Regional Medical Director Jobs for OPT Students
Regional Medical Director jobs are available to F-1 OPT students with a medical degree and relevant clinical or administrative experience. Most roles require STEM OPT extension eligibility or active H-1B sponsorship intent, as the 12-month standard OPT window is rarely sufficient for this senior-level position.
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You Belong Here.
At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve.
FTE: 1.0, Shift: Days, Schedule: M-F
this full-time position is a split of clinical and administrative
FM Clinical .60 FTE Salary Min $175,560.00 - Salary Max $186,600.00 Base plus model
Admin .40 FTE Salary Min $96,000 - Salary Max $136,800 based on a .40 FTE
Contact Shelly Loucks at shelly.loucks@multicare.org to learn more!
Position Summary
The Regional Medical Director (RMD), Primary Care (PC) has direct responsibility, in conjunction with leadership personnel within MultiCare Medical Partners (MMP), for the operational, clinical, and financial performance for a service line or group of related care lines within a region that make up a clinical division. In partnership with the Service Line Assistant Vice President (AVP), the RMD provides administrative medical leadership for clinical and business planning, expansion of growth and access, clinical performance, and quality outcomes.
The RMD works to manage the functions of Primary Care to ensure performance to strategic and operational objectives delineated by MMP and MultiCare Health System (MHS) leadership. The RMD works collaboratively with MHS and MMP leadership, providing supervision and oversight of the Site Medical Managers (SMMs), physicians and advanced practice providers in Primary Care.
Principle Accountabilities:
- Positively contributes to organizational culture, leading in alignment with organizational mission, vision, and values.
- The RMD demonstrates operational excellence in dyad partnership with the Service Line AVP in the areas of fiscal access to care, patient experience, quality improvement, clinical outcomes, and employee and physician/APP engagement. The RMD is responsible for leading initiatives in care delivery, clinical quality, and performance improvement, to meet organizational objectives.
- Holds providers and other caregivers accountable to performance expectations and goals, serving to support escalations as needed from the Site Medical Manager (SMM).
- Partners with dyad (AVP) in the development of and adherence to annual budgets, call schedules, clinic coverage, coding and documentation, patient grievances, and staff interactions.
- Collaborates and coordinates Division outreach activities both internally and externally as needed under the direction of the MMP Executive Medical Director (EMD) or Chief Medical Officer (CMO).
- Assists the EMD and/or CMO in managing the structure of the employed medical staff including supporting medical staff recruitment programs designed to recruit additional providers to the System’s service area.
- In close collaboration with MMP leaders, the RMD is accountable, from a clinical leadership perspective, to explain various rationales and performance plans to achieve the outcomes necessary to achieve MHS Strategies including:
- Clinical performance that supports System Performance Objectives.
- Appropriate adherence to MMP and MHS cultural, behavioral, administrative, and clinical standards.
- Operational performance necessary to achieve the Quadruple Aim (Better Experience of Care, Better Health for Populations, Lower per Capita Cost and Provider Professional Fulfillment).
- Financial performance required for sustainability.
- Opportunities for improvement or new Clinical Initiatives.
- Opportunities for “bright spot” or other methodologies to communicate rapid cycle process improvement successes.
- Employee, physician/APP and patient engagement.
Care Line Specific Responsibilities:
For clarification purposes, in the role as Regional Medical Director, it is expected that the Physician will attend meetings to discuss operational issues, planning or execution of initiatives to enhance performance, safety or quality initiatives which are specific to his/her administrative role, where such attendance shall be compensated at the rate set forth above. It is assumed that the physician, as a Medical Staff member, would attend relevant Medical Staff meetings that relate to his/her provision of professional services at Hospital regardless of whether or not Physician served as Regional Medical Director; consequently, the Medical Director shall not be compensated for routine attendance at such meetings. Medical Staff meetings that will not be routinely compensated for under this Agreement include meetings such as department meetings, Special Peer Review meetings, QRM Committee, Medical Executive Committee, Credentials Committee, General Staff meetings, Medical Staff townhalls, and official Board of Directors meetings and subcommittee meetings. A list of activities that generally qualify, or do not qualify, for Medical Director payment is included below:
Qualifying Activities:
- Department-specific quality improvement activities and meetings.
- Operations activities and meetings.
- Supply management activities and meetings.
- Patient experience activities and meetings.
- Clinical protocol/evidence-based care development.
- Electronic medical record implementation and optimization work, and similar work on other IT implementation projects that require physician participation.
- Strategic planning.
- Physician mentoring and proctoring.
- Presentation time and presentation prep time for items presented at Medical Staff meetings or other network forums.
- Participation in network-wide collaborative meetings.
- E-mail/verbal communication time devoted to the Medical Director role (must be documented).
Non-Qualifying Activities:
- Routine participation in meetings (department meetings, department division meetings, Medical Executive Committee, General Medical Staff, clinic/practice meetings) where attendance would be expected for any practicing physician. The exception to this is if the Site Medical Manager is, as part of their role, preparing information for the meeting or presenting information for such meeting.
- Continuing Medical Education (CME) activities, including CME conference attendance and self-directed professional education reading, unless activity is explicitly requested and approved in advance.
- Local, state, and national medical society meetings.
- Clinical activities, unless participating in a mentoring/proctoring role specifically related to Site Medical Manager duties.
- Research/academic activities, unless specifically related to SMM goals and duties, and pre-approved by Administrator with oversight accountability.
REQUIREMENTS
- Graduate of an accredited medical school (MD or DO).
- Licensure to practice medicine in Washington State as a Physician.
- Board certification or similar accreditation in Internal Medicine, Family Medicine or Pediatrics.
- Two (2) years of clinical practice experience preferred.
- Formal leadership training and experience preferred.
- Prior management/leadership or directorship roles in hospital, managed care and/or medical group practice preferred.
Why MultiCare?
- Rooted in the local community – Partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years
- Growth and education – Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in your future
- Well-being and support – Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared for at work and in life
- Living our values – Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other
- Belonging for all – Employee Resource Groups, inclusion initiatives and outreach programs support a workplace where every voice is valued
- Pacific Northwest lifestyle – Work and live where natural beauty, adventure and strong community connections are part of everyday life
Pay and Benefit Expectations
We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $240,000.00 - $342,000.00 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align.
Associated benefit information can be viewed here.

You Belong Here.
At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve.
FTE: 1.0, Shift: Days, Schedule: M-F
this full-time position is a split of clinical and administrative
FM Clinical .60 FTE Salary Min $175,560.00 - Salary Max $186,600.00 Base plus model
Admin .40 FTE Salary Min $96,000 - Salary Max $136,800 based on a .40 FTE
Contact Shelly Loucks at shelly.loucks@multicare.org to learn more!
Position Summary
The Regional Medical Director (RMD), Primary Care (PC) has direct responsibility, in conjunction with leadership personnel within MultiCare Medical Partners (MMP), for the operational, clinical, and financial performance for a service line or group of related care lines within a region that make up a clinical division. In partnership with the Service Line Assistant Vice President (AVP), the RMD provides administrative medical leadership for clinical and business planning, expansion of growth and access, clinical performance, and quality outcomes.
The RMD works to manage the functions of Primary Care to ensure performance to strategic and operational objectives delineated by MMP and MultiCare Health System (MHS) leadership. The RMD works collaboratively with MHS and MMP leadership, providing supervision and oversight of the Site Medical Managers (SMMs), physicians and advanced practice providers in Primary Care.
Principle Accountabilities:
- Positively contributes to organizational culture, leading in alignment with organizational mission, vision, and values.
- The RMD demonstrates operational excellence in dyad partnership with the Service Line AVP in the areas of fiscal access to care, patient experience, quality improvement, clinical outcomes, and employee and physician/APP engagement. The RMD is responsible for leading initiatives in care delivery, clinical quality, and performance improvement, to meet organizational objectives.
- Holds providers and other caregivers accountable to performance expectations and goals, serving to support escalations as needed from the Site Medical Manager (SMM).
- Partners with dyad (AVP) in the development of and adherence to annual budgets, call schedules, clinic coverage, coding and documentation, patient grievances, and staff interactions.
- Collaborates and coordinates Division outreach activities both internally and externally as needed under the direction of the MMP Executive Medical Director (EMD) or Chief Medical Officer (CMO).
- Assists the EMD and/or CMO in managing the structure of the employed medical staff including supporting medical staff recruitment programs designed to recruit additional providers to the System’s service area.
- In close collaboration with MMP leaders, the RMD is accountable, from a clinical leadership perspective, to explain various rationales and performance plans to achieve the outcomes necessary to achieve MHS Strategies including:
- Clinical performance that supports System Performance Objectives.
- Appropriate adherence to MMP and MHS cultural, behavioral, administrative, and clinical standards.
- Operational performance necessary to achieve the Quadruple Aim (Better Experience of Care, Better Health for Populations, Lower per Capita Cost and Provider Professional Fulfillment).
- Financial performance required for sustainability.
- Opportunities for improvement or new Clinical Initiatives.
- Opportunities for “bright spot” or other methodologies to communicate rapid cycle process improvement successes.
- Employee, physician/APP and patient engagement.
Care Line Specific Responsibilities:
For clarification purposes, in the role as Regional Medical Director, it is expected that the Physician will attend meetings to discuss operational issues, planning or execution of initiatives to enhance performance, safety or quality initiatives which are specific to his/her administrative role, where such attendance shall be compensated at the rate set forth above. It is assumed that the physician, as a Medical Staff member, would attend relevant Medical Staff meetings that relate to his/her provision of professional services at Hospital regardless of whether or not Physician served as Regional Medical Director; consequently, the Medical Director shall not be compensated for routine attendance at such meetings. Medical Staff meetings that will not be routinely compensated for under this Agreement include meetings such as department meetings, Special Peer Review meetings, QRM Committee, Medical Executive Committee, Credentials Committee, General Staff meetings, Medical Staff townhalls, and official Board of Directors meetings and subcommittee meetings. A list of activities that generally qualify, or do not qualify, for Medical Director payment is included below:
Qualifying Activities:
- Department-specific quality improvement activities and meetings.
- Operations activities and meetings.
- Supply management activities and meetings.
- Patient experience activities and meetings.
- Clinical protocol/evidence-based care development.
- Electronic medical record implementation and optimization work, and similar work on other IT implementation projects that require physician participation.
- Strategic planning.
- Physician mentoring and proctoring.
- Presentation time and presentation prep time for items presented at Medical Staff meetings or other network forums.
- Participation in network-wide collaborative meetings.
- E-mail/verbal communication time devoted to the Medical Director role (must be documented).
Non-Qualifying Activities:
- Routine participation in meetings (department meetings, department division meetings, Medical Executive Committee, General Medical Staff, clinic/practice meetings) where attendance would be expected for any practicing physician. The exception to this is if the Site Medical Manager is, as part of their role, preparing information for the meeting or presenting information for such meeting.
- Continuing Medical Education (CME) activities, including CME conference attendance and self-directed professional education reading, unless activity is explicitly requested and approved in advance.
- Local, state, and national medical society meetings.
- Clinical activities, unless participating in a mentoring/proctoring role specifically related to Site Medical Manager duties.
- Research/academic activities, unless specifically related to SMM goals and duties, and pre-approved by Administrator with oversight accountability.
REQUIREMENTS
- Graduate of an accredited medical school (MD or DO).
- Licensure to practice medicine in Washington State as a Physician.
- Board certification or similar accreditation in Internal Medicine, Family Medicine or Pediatrics.
- Two (2) years of clinical practice experience preferred.
- Formal leadership training and experience preferred.
- Prior management/leadership or directorship roles in hospital, managed care and/or medical group practice preferred.
Why MultiCare?
- Rooted in the local community – Partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years
- Growth and education – Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in your future
- Well-being and support – Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared for at work and in life
- Living our values – Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other
- Belonging for all – Employee Resource Groups, inclusion initiatives and outreach programs support a workplace where every voice is valued
- Pacific Northwest lifestyle – Work and live where natural beauty, adventure and strong community connections are part of everyday life
Pay and Benefit Expectations
We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $240,000.00 - $342,000.00 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align.
Associated benefit information can be viewed here.
How to Get Visa Sponsorship in Regional Medical Director
Target health systems with established sponsorship track records
Large hospital networks and integrated health systems such as Kaiser Permanente, HCA Healthcare, and CommonSpirit Health regularly sponsor H-1B and O-1 visas. Prioritize employers with dedicated physician recruitment and immigration support teams over smaller independent practices.
Clarify your OPT authorization status upfront with recruiters
Regional Medical Director searches often run three to six months. Be transparent about your OPT end date in initial conversations so recruiters can assess whether the timeline aligns with sponsorship filing windows before investing in the process.
Emphasize administrative and clinical leadership credentials equally
Regional Medical Director roles require both clinical competency and operational leadership. Highlight quality improvement initiatives, budget oversight, and cross-functional team leadership alongside your patient care credentials to strengthen your candidacy beyond your immigration status.
Obtain or verify your medical licensure across all relevant states
Multi-state licensure is often required for regional roles. Confirm your licenses are active and transferable before applying. Employers are more willing to invest in sponsorship when candidates eliminate licensure risk from the equation entirely.
Engage a healthcare-focused immigration attorney early in negotiations
Physician sponsorship involves EB-1B, J-1 waiver, or H-1B pathways depending on your background. An attorney experienced in physician immigration can identify your fastest route and help employers understand exactly what sponsorship involves before they commit.
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Get Access To All JobsFrequently Asked Questions
Can F-1 OPT students work as a Regional Medical Director in the United States?
Yes, but the timeline is tight. Regional Medical Director roles are senior positions that typically require an extended hiring process. Standard OPT provides 12 months of work authorization. Most candidates need either a STEM OPT extension for additional time or an employer willing to file an H-1B petition before OPT expires. You should have a clear plan for your next authorization status before accepting an offer.
Does a medical degree qualify for the STEM OPT 24-month extension?
It depends on the specific program and CIP code. Many MD, DO, and public health programs do qualify under STEM CIP designations, but not all do. Check whether your degree-granting institution listed your program under an eligible CIP code on your I-20. Your Designated School Official can confirm eligibility. If you qualify, apply for the extension no later than 90 days before your current OPT expires.
What visa options exist for Regional Medical Directors after OPT ends?
The most common pathways are H-1B cap-subject sponsorship, H-1B cap-exempt sponsorship through nonprofit hospitals or academic medical centers, EB-1B extraordinary ability for researchers, and J-1 Conrad 30 waivers for physicians who completed a J-1 exchange program. Cap-exempt H-1B is particularly valuable for physician executives because it bypasses the lottery entirely and can be filed at any time of year.
How do I find Regional Medical Director jobs that offer OPT sponsorship?
Browse Migrate Mate to filter Regional Medical Director roles by OPT and visa sponsorship eligibility. General job boards do not filter by work authorization in a way that is useful for international candidates. Migrate Mate is built specifically for F-1 OPT students and surfaces roles from employers who are open to sponsorship, saving you from applying to positions that will not move forward due to your status.
Do Regional Medical Directors need to work on-site, and how does that affect OPT compliance?
Regional Medical Director roles vary widely. Some are remote or hybrid, while others require regular travel across a defined geographic territory. For OPT compliance, your employer must be listed on your EAD and the work must be directly related to your degree field. If your role shifts significantly in scope or location, notify your DSO and confirm the updated position still satisfies your OPT authorization requirements.
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