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Medical Director, Care & Case Management

2 months, 1 week ago
United States
Full-time
Lead
Operations Manager
Product Management
Apply Now
Included Health

Included Health

Included Health is a healthcare company that provides cost-saving solutions for employers and health plans. They offer virtual care and navigation services, connecting millions with board-certified doctors and specialists for comprehensive and convenie...

Insurance
1K-5K
$106M raised
View All Jobs 21

Description

  • Serve as the clinical escalation point for care, case, and utilization management programs.
  • Set and maintain clinical standards, evidence-based care pathways, and quality expectations across the portfolio.
  • Own clinical KPIs, evaluate performance gaps, and redesign workflows to improve results.
  • Review program data, identify outliers or broken workflows, and drive resolution and improvement.
  • Run the program operating cadence, including weekly performance reviews, escalation triage, and action tracking.
  • Evolve the clinical operating model across adult, maternity, and pediatric populations.
  • Partner with Product and Engineering to design, validate, and deploy AI and agentic tools into clinical workflows.
  • Build new programs and models of care and define how they scale across populations and clients.
  • Lead, manage, and develop clinical leaders and direct reports.
  • Partner with other clinical leaders, Quality, and cross-functional stakeholders to coordinate care and ensure consistent service.

Requirements

  • Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO).
  • Board certified in internal medicine, family medicine, med-peds, or a related specialty.
  • Minimum of 7 years of post-residency clinical experience.
  • Minimum of 5 years in a healthcare leadership role with direct oversight of clinical teams or programs.
  • Experience managing other clinical leaders (managing managers).
  • Active, unrestricted medical license in good standing in state of residence.
  • Active multi-state licensure or willingness to obtain it.
  • Track record of delivering against operational KPIs in a scaled, performance-driven environment.
  • Experience working in digital health or virtual care delivery models (preferred).
  • Comfort integrating clinical AI tools into day-to-day workflows and care delivery (preferred).
  • Knowledge of the medical, behavioral, and social factors driving poor outcomes and avoidable cost across complex populations (preferred).
  • Lives in a physician compact-eligible state (preferred).

Benefits

  • $240,720-$368,304+ base salary, plus bonus, equity, and benefits.
  • Remote-first culture.
  • 401(k) savings plan through Fidelity.
  • Comprehensive medical, vision, and dental coverage, including disability insurance.
  • Paid Time Off (PTO) and Discretionary Time Off (DTO).
  • 12 weeks of 100% paid parental leave.
  • Family building and compassionate leave, including fertility coverage and surrogacy/adoption support.
  • Work-from-home reimbursement.

Interested in this position?

Apply directly on the company website

Apply Now

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