Designated Institutional Official (DIO)

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.)