Rich joined Kaiser Permanente in 1995 and he has Advanced Certification in Head and Neck Oncologic Surgery. His specialties include: orbital, nasal, and maxillofacial surgery, as well as thyroid and parathyroid surgery. Additionally, Rich is trained in Facial Plastic and Reconstructive surgery and has an interest in post-tumor facial reconstruction and facial reanimation surgery. As Physician-in-Chief, Rich functions as the Medical Director of operations, including all inpatient and outpatient arenas. He also functions as the Chief Medical Officer for the 290 bed Acute Care Hospital and ACS Level II Trauma Center. In addition, he provides leadership for the 450 physicians and 3000 nurses and support staff.