Medical Director of Clinical Affairs

Remote; San Francisco (CA); Remote; USD 250,000 - 480,000; Full time

Benefits offered by this job

Remote-first culture

401(k) Fidelity

Comprehensive medical, vision, and a-d

PTO and DTO

12 weeks of Paid parental leave

Fertility/Family leave benefits

WFH reimbursement

Job summary

Included Health is seeking a Medical Director - Clinical Affairs to act as a strategic clinical partner bridging our organization, clients, and external stakeholders. The role envisions leveraging data and technology to improve clinical and financial outcomes across care delivery, population health, and vendor ecosystems.

The candidate will serve as an executive-level clinical advisor, translating health data into actionable campaigns, guiding multi-vendor collaborations, and scaling clinically

Qualifications

• MD or DO with medical license in good standing.
• Minimum of 5 years of post-residency clinical experience.
• Active medical license in good standing; board certification in primary specialty.
• Willingness to travel up to twice per month for 1–2 days per engagement.

Responsibilities

• Serve as executive clinical advisor for strategic enterprise clients.
• Translate population health data into clinical campaigns and actions.
• Lead multi-vendor clinical rounds with TPAs, carriers, and clients.
• Oversee clustering of high-cost claimants with clinically led interventions.
• Support growth and retention through clinical value demonstrations.

Skills

Executive advisory

Population health analytics

Clinical strategy

Vendor stewardship

HCC management

Clinical leadership

Education

MD/DO

Job description

About Included Health

Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation to millions of members throughout the country. We’re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community no matter where they are in their health journey or what type of care they need—from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It’s all included. Learn more at includedhealth.com.

Position Overview

The Medical Director - Clinical Affairs serves as a vital strategic clinical partner bridging Included Health, our strategic clients, and external stakeholders. This role is designed for a visionary physician-leader who can think of new and creative ways—leveraging data and technology—to improve the healthcare experience in a way that promotes better clinical and financial outcomes.

The ideal candidate will not only represent the value of Included Health’s clinical offerings to support growth and retention but will also act as an executive-level clinical advisor to our most complex clients. They will translate population health data into actionable clinical campaigns, clinically steer multi-vendor ecosystems (including TPAs and carriers), and collaborate with internal business strategy teams to scale repeatable clinical solutions in the market.

Key Responsibilities:

Pillar 1: Clinical Stewardship & Support for Strategic Clients

• 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.

Pillar 2: Growth Strategy & Support for Sales and External Partners

• 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 our programs, driving upsells, revenue generation, and customer retention.

• External Representation: Represent Included Health at national conferences, industry events, and seminars to showcase our clinical performance, navigation, and virtual care capabilities.

• Educational Engagement: Develop and deliver highly engaging educational materials and clinical presentations for clients, healthcare professionals, and public stakeholders.

Pillar 3: Internal Support & Business Strategy

• Scalable Clinical Strategy: Partner directly with the Business Strategy team to evaluate external vendors, co-develop our clinical strategy, identify emerging market needs, and determine what clinical offerings can be delivered effectively at scale.

Health Plan Strategy & Market Integration: Leverage health plan and TPA expertise to build out consistent, structured clinical support for the health plan side of our business, assisting with ecosystem integration, strategic carrier collaborations, and the expansion of innovative models like Alternative Plan Design (APD).

Qualifications:

Professional Background / Requirements

• 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.

Specialized Expertise (Highly Preferred)

• 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.

Core Competencies:

• 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.

Benefits & Perks:

• 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