Rich is the Director of the Pulmonary Hypertension and Thromboendarterectomy program at Massachusetts General Hospital and is an Associate Professor of Medicine at Harvard Medical School. He began his internship in medicine at the University of Massachusetts Medical Center in 1984 and went on to complete his residency there. In that same year, Rich became a member of the Alpha Omega Alpha Medical Honor Society. He later completed his fellowship in Pulmonary and Critical Care in 1991 at UCSD Medical Center. In 1988 Rich was awarded title of American Thoracic Society Research Fellow and he became a Clinical Instructor of Medicine in the Pulmonary and Critical Care Division at UCSD. He was promoted to Assistant Professor of Medicine and was again promoted in 1998 to the Associate Professor of Medicine and became the Professor of Clinical Medicine of the Pulmonary and Critical Care Unit at UCSD in 2006. Rich became the Director of the Pulmonary and Thromboendarterectomy Program at Massachusetts General Hospital in 2009. He currently serves as Chair of Scientific Leadership Council, Pulmonary Hypertension Association. Rich received his BA from Connecticut College and later received his MD from Temple University School of Medicine.