Designated Institutional Official (DIO)
Job Description
About the Opportunity
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A rural health system in northern New England has retained PX3 Medical to confidentially recruit its inaugural Designated Institutional Official (DIO).
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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.
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Primary Responsibilities
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- 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
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Required Qualifications
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- 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
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Preferred
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- 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
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Compensation & Benefits
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- 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
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Why This Role
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- 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
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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.
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(All inquiries are handled confidentially. Client name, exact location, and full position details are released only after an initial recruiter conversation.
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PX3 Medical is a physician and healthcare executive search firm. Equal opportunity employer.)
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