Medical Director, Clinical Affairs
包容健康是一家全国数百万成员提供综合虚拟护理和导航的新型医疗公司。我们致力于提高每个人的卫生保健水平。无论他们在哪个社区，都在如何为每个人提供高质量的护理或他们需要什么样的护理。从急性到慢性，行为到身体。我们为我们的会员提供护理指导，倡议以及可访问日常和紧急护理，初级护理，行为健康和专业护理的个性化虚拟和私人护理。所有这些都是包括在内。在 includedhealth.com 上了解更多。职位概述 医疗总监 - 临床事务作为一个关键的战略临床合作伙伴，将包括健康与我们的战略客户以及外部利益相关者联系起来。这个角色是为一位有远见的医生领导人而设计的，他可以想出新的和创造性的方法利用数据和技术以提高医疗保健体验，从而促进更好的临床和财务结果。理想候选人不仅代表了包含健康的临床服务价值来支持增长和保留，而且还将担任我们最复杂的客户的执行级临床顾问。美国新聘用基础工资目标范围为188,270美元 - 288,048美元 +奖励+股权+福利。开始的基本工资将取决于各位候选人的不同工作相关因素，这些因素可能包括教育；培训；技能；多年的经验和深度；认证和许可；我们的需求；内部同行公平；组织考虑因素；补偿方案不仅包括获得巨大的赔偿包，还可能包括以下内容：远程第一文化401 (k) 储蓄计划通过 Fidelity 综合医疗，视觉和牙科覆盖方式多种医疗计划选择 （包括残疾保险）有偿休息 ("PTO") 和有权休息 (DTO) 12周100%付费父母假家庭建设与康复
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About Included Health
Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation to millions of members throughout the country. We’re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community no matter where they are in their health journey or what type of care they need—from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It’s all included. Learn more at includedhealth.com.
Position Overview
The Medical Director - Clinical Affairs serves as a vital strategic clinical partner bridging Included Health, our strategic clients, and external stakeholders. This role is designed for a visionary physician-leader who can think of new and creative ways—leveraging data and technology—to improve the healthcare experience in a way that promotes better clinical and financial outcomes.
The ideal candidate will not only represent the value of Included Health’s clinical offerings to support growth and retention but will also act as an executive-level clinical advisor to our most complex clients. They will translate population health data into actionable clinical campaigns, clinically steer multi-vendor ecosystems (including TPAs and carriers), and collaborate with internal business strategy teams to scale repeatable clinical solutions in the market.
The United States new hire base salary target range for this full-time position are: $188,270 - $288,048 + bonus + equity + benefits
Starting base salary for you will depend on several job-related factors, unique to each candidate, which may include education; training; skills; years and depth of experience; certifications and licensure; our needs; internal peer equity; organizational considerations; and understanding of geographic and market data.
Benefits & Perks:
In addition to receiving a great compensation package, the compensation package may include, depending on the role, the following and more:
Remote-first culture
401(k) savings plan through Fidelity
Comprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance)
Paid Time Off ("PTO") and Discretionary Time Off (“DTO")
12 weeks of 100% Paid Parental leave
Family Building & Compassionate Leave: Fertility coverage, $25,000 for surrogacy/adoption, and paid leave for failed treatments, adoption or pregnancies.
Work-From-Home reimbursement to support team collaboration home office work
Your recruiter will share more about the salary range and benefits package for your role during the hiring process.
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About Included Health
Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. We’re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community — no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It’s all included. Learn more at includedhealth.com.
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Included Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Included Health considers all qualified applicants with arrest or conviction records in accordance with the San Francisco Fair Chance Ordinance, the Los Angeles County Fair Chance Ordinance, and California law.
Key Responsibilities:
Pillar 1: Clinical Stewardship & Support for Strategic Clients
- 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 strategy.
- 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 optimize their benefit ecosystem.
- 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.
Pillar 2: Growth Strategy & Support for Sales and External Partners
- Sales & Retention Enablement: Partner with Sales and Client Success teams during high-stakes prospect pitches and renewal cycles to showcase the clinical and economic value of our programs, driving upsells, revenue generation, and customer retention.
- External Representation: Represent Included Health at national conferences, industry events, and seminars to showcase our clinical performance, navigation, and virtual care capabilities.
- Educational Engagement: Develop and deliver highly engaging educational materials and clinical presentations for clients, healthcare professionals, and public stakeholders.
Pillar 3: Internal Support & Business Strategy
- Scalable Clinical Strategy: Partner directly with the Business Strategy team to evaluate external vendors, co-develop our clinical strategy, identify emerging market needs, and determine what clinical offerings can be delivered effectively at scale.
Health Plan Strategy & Market Integration: Leverage health plan and TPA expertise to build out consistent, structured clinical support for the health plan side of our business, assisting with ecosystem integration, strategic carrier collaborations, and the expansion of innovative models like Alternative Plan Design (APD).
Qualifications:
Professional Background / Requirements
- Education: Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) degree.
- Clinical Experience: Minimum of 5 years of post-residency clinical experience. High-quality clinical baseline across a wide range of medical conditions is highly preferred to support high-stakes case navigation.
- Licensure: Active medical license in good standing in state of residence. Must maintain board certification in primary specialty throughout employment.
- Travel: Willingness to travel up to twice per month for 1-2 days each (averaged over the year) for client engagements and conferences, occasionally with short notice.
Specialized Expertise (Highly Preferred)
- Clinical Consulting & Strategy: Proven experience in clinical consulting through experience such as corporate/health plan Medical Director, clinical SME in the digital health field, or through work in healthcare consulting.
- Health Plan & TPA Acumen: Deep working knowledge of Health Plans, TPAs, and commercial benefit ecosystems, with direct experience in Alternative Plan Design (APD) or health plan client support.
- Population Health and Claims Acumen: Experience analyzing healthcare claims, utilization reports, or clinical data to pull out population trends, track clinical quality, and identify opportunities to improve healthcare spend.
- Digital Health Expertise: Comprehensive understanding of the digital health landscape, emerging clinical technology trends (including AI in care), and virtual care delivery models.
Core Competencies:
- Commercial Mindset: Ability to balance clinical excellence with business scalability, understanding how to transition high-touch clinical concepts into standardized, repeatable, and value-driven offerings.
- Elite Communication: Exceptional verbal and written communication skills, with a proven ability to translate complex clinical data, policies, or cases into clear, compelling narratives for non-clinical corporate executives.
- Relationship Management & Influence: Strong cross-functional collaboration skills with the ability to influence internal peers (Sales, Product, Finance, Marketing, Strategy) and manage delicate multi-vendor dynamics.