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Assistant Medical Director

3 months ago


Boston, Massachusetts, United States Massachusetts Bay Transportation Authority (MBTA) Full time

At the MBTA, we envision a thriving region enabled by a best-in-class transit system. Our mission is to serve the public by providing safe, reliable, and accessible transportation. MBTA's core values are built around safety, service, equity, and sustainability and each employee that works for the MBTA performs their roles based on our vision, mission, and values. This includes attendance, participation, and contribution in local safety committee meetings as needed.

Job Summary

The Assistant Medical Director is a senior member of the MBTA Occupational Health Services department and is responsible for assisting in directing the MBTA Medical Department. Provide leadership in occupational health policy, programs, and issues, including medical standards for employment. In addition to assisting oversight of the MBTA Medical Clinic, the Assistant Director will assist in the MBTA NON-TREATING medical clinic to facilitate physical assessment of MBTA employees/applicants for fitness for duty. Perform Physical examinations to determine fitness for work and/or hire.

Duties & Responsibilities
  • Serve as Medical Examiner and perform Department of Transportation (DOT) physical examinations.
  • Perform physical exams including DOT, non-DOT, pre-employment, and annuals as required by regulation and policy.
  • Ensures that the OHS programs are compliant with governmental and regulatory requirements.
  • Interpret tests, analyses, and diagnostic images to determine applicant/employee fit for work status.
  • Notate findings in applicant/employee electronic chart including follow-up notes.
  • Review complex medical documentation and findings and consult with employees and his/her physician to determine fitness for duty.
  • Supervise Physician Assistant (s) (PA) and Nurse Practitioner (s) (NP) including Chart Reviews- Charts need cosigning 10-15% monthly.
  • Monitor employee chronic health conditions for treatment compliance and fitness for duty.
  • Develop relationships with senior HR, clinical, and leaders at MBTA to understand their needs as it relates to Occupational Health Services.
  • Provides consultation to MBTA Human Resources staff, senior leadership, and managers on occupational health matters including the interpretation of regulations and standards, potential organizational exposure and liability, fitness for duty cases, job accommodations, and injury and exposure prevention.
  • Assist in instructing members of the clinical team regarding EKG interpretation and technical aspects of taking EKGs.
  • Engage with staff to provide feedback and coaching in a positive and proactive manner and exemplifying the role of an occupational health professional.
  • Prepare cases and appear as an expert medical witness in arbitrations and unemployment insurance. Provide testimony and appear in court for the Law Department as needed.
  • Work closely with the Employee Assistance Program to monitor Medically Assisted Treatment (MAT) and mental health conditions for treatment compliance and fitness for duty.
  • Regularly engage in case and chart review and have a systematic approach to performance review that incorporates evaluating the OHS services provided by each staff. As needed, develop a corrective action, coaching and monitoring plan to address areas of concern identified in performance evaluation.
  • Annually defines and regularly tracks performance goals for OHS.
  • Develops policies and procedures for Medical Operations and ensures staff are trained and adhere to them.
  • The Assistant Medical Director of Occupational Health Services is a member of the. Workforce Office. This role involves assisting with identifying and managing enterprise-wide occupational health objectives, identifying budget and resource needs, and coordinating communications as needed.
  • Perform all other duties and projects that may be assigned.
Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. Minimum Requirements & QualificationsMedical Degree from an accredited medical collegeDOT Examiner Certification (Required) Five (5) years of knowledge of medical practice related to occupational health.Two (2) years leadership - people management or large projects.Knowledge of workplace health and safety concepts and OSHA regulations.Knowledge of medical policies, regulations, and procedures.Knowledge of 49 CFR Part 391, Qualifications of DriversKnowledge of 49 CFR parts 40, 219, 382 and 655Demonstrated interpersonal and collaboration skills.Superior verbal and communication skillsSkill in developing and maintaining records, writing reports, and responding to correspondence.Skill in developing and maintaining medical quality assurance and quality control standards.Ability to react calmly, objectively, and effectively in emergency situations.Strong organizational skills, attention to detail.Strong interpersonal skills.Proven ability to work successfully with diverse populations and demonstrated commitment to promote and enhance diversity and inclusion. Substitutions IncludeA nationally recognized certification, or statewide/professional certification in a related field substitutes for one (1) year of experience Preferred Experience and SkillsBoard Certified in Occupational MedicineMedical Review Officer (MRO) certification preferred.

Job Conditions:

  • Ability to effectively read, comprehend, communicate, and respond to instructions, orders, signs, notices, inquiries, etc. in English
  • Ability to provide internal and external customers with courteous and professional experiences
  • Ability to work effectively independently and as part of a team (or supervise, if required)
  • Ability to uphold the rights and interests of the MBTA while building and maintaining effective relationships with employees and co-workers
  • Ability to adhere to rules, regulations, collective bargaining agreements (if applicable), and policies of the MBTA, including the EEO, anti-discrimination, anti-harassment, and anti-retaliation policies
  • Have a satisfactory work record for the two (2) years immediately prior to the closing date of this posting (unless if recent graduate), including overall employment, job performance, discipline, and safety records (infractions and/or offenses occurring after the closing of the posting and before the filling of a vacancy may preclude a candidate from consideration for selection)
  • Ability to pass a Criminal Offender Record Information (CORI) check, comprehensive background screening, and medical Clinic screening, potentially including a physical examination and drug and alcohol screenings
  • Ability to work all shifts and / or locations assigned, directed, or necessary for this position, including (for some transit / operations roles) up to twenty-four (24) hours per day, seven (7) days per week as necessary to accommodate severe weather conditions, emergencies, or any other circumstances that may potentially impact service or the safety of service

Disclaimers and Definitions:

  1. General Disclaimer: The statements contained in this job description are intended to describe a summary, general nature, and complexity of typical job functions and do not represent an exhaustive list of all duties, tasks, and responsibilities required of staff assigned to this position.
  2. Application Deadlines: Applicants should apply as soon as possible, as the MBTA may stop considering applicants after a sufficiently large applicant pool is established.
  3. Work Environment: The physical demands and work environment characteristics described here-in are representative of those an employee may encounter while performing the essential functions of this job. Reasonable accommodations can be made to enable individuals with disabilities to perform essential functions. See job description for role-specific requirements.
  4. Work Eligibility: Although the MBTA is an Equal Opportunity Employer, all employees must be legally authorized to work in the United States for any employer and on an unrestricted basis (the MBTA does not sponsor non-US citizens). However, if you have an unrestricted work authorization, or sponsored by a separate entity, you are welcome to apply for open positions. International students taking part in CPT / STEM / OPT programs through a university are eligible for internships and co-ops with the MBTA. In compliance with federal law, all persons hired will be required to complete a Form I-9 to verify their identity and eligibility to work in the U.S.
  5. Interviews: Candidates should ensure they arrive on time, are prepared, can remain for the duration, and if remote, are in a quiet place without distraction, for the interview. Candidates who do not attend their interview without advance authorization, including an email confirmation of a rescheduled time/date from Human Resources, will be considered a no-show and disqualified from consideration for the position. Related to rescheduling, on a one-time basis, and due to something emergent, you may be allowed to reschedule the interview. In addition, Human Resources may require documentation supporting the request. However, should you need to reschedule, you will need to contact your Recruiter directly by email.
  6. Safety Sensitive Positions: Employees working in this classification will be subject to periodic physical examinations plus random drug and alcohol testing.
  7. On-call or 24/7 Positions: Employees working in this classification must be available to respond to page / text / call and report to work as determined by assigned department or the Authority.
  8. Essential / Emergency Staff: During declared "states of emergency," employees working in this classification are required to report to work for their assigned work hours or as directed by management.
  9. ADA Accommodations: The MBTA makes reasonable accommodations for applicants with disabilities. If you require an accommodation during this process, please contact the MBTA's ADA Unit at or
  10. Diversity, Equity, and Inclusion: The MBTA is an Equal Employment Opportunity Employer. For terms, descriptions, and definitions related to diversity, equity, inclusion, veteran status, and immediate family members that you may find on the application form, please visit
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