System Medical Director Appalachian Regional Healthcare (ARH)
Emergency Medicine West Virginia & Kentucky

Core Clinical Partners is seeking an experienced and visionary System Medical Director to lead Emergency Medicine services across Appalachian Regional Healthcare (ARH), a 14-hospital, non-profit system serving rural communities throughout West Virginia and Kentucky. With oversight of more than 100 EM physicians and 40 advanced practice providers, this is a rare and rewarding opportunity to drive strategic and clinical impact at a scale, while maintaining hands-on clinical practice.

This hybrid leadership and clinical role is ideal for a physician passionate about elevating care quality, building strong clinical teams, and advancing operational performance across multiple sites. The role reports directly to Dr. Rachel Thompson, Chief Medical Officer, and partners with a dedicated Director of Operations and Regional Practice Manager to ensure success.

Why Lead at ARH?

• System-Level Influence Lead EM services across 14 hospitals and serve as the face of Core within the ARH system
• Clinical Leadership at Scale Guide 100+ physicians and 40+ APPs with the support of a seasoned operations team
• Hybrid Role Maintain clinical relevancy with 6 shifts/month while driving administrative strategy during weekday hours
• Dedicated Support Partner closely with Core s CMO, DOO, and internal quality/analytics infrastructure

Leadership & Strategy
Serve as clinical dyad partner to the ARH Director of Operations
Mentor and oversee a network of physicians and APPs across all emergency departments
Promote a culture of collaboration, engagement, and clinical excellence
Standardize and disseminate best practices across sites

Operational Oversight
Regularly visit hospitals across the 14-facility system
Establish a designated home base ED for consistency in clinical practice
Ensure operational consistency and workflow optimization
Participate in the recruitment, onboarding, and development of site-level clinical leaders

Quality & Performance
Drive quality improvement and data-informed decision-making
Align site-level metrics with system priorities in collaboration with hospital leadership
Champion Core s quality and safety initiatives system-wide

Stakeholder Engagement
Represent Core and the EM team with ARH hospital CEOs and system leaders
Actively participate in regional strategy and planning discussions
Serve as a trusted advisor to both internal teams and external clinical stakeholders

What We Offer
System Director Stipend & Competitive Compensation
1099 Independent Contractor Status
Travel & Administrative Support
Flexible Scheduling
No Non-Compete Agreements Your Career, Your Choice!

Reply here or reach out directly to Lynn Osborne at to schedule a time to connect and discuss this exciting opportunity!