Medical Director Jobs in North Carolina
Medical Director jobs in North Carolina are in strong demand, concentrated in health system leadership, managed care, behavioral health, and public health organizations, with openings at every level from first-time clinical directors to senior executive roles overseeing regional operations. The heaviest hiring is in Charlotte, Raleigh-Durham, and Greensboro, where large employers like Atrium Health, UNC Health, and Novant Health maintain substantial operations. The most consistently sought specialties include population health management, utilization review, and behavioral health leadership. Find a role that fits below and apply directly.
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Medical Director & Skilled Nursing Facility Primary Care Physician (MD/DO)
Location: Walnut Cove, NC
Position Type: W2 | Part-Time | Flexible Schedule
Specialties: Internal Medicine, Family Medicine, Geriatrics, Emergency Medicine
Practice Setting: Skilled Nursing Facilities (Post-Acute & Long-Term Care)
Position Overview
We are seeking a compassionate and motivated Physician (MD/DO) to join our team in a dual-role position providing on-site primary care services within skilled nursing facilities while serving as Medical Director. This role includes fully funded participation in Certified Medical Director (CMD) training, offering an excellent pathway into clinical leadership.
This opportunity is ideal for physicians seeking a flexible and predictable schedule while continuing their existing practice. Providers benefit from strong clinical support, manageable patient volume, and meaningful leadership development opportunities within post-acute and long-term care medicine.
Why Join Us
- Uncapped RVU-based compensation for clinical services
- Separate fixed Medical Director stipend
- Predictable and manageable patient volume
- Strong NP/PA support for routine and regulatory care
- Billable telehealth encounters performed by physicians or APPs
- Fully funded Certified Medical Director (CMD) training
- No administrative overhead or practice management burden
- Opportunity to maintain your current practice while expanding locally
- Structured workflows designed to support provider efficiency and work-life balance
Clinical Responsibilities
- Provide on-site primary care services to residents in skilled nursing facilities
- Assess and manage acute and chronic medical conditions
- Evaluate residents experiencing significant changes in condition
- Collaborate with interdisciplinary care teams and facility leadership
- Supervise and support NP/PA clinicians delivering routine and regulatory visits
- Participate in quality improvement and patient care initiatives
After-Hours Coverage
- Participate in a structured and predictable after-hours call schedule
- Manage urgent clinical issues through telehealth coverage
- Telehealth encounters are provider-delivered and billable
- Call volume is well-supported and designed to remain manageable
Medical Director Responsibilities & CMD Training
Physicians in this role will also function as Medical Director for assigned skilled nursing facilities while receiving sponsored Certified Medical Director (CMD) training.
Areas of leadership development include:
- Quality Assurance & Performance Improvement (QAPI)
- Regulatory compliance and survey readiness
- Interdisciplinary team leadership
- Skilled nursing facility operations and best practices
CMD certification is not required to begin. All training expenses are fully funded.
Compensation
Clinical Services
- Uncapped RVU-based compensation
- Supported by stable and predictable visit volume
- Competitive earnings from both on-site and provider-delivered telehealth services
Medical Director Role
- Separate fixed monthly stipend
- Not RVU-based
- Not dependent on facility census
- Consistently paid regardless of visit volume
Additional Support
- No overhead expenses
- EHR platform, telehealth tools, and administrative support provided
Support & Infrastructure
- Dedicated NP/PA clinical support team
- Administrative coordination and scheduling assistance
- Company-provided EHR and telehealth platforms
- Streamlined workflows to minimize provider burden
Qualifications
- MD or DO degree required
- Board Certified or Board Eligible in one of the following:
- Internal Medicine
- Family Medicine
- Geriatrics
- Emergency Medicine
- Active Kentucky medical license (or ability to obtain)
- Interest in post-acute care, leadership development, and community-based medicine
Benefits & Perks
We offer a flexible and comprehensive benefits package designed to support professional growth, financial wellness, and work-life balance.
Available to All Employees (Part-Time & Full-Time)
- Flexible scheduling and work-life balance
- Hybrid model combining in-person care with virtual charting
- Company-provided equipment, including a Microsoft Surface Pro tablet with accessories
- Mileage reimbursement in accordance with company travel policy
- Company-branded merchandise
Professional & Clinical Support
- Occurrence-based malpractice coverage with $1M/$3M limits
- Annual $1,000 allowance for CEUs, licensure, and professional development
- Additional professional growth and leadership support
Full-Time Benefits
(Available to employees working 30+ hours/week following eligibility period)
Health & Retirement
- 401(k) retirement plan through Nationwide
- Medical and prescription coverage through Blue Cross Blue Shield
- Dental and vision insurance through UnitedHealthcare
Voluntary Benefits (through Aflac)
- Life and AD&D insurance
- Short-term disability coverage
- Accident insurance
- Hospital indemnity coverage
- Critical illness coverage
- Voluntary life insurance options
Paid Time Off & Holidays
- PTO starting at 15 days annually
- Six paid holidays:
- New Year’s Day
- Memorial Day
- Independence Day
- Labor Day
- Thanksgiving Day
- Christmas Day
Equal Employment Opportunity
Telos Health Systems is committed to providing equal employment opportunities to all employees and applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity or expression, age, disability, marital status, genetic information, veteran status, or any other protected status in accordance with applicable federal, state, and local laws.
See All 83 Medical Director Jobs in North Carolina
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Find Medical Director JobsMedical Director Jobs by City in North Carolina
Where North Carolina roles are concentrated, by current openings.
Medical Director Job Market in North Carolina
A snapshot from current North Carolina openings, updated as new roles post.
Who's Hiring



Top Industries Hiring
- Animal Care & Pet Services
- Healthcare & Medical Services
- Insurance
- Social Media
- Science & Research
What North Carolina Employers Look For
The qualifications that appear most often in medical director jobs across North Carolina.
- Active North Carolina medical license issued by the North Carolina Medical Board required
- MD or DO degree from an accredited medical school is required for all positions
- Board certification in a relevant specialty is required or strongly preferred by most employers
- Minimum of several years of clinical practice experience in addition to leadership responsibilities
- Demonstrated experience managing clinical teams, quality metrics, or utilization programs
- Familiarity with North Carolina regulatory environment, Medicaid policy, and compliance standards
Medical Director Jobs in North Carolina: Frequently Asked Questions
How do you become a medical director in North Carolina?
To become a medical director in North Carolina, you must hold an active medical license issued by the North Carolina Medical Board, which requires completing an accredited MD or DO program, passing the required medical licensing examinations, and maintaining ongoing continuing education. Most employers also expect board certification in a relevant specialty. From there, candidates typically move into medical director roles after gaining clinical experience and taking on leadership responsibilities such as department chair, associate medical director, or physician lead positions.
Which companies hire medical directors in North Carolina?
Employers hiring medical directors in North Carolina right now include Duke Health, UNC Health, and VCA Animal Hospitals, based on current listings on Migrate Mate as of October 2026. North Carolina's concentration of large integrated health systems, academic medical centers, and managed care organizations means medical director demand remains consistent across both clinical and administrative settings throughout the state.
Which North Carolina cities have the most medical director jobs?
Durham, Raleigh, and Charlotte have the most medical director openings in North Carolina. Charlotte and Raleigh-Durham lead because they are home to the state's largest health systems and academic medical centers, which generate sustained demand for both clinical and administrative medical director roles, while Greensboro and other Triad-area cities contribute openings tied to regional hospital networks and managed care organizations serving central North Carolina.
Are there remote medical director jobs in North Carolina?
Yes, but they are less common than in purely desk-based fields, since many medical director roles require on-site clinical oversight, rounding, or in-person leadership. About 59% of medical director openings tied to North Carolina are remote or hybrid as of October 2026. The roles most likely to be fully remote are those focused on utilization management, population health, insurance medical review, or telehealth program oversight rather than direct facility leadership.
How can I get hired as a medical director in North Carolina with little or no experience?
The most realistic entry path is moving laterally from a senior clinical or department lead role into an associate or assistant medical director position, which large North Carolina health systems like UNC Health and Atrium Health commonly post as stepping stones. Physicians in hospitalist, quality improvement, or care management roles are well positioned to make this transition. Completing a physician leadership development program, earning a healthcare management credential, or taking on a medical staff committee chair role strengthens a candidate's profile significantly.
Where can I find and apply to medical director jobs in North Carolina?
You can find and apply to medical director jobs in North Carolina on Migrate Mate, which lists current openings from employers hiring in the state right now. Search the available roles, find the ones that match your background and location, and apply directly to the positions that fit.
See All 83 Medical Director Jobs in North Carolina
Find roles in North Carolina that match your experience and apply in just a few clicks.
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