Legacy Health invites an experienced, mission-driven physician leader to join our organization as Senior Medical Director of Obstetrics and Family Birth. Serving the greater Portland and Vancouver metropolitan area and the Mid-Willamette Valley, Legacy Health is a locally governed nonprofit health system with six hospitals, including a full-service children’s hospital, and a broad network of primary care, specialty, and urgent care clinics. With more than 14,000 employees and over 3,000 providers, we are deeply committed to improving the health of our people, our patients, our communities, and our world through accessible, high-quality, equitable care. 

This is an important opportunity to help shape the future of obstetrics and family birth services across a regional health system rooted in clinical excellence, compassion, and community partnership. The Senior Medical Director will provide strategic and clinical leadership for programs that support safe, patient-centered, and equitable care for birthing patients, newborns, and families. We seek a collaborative and forward-thinking leader who can engage clinicians, operational partners, and community stakeholders; strengthen quality and outcomes; support innovation in care delivery; and advance Legacy Health’s commitment to serving families with dignity, respect, and excellence at every stage of the birth experience. 

The Senior Medical Director of Obstetrics and Family Birth is a key leadership role responsible for guiding and supporting a team of Medical Directors across Legacy Medical Group. The candidate will lead the medical director of perinatology, obstetrics and gynecology, obstetrics and gynecology and nurse midwife managers across all LMG sites. Candidate must be an OB/GYN or Perinatologist  by specialty.  The position is a 1.0 FTE, split 0.60 FTE administrative + 0.40 FTE clinical. In close partnership with administrative leaders and Clinical Vice Presidents, this role drives strategic planning, workforce development, program growth, and service line planning, while also playing an active role in union engagement and collective bargaining. 

This leader is accountable for the overall performance and success of their assigned clinics and specialties, providing oversight, mentorship, and professional development to Clinic and Specialty Medical Directors. Through strong collaboration with physician leaders and system partners, the Senior Medical Director ensures the delivery of high-quality patient care, operational excellence, financial sustainability, and meaningful provider engagement.

We invite you to bring your leadership expertise and vision to this impactful role and help shape the future of care at Legacy Health.

Strategic and Operational Leadership:

Working with the Clinical Vice Presidents, Medical Directors, APP leadership, and administrative partners, this role is accountable for overseeing all aspects of the clinical operations within their assigned area(s) of responsibility, including (but not limited to) the day-to-day functions of clinical services and programs, quality and patient safety, financial performance, and the physician hiring process. This role is also responsible for leadership and management of the following activities:

• Develop and execute strategic initiatives within their assigned areas of responsibility. 
• Ensure adequate physician and support staffing to meet organizational needs through strategic workforce planning and appropriate resource allocation. 
• Promote program growth and new program development to enhance patient access. 
• Work with senior leadership on all matters related to collective bargaining with the union
• Physician compensation management (sign-off) to ensure accurate and timely compensation payments. 
• Contract management (employment agreements, professional service agreements, etc.).
• Develop strategic initiatives within their assigned area.
• Assist with budget preparation, financial tracking, and demonstrate financial stewardship for their area(s) of responsibility by monitoring performance and financial metrics and making data-driven decisions to optimize resource utilization. 

Professional Standards and Accountability:

Working closely with the Clinical Vice Presidents, Clinic/Specialty Medical Directors, and APP leadership, this role is responsible for developing individual physician and APP performance metrics (e.g., patient experience, productivity, quality, and compliance with clinical protocols) that align with institutional goals and priorities. Additionally, working with the Medical Directors, APP Leadership and key stakeholders, this role is accountable for overseeing all aspects of the professional standards of Legacy Medical Group and Legacy Health System, and the regulatory organizations. Priorities of accountability include (but are not limited to) the following activities: 

• Oversee credentialing and re-credentialing to ensure all providers maintain appropriate qualifications and meet organizational standards.
• Review and revise operational policies and procedures to ensure alignment with current evidence-based practices and regulatory requirements.
• Ensure compliance with institutional and regulatory agency standards and ethical behavior.
• Establish and lead professional development and mentorship programs for their team members.
• Establish and execute effective communication processes and communicate standards and expectations clearly to all team members.
• Model excellence in professionalism and address unprofessional behavior for clinicians in assigned areas.
• Conduct comprehensive annual evaluations of the physicians and APPs, provide meaningful feedback, recognize achievements, and identify opportunities for professional growth and development.
  

Clinical Excellence:

Working with the Clinic/Specialty Medical Directors and APP leadership, this role is responsible for developing new and innovative programs, promoting the growth of existing programs, and optimizing practice efficiency to enhance patient access. This includes identification of gaps in service offerings and developing strategic plans to eliminate these gaps and grow market share through targeted program development and expansion. Additionally, the role is accountable for overseeing all aspects of clinical excellence. Priorities of accountability include (but are not limited to) the following activities:

• Develop and manage the clinical care quality and patient safety review processes and manage quality and patient safety metrics.
• Address quality issues promptly and make recommendations to affiliated hospitals and medical staff to drive continuous improvement in patient care and outcomes.
• Monitor and practice specialty and clinic quality and patient safety performance metrics, and address improvement opportunities.
• Lead peer review and education initiatives to promote continuous improvement.
• Develop, implement, and ensure compliance with best practice protocols, guidelines, and clinical pathways within their domain of leadership.

Education: 

• Graduate from a four-year U.S. medical school or the equivalent.
• Residency completed and Board Certified in a relevant medical specialty.
• Preference will be given to applicants with certifications in Leadership, Quality Assurance, and/or Performance Improvement, and/or a Master of Business Administration and/or Master of Healthcare Administration, or other significant relevant leadership experience.

Experience:

• A minimum of five years practicing medicine in their specialty required.
• Three years of leadership experience is required. Leadership experience should include responsibilities for financial management.
• Experience in an integrated, complex health system is highly preferred.
• The candidate must have a proven track record of excelling in all aspects of their clinical responsibilities (e.g., adhering to evidence-based practice protocols, productivity, patient experience), upholding the professional goals and standards of the institution, and demonstrating a commitment to improving quality and patient safety.

Qualities:

• Integrity: Leading with honesty, consistency, and ethical purpose.
• Emotional Intelligence: Demonstrating empathy, self-awareness, and strong interpersonal skills.
• Adaptable and Innovative: Embracing change and fostering creative problem-solving.
• Empowering Collaborator: Building trust and enabling others to succeed.
• Mission-Aligned: Staying focused on purpose and patient-centered goals.
• Growth Mindset: Continuously learning, improving, and inspiring progress.

• Unrestricted license to practice medicine in applicable state(s).
• Active or courtesy member in good standing with the medical staff for each hospital where the physician provides services or the Legacy Medical Group.

Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing.

If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply—even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed.

Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law.

To learn more about our employee benefits click here: www.legacyhealth.org/For-Health-Professionals/careers/benefiting-you