Regional Medical Director Jobs in USA with Visa Sponsorship
Regional Medical Directors typically qualify for H-1B visa or O-1A visa sponsorship, as the role requires a medical degree (MD or DO) plus licensure, meeting USCIS specialty occupation and extraordinary ability standards. Most employers sponsor through H-1B, with cap-exempt health systems offering year-round filing. For detailed occupation requirements, see the O*NET profile.
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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!
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Get Access To All JobsTips for Finding Regional Medical Director Jobs
Target cap-exempt health systems first
Nonprofit hospitals, academic medical centers, and federally qualified health centers are exempt from the H-1B lottery. That means year-round filing with no April deadline pressure, a significant advantage for Regional Medical Director candidates.
Confirm your medical license covers the sponsor's states
Regional Medical Directors often oversee operations across multiple states. USCIS and the employer both require active licensure in the relevant jurisdictions before sponsorship proceeds, so verify license portability early in the process.
Document your administrative scope, not just clinical work
Sponsorship petitions for this role should emphasize strategic and operational responsibilities, budgets, physician oversight, quality programs. USCIS adjudicators look for evidence the position requires a specialized degree beyond general medical training.
Consider O-1A if you have recognized achievements
Published research, hospital leadership awards, speaking invitations, or peer-reviewed contributions can support an O-1A petition. This visa bypasses the lottery entirely and is increasingly common for senior physician executives with a strong professional record.
Ask about concurrent H-1B portability during job changes
If you already hold an approved H-1B, a new employer can file a concurrent or portability petition before your current status expires. You can begin the Regional Medical Director role as soon as the new petition is received by USCIS.
Get the LCA wage level confirmed before accepting an offer
Employers must file a Labor Condition Application certifying the offered wage meets the prevailing wage for the role and location. Confirm the LCA wage level reflects a senior leadership position, not a general physician classification.
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Find Regional Medical Director JobsFrequently Asked Questions
Does a Regional Medical Director role qualify for H-1B sponsorship?
Yes. Regional Medical Director positions qualify as H-1B specialty occupations because they require at minimum an MD or DO degree for entry. USCIS consistently approves this job title under the specialty occupation standard given the direct requirement for advanced medical education and licensure.
Which visa types do employers typically sponsor for this role?
H-1B is the most common pathway, particularly through cap-exempt nonprofit and academic health systems that can file year-round. O-1A is a strong alternative for candidates with national or international recognition, published research, leadership roles in professional medical societies, or institutional awards. Some Canadian and Mexican physicians also qualify under the TN visa, which requires no petition and no lottery.
What degree and credentials does USCIS require for this position?
USCIS requires an MD or DO as the minimum qualifying degree. Board certification in a clinical specialty is standard in job descriptions and strengthens the specialty occupation argument. Active medical licensure in the states covered by the region is also required before the employer can file the Labor Condition Application with the Department of Labor.
How competitive is H-1B approval for Regional Medical Directors compared to other roles?
Approval rates for physician and physician executive roles are among the highest of any H-1B job category because the degree requirement is unambiguous. The larger risk is lottery selection for cap-subject employers, not adjudication. Targeting cap-exempt health systems, which file outside the lottery, removes that uncertainty entirely. Migrate Mate filters sponsoring employers by cap-exempt status to help you prioritize applications.
Can I switch to a Regional Medical Director role on an existing H-1B?
Yes, through H-1B portability. If your current H-1B has been approved for at least 365 days and your I-140 is pending or approved, you can start work for a new employer as soon as they file the transfer petition. If your I-140 is not pending, the new employer files a standard H-1B transfer and you begin once USCIS issues a receipt notice and the LCA is certified.
What is the prevailing wage requirement for sponsored Regional Medical Director jobs?
U.S. employers sponsoring a visa must pay at least the prevailing wage, which is what workers in the same role, area, and experience level typically earn. The Department of Labor sets this rate to make sure companies aren't hiring foreign workers simply because they'd accept lower pay than a U.S. worker. It varies by job title, location, and experience. You can look up current prevailing wage rates for any occupation and location using the OFLC Wage Search page.
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