
System Executive Medical Director, Primary Care
Rochester, NYFull-time$400–500K/yrPosted 2w agoStill listed today
Most applications go out cold — see where you stand first. No sign-up to start.
You apply on the employer's site, with no Olive account needed.
Watch jobs like this. New roles like this one near Rochester, NY, by email.
Don't just apply. Show up ready.
Olive works from this exact posting.
At a glance
Olive lists jobs from US employers, including remote roles you can work from the United States.
Requirements
Credentials this posting asks for.
Job overview
Rochester Regional Health seeks a physician executive to lead the strategic and clinical direction of its integrated primary care service line. The role combines enterprise leadership across the health system with an active clinical practice of at least 20%. The Executive Medical Director will shape care models, clinical standards, workforce strategy, technology adoption and financial performance in partnership with senior leaders.
Skills & qualifications
Skills
Qualifications
Full job description
A defining opportunity for a physician executive who can translate vision into access, quality, growth and an exceptional experience for patients and care teams.
THE OPPORTUNITY
Rochester Regional Health (RRH) seeks an accomplished, forward-thinking physician executive to serve as System Executive Medical Director of Primary Care. This leader will set the strategic and clinical direction for an integrated primary care service line spanning the health system’s geography and continuum of care. Working in close partnership with operational, nursing, finance, hospital and physician leaders, the Executive Medical Director will advance a consistent, high-performing model of care that improves access, strengthens outcomes and positions primary care as the connective foundation of the system. As a member of the RRH Senior Leadership Team, the Executive Medical Director will have meaningful influence over system strategy, clinical standards, care model design, physician and APP alignment, workforce planning, technology adoption and financial performance. The role combines enterprise leadership with an active clinical practice of at least 20%.
ENTERPRISE SCOPE Lead across a complex, geographically diverse health system TRANSFORMATION Build integrated, team-based and digitally enabled care models VISIBLE IMPACT Advance access, quality, experience, growth and value
YOUR MANDATE
- Define and execute a systemwide primary care strategy that connects services across regions, affiliates and care settings.
- Design and scale evidence-based, team-based models that expand access, improve continuity and respond to evolving consumer and community needs.
- Establish clear clinical standards, quality and safety measures, and transparent accountability for outcomes across the service line.
- Drive clinical, operational and financial performance in partnership with the operational leader, including budget stewardship, utilization and resource prioritization.
- Set the strategic direction for physician and APP recruitment, retention, development and alignment; cultivate the capabilities needed for the future of primary care.
- Advance physician, payer and consumer engagement strategies in a competitive and rapidly changing health care environment.
- Champion appropriate use of technology, data, clinical decision support and the electronic health record to improve care and reduce friction for clinicians.
- Build productive partnerships across specialties, hospitals, nursing, operations, finance, quality, risk, education and community stakeholders.
LEADERSHIP PRIORITIES
Integrated care Create consistent standards, workflows and expectations while respecting the needs of local practices and communities. Quality and safety Oversee clinical quality, peer review, credentialing, OPPE/FPPE and improvement work across the service line. People and culture Build trust, accountability and belonging; develop leaders and create an environment in which physicians, APPs and teams can thrive. Growth and innovation Identify emerging market, workforce and technology trends and translate them into sustainable programs and services. Education Champion medical education, continuing education and the learning environment for students, residents, fellows and APP learners. Governance Provide visible leadership on Medical Staff, hospital and system committees while ensuring regulatory and accreditation readiness.
THE LEADER WE SEEK
The successful candidate will be a respected clinician and enterprise-minded leader with the credibility to engage physicians and the agility to lead through a complex matrix. They will pair strategic perspective with disciplined execution, communicate with transparency and empathy, and have a demonstrated record of building consensus while delivering measurable clinical, operational and financial results.
- Board-certified physician with an M.D. or D.O. degree; eligible for or holding an unrestricted New York State medical license.
- Significant leadership experience in primary care within an integrated health system, multisite medical group or similarly complex environment.
- Demonstrated success in clinical transformation, program development, quality improvement, workforce strategy and performance management.
- Ability to represent the full breadth of primary care and lead across a broad geography, diverse practice settings and multiple stakeholder groups.
- High emotional intelligence, sound judgment and exceptional communication, collaboration, negotiation and conflict-management skills.
- Commitment to maintaining an active clinical practice of at least 20% of role effort.
- Advanced degree in business, health administration or a related field preferred.
WHY ROCHESTER REGIONAL HEALTH
This is an opportunity to lead where primary care is central to the organization’s mission and strategy. The Executive Medical Director will join a collaborative senior leadership team, influence decisions at the highest levels of the system and help build a more connected, accessible and sustainable model of care for the communities RRH serves.
LEAD WHAT PRIMARY CARE BECOMES NEXT
To apply or begin a confidential conversation, submit your CV and letter of interest through the RRH careers site or contact Michelle Simlin, at [email protected] to learn more!
EDUCATION:
LICENSES / CERTIFICATIONS:
PHYSICAL REQUIREMENTS: Light - Clinical - Light clinical roles involve frequent standing and walking, with occasional lifting of light objects (≤20 lbs.) and routine reaching, grasping, and fine manipulation for tasks such as patient care, laboratory work, or specimen processing. Staff rely on strong visual and auditory acuity to accurately observe specimens, read instrumentation, monitor patients, respond to alarms, and communicate effectively with care teams. Cognitive demands include multitasking, prioritizing clinical and laboratory workflows, and coordinating with interdisciplinary teams. Emotional resilience is necessary due to frequent interruptions, shifting priorities, and the need for precise and compassionate interaction with patients and colleagues. Environmental exposures may include infectious materials, biological specimens, cleaning agents, sharps, chemical reagents, and wet surfaces. PPE use, TB testing, and schedule flexibility are commonly required.
For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.
Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.
PAY RANGE: $400,000.00 - $500,000.00 CITY:
Rochester POSTAL CODE:
14617 The posted pay range is a good faith representation of potential base pay for this position. It may be modified in the future and eligible for additional pay components. Individual annual salaries/hourly rates could vary based on position details and FTE. Pay is determined by considering factors including, but not limited to, experience, relevant qualifications, specialty, internal equity, locations, and contracts.
Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.
How this job compares
Set against the 1,795 open Medical Director jobs on Olive Jobs, counted November 10, 2026.
- Pay
- This posting$400–500K/yr
- New York median$253–370K/yr108 salary ranges
- US median$228–356K/yr1,007 salary ranges
This range's midpoint, $450K, is 45% above the New York median midpoint ($310K) — in the top quarter of Medical Director salary ranges in New York.
- Openings
- Olive Jobs lists 131 open Medical Director jobs in New York and 1,795 across the US. 11% of them nationwide are listed as remote or flexible.
- Hiring the most in New York
- Regeneron Pharmaceuticals25 open
- Mount Sinai Health System14 open
- VCA Animal Hospitals8 open
- Experience
- Medical Director postings that state a minimum ask for 5 years of experience at the median; the middle half ask for 3 to 5 years (982 postings).
- Education
- This posting asks for a doctorate or professional degree; 1,259 of the 1,795 open Medical Director jobs (70%) ask for a doctorate or professional degree.
Counted across the open, public US postings on Olive Jobs on November 10, 2026. Pay medians are the middle values of the low ends and of the high ends of postings that list both ends of a range in the same cadence (a yearly salary or an hourly rate); a range's midpoint is halfway between its ends. Pay and experience figures resting on fewer than 20 postings are left out.
Prepare for this role
You've read the whole posting — now see how you match it.

