Healthcare jobs
MedicineRemote
Medical Director, Clinical Affairs
Included Health Remote Posted May 25
About the role
The Medical Director - Clinical Affairs serves as a vital strategic clinical partner bridging Included Health, our strategic clients, and external stakeholders.
What you'll do
- Executive Advisory: Serve as a trusted clinical thought leader for strategic enterprise clients, advising executive committees on topics such as clinical policy guardrails, healthcare AI integration, and benefits…
- Population Health Strategy & Analytics: Analyze population utilization data to develop strategies, rising-risk briefs, and clinical campaign designs that alter the cost and health trajectory of client populations.
- High-Stakes Case Support: Manage the high-stakes, high-visibility, or high-dollar case desk—providing clinical case memos, peer-to-peer discussions, and member-facing clinical framing guidance.
- Population Health Informatics & Efficiency: Review aggregate member health and claims data to uncover systemic inefficiencies and low-value care patterns, providing plan sponsors with clinical guidance on how to…
- Joint Vendor Stewardship: Lead multi-vendor clinical rounds bringing together Included Health, client HR leaders, third-party administrators (TPAs), carriers, and other point-solutions to align on clinical action plans.
- Clinically Led HCC Management: Direct the clinical narrative around High Cost Claimants (HCC) within client populations, moving HCC efforts from static reporting to active, clinically led member support.
What you'll need
MD or DO