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System Executive Medical Director, Primary Care

Rochester Regional Health · Rochester, NY

Posted October 17, 2026

Rochester Regional Health - Riedman Campus (Kings Hwy) · 100 Kings Hwy S, Rochester, NY, US, 14617

  • Pay: $300,000 – $600,000 per year
  • Employment: Full Time
  • Location: Rochester Regional Health - Riedman Campus (Kings Hwy)
  • Rochester Regional Health Job ID: REQ_242088

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%.

Transformation

Build integrated, team-based and digitally enabled care models

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.

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.

Employer

Rochester Regional Health

Rochester Regional Health is an integrated health system serving Western New York, the Finger Lakes and the North Country. It cares for more than 570,000 patients across communities from Rochester and Batavia to Clifton Springs, Newark and St. Lawrence County.

The Rochester Regional Health system:

  • Rochester General Hospital, the system's flagship, and Unity Hospital in Greece
  • United Memorial Medical Center (Batavia), Clifton Springs Hospital & Clinic, Newark-Wayne Community Hospital, and Canton-Potsdam, Massena and Gouverneur hospitals in St. Lawrence County
  • The Sands-Constellation Heart Institute, Lipson Cancer Institute, primary and specialty care practices, urgent care, ElderONE (PACE) and behavioral health services across the region

Why physicians and advanced practice providers choose Rochester Regional Health:

  • Named one of Becker's Top 150 Health Systems to Work For
  • Physician-led governance and leadership, with teaching opportunities through residency programs at Rochester General, Unity and United Memorial
  • Published pay ranges on every position, with sign-on bonuses and relocation on many roles
  • Fully covered malpractice, CME time and allowance, generous PTO, and 403(b)/457(b) retirement plans
  • An affordable region with Lake Ontario, the Finger Lakes, Letchworth State Park and the Adirondacks close by

Livability

694,707
Rochester population
$217K
Avg 3-bedroom home
—
Avg high / low
Nearby cities
Batavia
33.5 mi
Pop. 15,494
Geneva
39.6 mi
Pop. 12,573
North Gates
6.8 mi
Pop. 10,014
Source: US Census Bureau
Annual family budget — Monroe County
—
Housing, food, transport, healthcare, childcare & taxes for a typical family
$217K
Avg 3-bedroom home
$2,045
Avg monthly rent
Source: EPI Family Budget Calculator
Source: Zillow
—
Avg high / low
—
Yearly rainfall
—
Sunny days / yr
Source: WeatherAPI.com
Population — ZIP 14617
21,990
Total residents
10,598
Male residents
11,392
Female residents
Age distribution
total
21,990
0-9
2,329
10-19
2,628
20-29
1,982
30-39
2,752
40-49
2,878
50-59
2,999
60-69
3,289
70-79
2,047
80+
1,086
Ethnicity
White
19,564
Black Or African American
864
American Indian Or Alaskan Native
10
Asian
119
Native Hawaiian Or Other Pacific Islander
0
Other
256
Two Or More
1,177
Source: US Census Bureau
8
Walk Score — Car-Dependent
30
Bike Score — Somewhat Bikeable
21
Transit Score — Minimal Transit
Source: WalkScore.com
Nearby airports
Buffalo Niagara International Airport (BUF) 60.75 mi
Frederick Douglass Greater Rochester International Airport (ROC) 8.34 mi
Niagara Falls International Airport (IAG) 68.67 mi
Ithaca Tompkins Regional Airport (ITH) 76.65 mi
Elmira Corning Regional Airport (ELM) 81.76 mi
Watertown International Airport (ART) 94.82 mi
Source: FAA database
System Executive Medical Director, Primary Care
Rochester Regional Health · Rochester, NY