Position:
Medical Director, Care & Case Management
Company:
Included Health
Compensation:
The United States new hire base salary target range for this full-time position is: $240,720-368,304+ bonus + equity + benefits
Location:
Lives in a physician compact-eligible state.
Employment type:
Full-Time
Work Arrangement:
Remote
Short Summary:
The Medical Director, Care Management leads the care, case, and utilization management programs, setting clinical direction and owning program performance for Included Health's CCM and UM programs. This role is critical in navigating members to high-quality care and supporting them during vulnerable moments.
Responsibilities:
- Serve as the clinical escalation point for care, case, and utilization management programs.
- Set and maintain clinical standards, evidence-based care pathways, and clinical quality expectations.
- Own clinical KPIs, evaluate performance gaps, and redesign workflows.
- Evolve the clinical operating model across adult, maternity, and pediatric populations.
- Partner with Product and Engineering to design and deploy AI tools into clinical workflows.
- Lead, manage, and develop leaders, setting clear clinical and operational expectations.
- Partner with other clinical leaders and stakeholders to coordinate care for members.
Requirement:
- Education: Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO).
- Clinical Experience: Board certified in internal medicine, family medicine, med-peds, or a related specialty, with a minimum of 7 years of post-residency clinical experience.
- Leadership Experience: Minimum of 5 years in a healthcare leadership role with direct oversight of clinical teams.
- Licensure: Active, unrestricted medical license in good standing in state of residence.
- Operations and Performance: Track record of delivering against operational KPIs.
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
- 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