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

Included Health· Clinical Strategy and Services
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Remote$188.3k - $260kFull-timePosted 3mo ago

About the role

Strategic leadership role responsible for clinical quality strategy, external representation, and program leadership to ensure high-stakes client, consultant, and audit-facing credibility. Focus on longitudinal quality assurance, population health quality oversight, and AI-enabled quality at scale.

Responsibilities

  • Represent Included Health clinical services in high-stakes client, consultant, and audit-related discussions.
  • Build strong relationships with clients, consultants, health plans, and internal commercial partners.
  • Serve as a trusted clinical quality voice in escalations, performance reviews, corrective action discussions, and executive forums.
  • Translate complex clinical and operational issues into clear, credible, executive-ready narratives.
  • Own the strategy and operating model for clinical client audit readiness.
  • Lead audit planning, preparation, risk triage, file review standards, and executive readiness.
  • Serve as the senior clinical lead for audit content, responses, and remediation planning.
  • Ensure audit findings are converted into measurable action plans with clear ownership and follow-through.
  • Lead the design and maturation of longitudinal QA models that assess quality across the member journey.
  • Build proactive oversight frameworks that identify risks before they surface in audits, escalations, or client dissatisfaction.
  • Connect quality findings across service lines to identify systemic issues, not isolated defects.
  • Ensure longitudinal QA informs coaching, workflow redesign, policy refinement, and client readiness.
  • Lead the use of AI and advanced analytics to scale quality surveillance, longitudinal review, and audit readiness.
  • Define where AI can responsibly augment human review, including trend detection, review prioritization, and documentation assessment.
  • Partner with product, engineering, analytics, and AI quality leaders to build safe, clinically credible workflows.
  • Ensure AI-supported quality programs maintain strong human oversight, validation, and calibration.
  • Own population health quality oversight across relevant clinical programs, with accountability for defining, monitoring, and improving program performance.
  • Establish and govern a metric framework spanning clinical quality, operational performance, service reliability, and member outcomes.
  • Define metric ownership, thresholds, escalation triggers, and review cadences in partnership with clinical, operational, analytics, and client-facing leaders.
  • Translate performance findings into concrete action, including corrective plans, workflow redesign, policy refinement, and program accountability.
  • Build scalable oversight processes that connect longitudinal QA, audit findings, escalations, and program data into a unified view of quality across the member journey.

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 of experience leading or materially shaping client-facing quality work, external audits, consultant engagement, or similar high-stakes external clinical work.
  • Demonstrated experience representing clinical services in consequential syncs 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, with the ability to tailor messaging to clinicians, clients, consultants, and executives.
  • Strong analytical and systems-thinking skills, with comfort interpreting quality and operational data.
  • Proven ability to build relationships, influence without authority, and lead through ambiguity.

Skills

Required:Clinical quality strategyAudit readinessCommunication
Nice to have:AI-enabled quality

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
  • Family Building & Compassionate Leave: Fertility coverage, $25,000 for surrogacy/adoption, and paid leave for failed treatments, adoption or pregnancies
  • Work-From-Home reimbursement to support team collaboration home office work
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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