Medical Director, Clinical Affairs

The role

Lead clinical strategy and advisory work for strategic clients and partners. Analyze population health data, support high-stakes cases, and represent Included Health at conferences and in sales and renewal cycles.

What you will do

• Advise executive committees of strategic enterprise clients on clinical policy, healthcare AI integration and benefits strategy
• Analyze population utilization data to design clinical campaigns and rising-risk briefs
• Manage the high-stakes, high-visibility or high-dollar case desk, including clinical case memos and peer-to-peer discussions
• Review member health and claims data to find low-value care patterns and advise plan sponsors
• Lead multi-vendor clinical rounds with client HR leaders, TPAs, carriers and point-solution vendors
• Direct the clinical approach to High Cost Claimant management within client populations
• Partner with Sales and Client Success on pitches, renewals and upsells
• Represent Included Health at national conferences, industry events and seminars
• Develop educational materials and clinical presentations for clients and healthcare professionals
• Work with the Business Strategy team to evaluate vendors and build scalable clinical offerings, including health plan support and Alternative Plan Design

Required qualifications

• Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) degree
• Minimum of 5 years of post-residency clinical experience
• Active medical license in good standing in state of residence
• Board certification in primary specialty maintained throughout employment
• Willingness to travel up to twice per month for 1-2 days each, averaged over the year

Nice to have

• High-quality clinical baseline across a wide range of medical conditions
• Experience in clinical consulting, such as corporate or health plan Medical Director, clinical SME in digital health, or healthcare consulting
• Deep working knowledge of health plans, TPAs and commercial benefit ecosystems, including Alternative Plan Design (APD) or health plan client support
• Experience analyzing healthcare claims, utilization reports or clinical data
• Understanding of the digital health landscape, clinical technology trends including AI in care, and virtual care delivery models

Benefits

• 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
• Fertility coverage, $25,000 for surrogacy or adoption, and paid leave for failed treatments, adoption or pregnancies
• Work-from-home reimbursement for home office setup

Before you apply

• Candidates must have an active medical license and board certification in their primary specialty
• The recruiter will share the salary range and benefits package for the role during hiring

About the company

Included Health is a healthcare company delivering integrated virtual care and navigation. It offers care guidance, advocacy and virtual and in-person care, including primary, behavioral and specialty care.