Medical Director of Clinical Affairs
Core
Strategic clinical partner bridging Included Health, clients, and external stakeholders to improve healthcare experiences and outcomes via data and technology.
Role type
Executive-level physician-leader (Medical Director)
Builds
Clinical campaigns, member support frameworks, and scalable clinical solutions for health plans and enterprise clients.
Domain
Healthcare / Health Insurance / Population Health
Deliverable
production ML models | product features | dashboards & analysis | client delivery
Required skills
Medical Doctor (MD/DO) degree, active medical license, board certification, 5+ years post-residency clinical experience, population health strategy, claims data analysis, multi-vendor ecosystem management, health plan/TPA acumen, digital health/AI knowledge
Preferred skills
Clinical consulting background, Alternative Plan Design (APD) experience, high-stakes case navigation expertise
Technologies
Healthcare AI, virtual care platforms, claims data systems
Responsibilities
Advise executive committees on clinical policy and benefits strategy; analyze population utilization data to design clinical campaigns; manage high-stakes case desk and provide clinical framing; lead multi-vendor clinical rounds with TPAs and carriers; direct High Cost Claimant (HCC) management; enable sales teams with clinical value narratives; represent company at national conferences; develop educational materials for stakeholders; partner with business strategy to scale clinical offerings.
Seniority
Senior, executive-level IC with strategic advisory scope