[Remote] Medical Director of Clinical Affairs

Note: The job is a remote job and is open to candidates in USA. Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation to millions of members throughout the country. The Medical Director of Clinical Affairs serves as a strategic clinical partner, bridging the company, clients, and stakeholders while leveraging data and technology to improve healthcare experiences and outcomes.ResponsibilitiesServe 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 strategyAnalyze population utilization data to develop strategies, rising-risk briefs, and clinical campaign designs that alter the cost and health trajectory of client populationsManage the high-stakes, high-visibility, or high-dollar case desk—providing clinical case memos, peer-to-peer discussions, and member-facing clinical framing guidanceReview 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 ecosystemLead 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 plansDirect the clinical narrative around High Cost Claimants (HCC) within client populations, moving HCC efforts from static reporting to active, clinically led member supportPartner 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 retentionRepresent Included Health at national conferences, industry events, and seminars to showcase our clinical performance, navigation, and virtual care capabilitiesDevelop and deliver highly engaging educational materials and clinical presentations for clients, healthcare professionals, and public stakeholdersPartner 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 scaleLeverage 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)SkillsMedical Doctor (MD) or Doctor of Osteopathic Medicine (DO) degreeMinimum of 5 years of post-residency clinical experienceActive medical license in good standing in state of residenceMust maintain board certification in primary specialty throughout employmentWillingness to travel up to twice per month for 1-2 days each (averaged over the year) for client engagements and conferences, occasionally with short noticeProven 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 consultingDeep working knowledge of Health Plans, TPAs, and commercial benefit ecosystems, with direct experience in Alternative Plan Design (APD) or health plan client supportExperience analyzing healthcare claims, utilization reports, or clinical data to pull out population trends, track clinical quality, and identify opportunities to improve healthcare spendComprehensive understanding of the digital health landscape, emerging clinical technology trends (including AI in care), and virtual care delivery modelsBenefitsRemote-first culture401(k) savings plan through FidelityComprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance)Paid Time Off ("PTO") and Discretionary Time Off (7DTO8)12 weeks of 100% Paid Parental leaveFamily 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 workCompany OverviewIncluded Health provides a combination of virtual care, navigation, and communities-based healthcare services. It was founded in 2011, and is headquartered in San Francisco, California, USA, with a workforce of 1001-5000 employees. Its website is http://www.includedhealth.com.