Medical Director of Clinical Affairs

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, third-party administrators (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.

Education: Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) degree.

Clinical Experience: Minimum of 5 years of post-residency clinical experience. High-quality clinical baseline across a wide range of medical conditions is highly preferred to support high-stakes case navigation.

Licensure: Active medical license in good standing in state of residence. Must maintain board certification in primary specialty throughout employment.

Travel: Willingness to travel up to twice per month for 1-2 days each (averaged over the year) for client engagements and conferences, occasionally with short notice.

Clinical Consulting & Strategy: Proven experience in clinical consulting through experience such as corporate/health plan Medical Director, clinical SME in the digital health field, or through work in healthcare consulting.

Health Plan & TPA Acumen: Deep working knowledge of Health Plans, TPAs, and commercial benefit ecosystems, with direct experience in Alternative Plan Design (APD) or health plan client support.

Population Health and Claims Acumen: Experience analyzing healthcare claims, utilization reports, or clinical data to pull out population trends, track clinical quality, and identify opportunities to improve healthcare spend.

Digital Health Expertise: Comprehensive understanding of the digital health landscape, emerging clinical technology trends (including AI in care), and virtual care delivery models.

Commercial Mindset: Ability to balance clinical excellence with business scalability, understanding how to transition high-touch clinical concepts into standardized, repeatable, and value-driven offerings.

Elite Communication: Exceptional verbal and written communication skills, with a proven ability to translate complex clinical data, policies, or cases into clear, compelling narratives for non-clinical corporate executives.

Relationship Management & Influence: Strong cross-functional collaboration skills with the ability to influence internal peers (Sales, Product, Finance, Marketing, Strategy) and manage delicate multi-vendor dynamics.