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

Hold institutional oversight and sponsor-level accountability for the inaugural Family Medicine Residency Program, partnering with the Program Director through its 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 institutional GME readiness and drive completion of remaining infrastructure — GMEC structure, institutional policies, and oversight processes supporting the Program Director's curriculum and evaluation work

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 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.)

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

Hold institutional oversight and sponsor-level accountability for the inaugural Family Medicine Residency Program, partnering with the Program Director through its 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 institutional GME readiness and drive completion of remaining infrastructure — GMEC structure, institutional policies, and oversight processes supporting the Program Director's curriculum and evaluation work

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 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.)