TN Visa Regional Medical Director Jobs
Regional Medical Director roles qualify for TN visa sponsorship under the USMCA's physician and medical practitioner categories. Canadian citizens can secure TN status at the port of entry or via consular processing, while Mexican nationals require advance consular processing. Employers sponsoring this role must document that the position requires a licensed physician with demonstrated clinical leadership.
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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 53+ 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 TN Visa Sponsorship as a Regional Medical Director
Verify your medical license transfers cleanly
TN approval for Regional Medical Directors depends on holding an unrestricted U.S. state medical license or demonstrating active licensure in Canada or Mexico. Confirm your credentials are recognized in the state where the role is based before applying.
Target health systems with multi-state physician networks
Large hospital groups and integrated delivery networks hire Regional Medical Directors to oversee multiple facilities, making them more familiar with TN sponsorship requirements for physician leadership roles than single-site practices or small clinics.
Request a TN support letter tied to clinical oversight
The employer's TN support letter must describe your regional oversight duties, physician credentialing responsibilities, and required medical degree. Generic leadership language without clinical specificity is a common cause of TN denials at this level.
Distinguish the role from a purely administrative position
CBP officers may question whether a Regional Medical Director role is managerial rather than professional. Your offer letter should explicitly reference clinical decision-making authority and active physician practice to satisfy the TN specialty occupation standard.
Use Migrate Mate to find employers experienced with visa sponsorship
Not every health system has sponsored work visas for physician leadership roles. Migrate Mate surfaces employers with recent visa filings and experience supporting international professionals, so you're targeting organizations already familiar with visa sponsorship processes and equipped to navigate the requirements for regional medical director positions.
Prepare for Canadian port-of-entry processing with complete documentation
Canadian citizens can obtain TN status directly at a U.S. land border or pre-clearance airport. Bring your medical degree, state license, and the employer support letter in a single organized package to avoid secondary inspection delays.
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Find Regional Medical Director JobsRegional Medical Director TN Visa: Frequently Asked Questions
Does a Regional Medical Director role qualify for TN visa status?
Yes, provided the position requires a licensed physician and involves clinical oversight responsibilities rather than purely administrative management. CBP evaluates whether the role falls within the physician or medical practitioner category under USMCA. Your employer's support letter should specify your medical degree requirement, clinical authority, and regional scope of practice to support that classification.
How does TN compare to H-1B for Regional Medical Director positions?
TN has no annual lottery and no numerical cap for Canadian citizens, so you can pursue a Regional Medical Director role without waiting for a random selection cycle. H-1B subjects most applicants to a lottery with no guarantee of selection. Mexican nationals face a TN annual cap of 5,500, but TN still avoids the H-1B lottery entirely and can be processed at a consulate with faster turnaround than most H-1B timelines.
How do I find employers experienced with visa sponsorship for medical director roles?
Migrate Mate is built specifically for this search. It surfaces employers with recent visa filings who have experience sponsoring work visas, so you're not cold-applying to health systems unfamiliar with visa sponsorship processes. Targeting employers experienced with visa sponsorship significantly reduces the risk of an employer declining to support your TN application, since they already understand the sponsorship landscape and can provide the support letter required for TN status at the port of entry.
Can a Regional Medical Director work across multiple states on a single TN visa?
A single TN approval can cover multi-state regional responsibilities if the primary employment location and employer are clearly identified in the petition. If you spend substantial time working in a second state, confirm with your employer that the offer letter and support documentation accurately reflect your regional oversight structure, since CBP approval is tied to the specific employer and role described.
What happens to TN status if the health system is acquired or restructured?
A corporate acquisition or merger that changes your legal employer typically requires a new TN filing because TN status is employer-specific. If your employing entity changes its name or tax identification number through a restructuring, treat it as a new employer situation and file before the transition completes. Continuing to work under the original TN after an uncovered employer change creates a status violation.
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