Medical Director of Clinical Affairs
Included Health· Clinical Strategy and Services
Remote$188.3k - $288kFull-timePosted 5mo ago
About the role
Medical Director – Clinical Affairs is a strategic clinical leadership role bridging Included Health, strategic clients, and external stakeholders. The physician-leader translates population health data into actionable clinical campaigns, steers multi-vendor ecosystems, and scales repeatable clinical solutions to improve clinical and financial outcomes.
Responsibilities
- Executive Advisory: Serve 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 strategy.
- Population Health Strategy & Analytics: Analyze population utilization data to develop strategies, rising-risk briefs, and clinical campaign designs that alter the cost and health trajectory of client populations.
- High-Stakes Case Support: Manage the high-stakes, high-visibility, or high-dollar case desk—providing clinical case memos, peer-to-peer discussions, and member-facing clinical framing guidance.
- Population Health Informatics & Efficiency: Review 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 ecosystem.
- Joint Vendor Stewardship: Lead multi-vendor clinical rounds bringing together Included Health, client HR leaders, TPAs, carriers, and other point-solutions to align on clinical action plans.
- Clinically Led HCC Management: Direct the clinical narrative around High Cost Claimants (HCC) within client populations, moving HCC efforts from static reporting to active, clinically led member support.
- Sales & Retention Enablement: Partner with Sales and Client Success teams during high-stakes prospect pitches and renewal cycles to showcase the clinical and economic value of programs, driving upsells, revenue generation, and customer retention.
- External Representation: Represent Included Health at national conferences, industry events, and seminars to showcase clinical performance, navigation, and virtual care capabilities.
- Educational Engagement: Develop and deliver engaging educational materials and clinical presentations for clients, healthcare professionals, and public stakeholders.
- Scalable Clinical Strategy: Partner with the Business Strategy team to evaluate external vendors, co-develop clinical strategy, identify emerging market needs, and determine scalable clinical offerings.
- Health Plan Strategy & Market Integration: Build structured clinical support for the health plan side of the business, assist with ecosystem integration, carrier collaborations, and expansion of models like Alternative Plan Design (APD).
Qualifications
- Education: Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO).
- Clinical Experience: Minimum 5 years post-residency clinical experience.
- Licensure: Active medical license in good standing in state of residence; board certification in primary specialty.
- Travel: Willingness to travel up to twice per month for 1-2 days each.
- Specialized Expertise (Highly Preferred): Clinical consulting/strategy, health plan & TPA acumen, population health and claims analysis, digital health expertise.
Skills
Required:Executive advisoryPopulation health analyticsMulti-vendor leadership
Benefits
- Remote-first culture
- 401(k) savings plan through Fidelity
- Comprehensive medical, vision, and dental coverage
- Paid Time Off (PTO) and Discretionary Time Off (DTO)
- 12 weeks of 100% Paid Parental leave
- Fertility coverage and related leave benefits
- Work-From-Home reimbursement
Last updated Oct 21, 2026. Interested? Apply on the company site.
About Included Health
Designed to treat you better.™
Included Health delivers personalized virtual care, navigation, and cost-saving healthcare solutions for employers, health plans, and members.
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