Associate Clinical Director, Integrated Care Quality (NP/MD)

The role

This role leads clinical quality strategy for client audits, consultant engagement, and longitudinal quality assurance. The Associate Clinical Director represents Included Health clinical services in high-stakes meetings with clients, consultants, and health plans. The role also leads AI-enabled quality surveillance and population health quality oversight.

What you will do

• Represent clinical services in high-stakes client, consultant, and audit-related discussions.
• Build relationships with clients, consultants, health plans, and internal commercial partners.
• Serve as a trusted clinical quality voice in escalations, performance reviews, and executive forums.
• Own the strategy and operating model for clinical client audit readiness.
• Lead audit planning, preparation, risk triage, and remediation planning.
• Turn audit findings into measurable action plans with clear ownership.
• Lead design of longitudinal QA models across the member journey.
• Lead use of AI and analytics to scale quality surveillance and audit readiness.
• Own population health quality oversight and establish a metric framework.
• Translate performance findings into corrective plans, workflow redesign, and policy refinement.

Required qualifications

• Physician or Nurse Practitioner with current unrestricted U.S. license in good standing.
• Board certification required for physicians.
• 7+ years of clinical, healthcare quality, patient safety, or clinical operations experience with progressive responsibility.
• 3+ years leading or materially shaping client-facing quality work, external audits, consultant engagement, or similar external clinical work.
• Demonstrated experience representing clinical services in consequential meetings with clients, consultants, auditors, health plans, or senior executives.
• Strong experience in quality strategy, audit readiness, program development, and cross-functional leadership.
• Excellent written and verbal communication skills.
• Strong analytical and systems-thinking skills, comfortable interpreting quality and operational data.
• Proven ability to build relationships, influence without authority, and lead through ambiguity.

Nice to have

• Experience in population health, care navigation, care management, virtual care, or other longitudinal care models.
• Experience designing or leading longitudinal QA or proactive surveillance models.
• Experience leveraging agentic AI or advanced analytics to scale quality oversight.
• Familiarity with URAC, NCQA, HEDIS, or MIPS.
• Experience with Looker, Tableau, Observe.AI, or advanced spreadsheet analysis.
• CPHQ, CPPS, Lean Six Sigma, or similar training or certification.

Benefits

• Remote-first culture
• 401(k) savings plan through Fidelity
• Comprehensive medical, vision, and dental coverage with multiple medical plan options
• Disability insurance
• Paid Time Off and Discretionary Time Off
• 12 weeks of 100% paid parental leave
• Fertility coverage
• $25,000 for surrogacy or adoption
• Paid leave for failed treatments, adoption, or pregnancies
• Work-from-home reimbursement

Before you apply

• Physicians must be board certified; a U.S. license must be current and unrestricted.
• The recruiter will share your geographic zone on inquiry, which affects pay.
• Included Health considers applicants with arrest or conviction records under San Francisco, Los Angeles County, and California law.

About the company

Included Health is a healthcare company delivering integrated virtual care and navigation, including primary, behavioral, and specialty care. It is an Equal Opportunity Employer.