Designated Institutional Official (DIO)

PX3 Medical; Littleton (NH); On-site; USD 315,000 - 385,000; Full time

Benefits offered by this job

Sign-on bonus

Relocation assistance

PTO 32/35 days

403b match

457b plan

Job summary

PX3 Medical is confidentially assisting a rural health system in northern New England to recruit its inaugural Designated Institutional Official (DIO) for a new Family Medicine Residency Program launching July 2027. The role oversees accreditation, program launch, and ongoing GME administration in a rural setting.

The DIO will drive infrastructure, faculty development, and recruitment, partnering with the CEO and Program Director to build a sustainable, compliant program from the ground up.

Qualifications

• Minimum 5 years of progressively responsible GME administrative experience (flexibility for shorter timeframe).
• Active MD/DO Physician License in Family Medicine or Med Peds.
• Demonstrated experience supporting ACGME-accredited residency programs.
• Deep 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.

Responsibilities

• Hold institutional oversight and sponsor-level accountability for the inaugural Family Medicine Residency Program.
• Lead ACGME accreditation activities including site visits and reviews.
• Conduct gap analysis of GME readiness and drive infrastructure completion.
• Manage transition of GME oversight from sponsor to health system.
• Establish and oversee the institutional GME office and infrastructure.
• Coordinate residency recruitment strategy and NRMP/ERAS Match cycles.
• Oversee GME budgets, grants, and CMS funding (DGME and IME).
• Manage Program Letters of Agreement with training partners.
• Partner with leadership on long-term GME strategy and expansion.
• Coordinate faculty development and support residency leadership.
• Provide direct patient care in an outpatient family medicine clinic.

Skills

GME admin experience

MD/DO license in Family Medicine orMed

Education

MD/DO in Family Medicine or Med-Peds

Job description

A rural health system in northern New England has retained PX3 Medical to confidentially recruit its inaugural Designated Institutional Official (DIO).

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
• 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.
• 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.

Equal opportunity employer.