Medical Director - Clinical Strategy
Core
Lead clinical strategy and digital/AI solution design for high-risk and complex care populations (oncology, chronic conditions, serious illness) to improve outcomes, affordability, and member experience.
Role type
Senior strategic clinical leader (Medical Director)
Builds
Scalable clinical programs, digital/AI-enabled care models, and strategic roadmaps for high-cost and complex care members.
Domain
Health insurance / Payer / Digital Health / AI in Healthcare
Deliverable
product features
Required skills
Clinical strategy, business acumen, digital fluency, AI solution design, cross-functional leadership, data analytics, process improvement, executive communication
Preferred skills
Payer strategy, oncology, specialty pharmacy, value-based care, clinical product design, predictive analytics
Technologies
AI agents, advanced segmentation, digital navigation tools, technology-enabled case management
Responsibilities
Translate clinical and business priorities into strategic roadmaps and business cases; lead design of scalable clinical programs for high-risk populations; partner with Product, Technology, and Data teams to define requirements and execute digital/AI solutions; use data and claims insights to identify opportunities and prioritize initiatives; develop performance measurement frameworks and KPIs; drive process improvements and operating model enhancements; align stakeholders across a matrixed organization; prepare executive-ready strategy documents.
Seniority
Senior, hands-on IC with strategic leadership