About the Opportunity

A rural health system in northern New England has retained PX3 Medical to confidentially recruit its inaugural Director of Graduate Medical Education.

This is a foundational leadership role responsible for the launch, accreditation, and ongoing administration of a newly ACGME-accredited Family Medicine Residency Program welcoming its first class of PGY-1 residents in July 2027. It is a rare opportunity to build a residency from the ground up within a rural health system — one of the few new rural Family Medicine programs launched without an academic medical center partner.

Primary Responsibilities

Lead operational development and implementation of the inaugural Family Medicine Residency Program through July 2027 launch and beyond
Serve as institutional lead for ACGME accreditation, including the upcoming site visit and all subsequent reviews, annual reports, and documentation
Conduct a comprehensive gap analysis of current program readiness and drive completion of remaining infrastructure — curriculum, evaluation systems, onboarding, and policies
Manage the transition of GME oversight from the current FQHC sponsor to the health system
Establish and oversee the institutional GME office and supporting infrastructure
Coordinate residency recruitment strategy and NRMP/ERAS Match cycles
Manage GME budgets, grants, and CMS funding, including DGME and IME reimbursement
Manage Program Letters of Agreement with regional and out-of-state training partners
Partner with executive leadership on long-term GME strategy and future program expansion
Coordinate faculty development and support residency leadership, faculty, and clinical educators
Provide direct patient care in an outpatient family medicine clinic

Required Qualifications

Minimum 5 years of progressively responsible GME administrative experience (flexibility for candidates with a shorter timeframe and a demonstrated program-build track record)
Active MD/DO Physician License in Family Medicine or Med Peds.
Demonstrated experience supporting ACGME-accredited residency programs, including accreditation, compliance, and operations
Deep working knowledge of ACGME requirements, NRMP, ERAS, and GME best practices
Proven experience leading complex, multi-stakeholder projects
Willingness to be on-site to build direct relationships with providers and clinical partners

Preferred

Experience launching a new residency program and/or supporting initial ACGME accreditation
Rural health, critical access hospital, rural training track, community-based residency, or FQHC experience
Knowledge of CMS GME funding mechanisms and Medicare reimbursement (DGME/IME)
Experience establishing institutional GME infrastructure at organizations new to graduate medical education
Family Medicine residency program experience
Familiarity with Lean Six Sigma and high-reliability organization principles

Compensation & Benefits

Base salary:$350,000+, commensurate with experience
Incentives:Quality-based and milestone based plan to be co-designed with the CEO
Sign-on bonus and relocation: Both fully supported to meet market norms
PTO: 32 days year one, 35 days from year two.
Medical, Dental, Vision, HSA, FSA, DCA, Life, AD&D, STD, LTD
Retirement: 403b-1.5% match and 457b @ 15% of base, vest after 3 years

Why This Role

Ground-up build of an ACGME-accredited residency program, with full ownership of the program's institutional architecture
Directly-supported strategic mandate with dedicated state-level Rural Health Transformation funding
A CEO and executive team that hires for competence, provides resources, and stays out of the way
Clear runway for future program expansion beyond Family Medicine
Rural New England lifestyle

Northern New England's North Country offers a quality of life that's hard to match: four true seasons, immediate access to the White Mountains and the Connecticut River Valley, and a community pace that prioritizes rootedness over hustle. Outdoor recreation is at the doorstep — hiking, skiing, snowmobiling, fishing, kayaking, and the Appalachian Trail all within reach. Tight-knit communities, a low cost of living relative to the broader Northeast, and a region actively invested in the success of this program and the physicians who will train in it. This is a place where professionals put down roots — not a stop along the way.

(All inquiries are handled confidentially. Client name, exact location, and full position details are released only after an initial recruiter conversation.

PX3 Medical is a physician and healthcare executive search firm. Equal opportunity employer.)

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Director of Graduate Medical Education