA filing history in healthcare leadership. DOL labor condition application data shows which health systems have filed for medical director-level positions, giving you a concrete list to target rather than guessing from job postings alone.
What happens to my H-1B status if I move from one health system to another in this role?
H-1B portability under AC21 lets you start working for a new employer as soon as they file a new I-129 petition, provided your existing H-1B has been approved for at least 180 days and the new role is in the same or a similar occupational classification. Your new employer still files a fresh LCA before submitting the I-129 to USCIS.
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