Site Medical Director (Emergency Medicine)

Site Medical Director – Emergency Medicine$375K–$475K Compensation | $60K Start Bonus | Leadership + Limited Clinical Hours | Hudson Valley, NY

A leading healthcare organization is seeking an experienced Emergency Medicine Physician to serve as Site Medical Director for a high-volume Emergency Department in New York's Hudson Valley.

This is an outstanding physician leadership opportunity for an Emergency Medicine physician who wants to make a meaningful impact on ED operations, clinical quality, provider development, and departmental strategy while maintaining a limited clinical presence. With a strengthened physician and APP staffing model, the Medical Director will have significantly reduced clinical requirements, allowing substantial time to focus on leadership, process improvement, metrics, and clinical excellence.

The Emergency Department is also entering an exciting period of growth, including plans for a new-build Emergency Department and the recent recruitment of 7 new full-time Emergency Medicine physicians.

Why This Opportunity Stands Out

• Total Compensation: $375,000–$475,000
• $290,000 Annual Site Medical Director Stipend
• Clinical compensation of $225/hour for day shifts
• $240/hour for night shifts
• $60,000 Start Date Bonus with a 2-year commitment
• Start bonus may be negotiable for Medical Director candidates with appropriate approval
• Only 48–72 clinical hours per month
• Leadership role within a Level III Trauma Center
• Approximately 55,000 annual ED visits
• Hospital embarking on a new-build Emergency Department
• Opportunity to help shape the future of the ED and its physician team
• 7 new full-time physicians recently hired
• Teaching opportunities with Internal Medicine residents
• Strong data analytics support
• EPIC EMR
• W2 employment with comprehensive benefits
• Established collaboration between hospital leadership, the Emergency Medicine group, and the broader health system

Emergency Department Profile

The Site Medical Director will lead a busy, high-acuity Emergency Department supported by a growing team of Emergency Medicine physicians and Advanced Practice Providers.

Department

• 55,000 annual patient visits
• Approximately 15–20% pediatric volume
• Level III Trauma Center
• 23 Emergency Department beds
• 8 Fast Track beds
• 53 hours of daily physician coverage
• 37 hours of daily APP coverage
• EPIC EMR

Provider Team

• 13 full-time physicians
• 9 full-time Advanced Practice Providers
• 7 additional full-time physicians recently signed and hired
• Strong mix of physician talent, including Emergency Medicine physicians serving in Ultrasound Education roles

The department's enhanced staffing model is designed to reduce physician productivity from approximately 2.3 patients per hour toward 2.0 patients per hour, supporting improved patient care, clinical quality, and physician sustainability.

Medical Director Leadership

This position offers the opportunity to have a genuine impact on the future direction of the Emergency Department.

The Site Medical Director will play a key role in:

• Physician and APP leadership
• Clinical quality and excellence
• Emergency Department operations
• Provider engagement and development
• Process and workflow improvement
• Departmental performance metrics
• Physician recruitment and team development
• Collaboration with nursing leadership
• Improving alignment between nursing and Emergency Medicine clinicians
• Patient flow and throughput initiatives
• Fast Track utilization
• Boarding improvement initiatives
• Collaboration with hospital administration and health-system leadership
• Supporting the transition into the planned new Emergency Department

Strong data analytics resources are available to support the Medical Director in identifying opportunities and measuring improvements.

Limited Clinical Requirement

A major advantage of this leadership opportunity is the ability to dedicate substantial time to Medical Director responsibilities rather than carrying a traditional full-time Emergency Medicine clinical schedule.

The strengthened staffing model allows the Site Medical Director to work only:

48–72 clinical hours per month

This provides dedicated time to focus on:

• Department strategy
• Process improvement
• Quality metrics
• Provider leadership
• Operational performance
• Clinical excellence

CompensationSite Medical Director Compensation

• Total Compensation: $375,000–$475,000
• Site Medical Director Stipend: $290,000 annually

Clinical Compensation

• Day Shifts: $225/hour
• Night Shifts: $240/hour
• Holiday pay
• Eligible for additional tier compensation

Additional Incentives

• $60,000 Start Date Bonus with a 2-year commitment
• Relocation assistance up to $10,000
• Start bonus may be negotiable for Medical Director candidates, subject to leadership approval
• $3,000 BERA
• 401(k) plan
• Deferral plan
• W2 employment
• Comprehensive benefits package

Hospital & Clinical Resources

The hospital offers a broad range of specialty and ancillary services, including:

• Cancer care
• Rehabilitation Services
• Sleep Medicine
• Pain Management
• Palliative Care
• Physical Therapy
• Comprehensive radiology, laboratory, and imaging support

The health system is increasing oversight of radiology, laboratory, and imaging operations with the goal of aligning performance with nationally recognized benchmarks.

Recognized Clinical Excellence

The hospital has received significant recognition for quality and clinical care, including:

• Healthgrades America's 100 Best Hospitals for 2024
• #1 in New York State for Critical Care by Healthgrades
• 18-time recipient of the Get With The Guidelines® Stroke Gold Plus Achievement Award
• Get With The Guidelines® STEMI Receiving Center Gold Recognition
• Magnet® designation for Nursing Excellence

Teaching & Professional Development

Physicians interested in academic involvement will have opportunities to participate in Internal Medicine residency rotations.

The department has also recruited Emergency Medicine physicians with specialized interests, including physicians who will serve in Ultrasound Education roles, helping create an environment focused on clinical development and continued education.

Administrative Support & Stability

The Emergency Medicine group has maintained a longstanding relationship with hospital leadership and the broader health system.

The partnership includes:

• Approximately 10 years of collaboration
• Recently completed contract extension
• Strong working relationship between Emergency Medicine leadership, hospital administration, and health-system leadership
• Organizational investment in physician recruitment and ED staffing
• Planned construction of a new Emergency Department

This gives the incoming Site Medical Director the opportunity to lead during a period of significant investment and positive departmental change.

Ideal Candidate

This position is an excellent fit for an experienced Emergency Medicine physician who wants to advance into meaningful departmental leadership while remaining clinically active.

The strongest candidate will be someone who enjoys:

• Leading and mentoring physicians and APPs
• Improving ED operations and patient flow
• Using data to improve departmental performance
• Building strong relationships with nursing and hospital administration
• Developing high-performing clinical teams
• Driving quality and process improvement
• Helping shape departmental culture
• Maintaining a limited but meaningful clinical presence

Life in New York's Hudson Valley

Located approximately 60 miles north of Manhattan, the Hudson Valley provides physicians with access to New York City while offering significantly more space and a less dense lifestyle.

The region offers:

• Hudson River views and waterfront communities
• Hiking and extensive outdoor recreation
• Historic towns and villages
• Wineries and cultural attractions
• Convenient access to Interstate 84 and Interstate 87
• Proximity to Stewart International Airport
• Numerous suburban and small-town residential options

Physicians working in the area may choose to live in nearby communities such as Cornwall, New Windsor, the Town of Newburgh, or Beacon, providing a variety of housing and lifestyle options.

The Opportunity

This is more than a traditional Emergency Medicine Medical Director position. The incoming leader will join the department during a period of significant investment, physician recruitment, staffing enhancement, and facility expansion.

With $375,000–$475,000 in total compensation, a $60,000 start bonus, a $290,000 leadership stipend, and only 48–72 clinical hours per month, the position provides the financial upside of Emergency Medicine with the protected leadership time necessary to make a meaningful impact.

You'll have the opportunity to help shape a growing physician team, improve ED operations and quality, collaborate closely with hospital and health-system leadership, and play an important role in the development of a new Emergency Department—all while maintaining a limited clinical schedule.