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About the role
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.
What they're looking for
- 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, and the ability to apply that clinical lens to population health leadership
- Leadership Experience: Minimum of 5 years in a healthcare leadership role with direct oversight of clinical teams or programs, including experience managing other clinical leaders (managing managers)
- Licensure: Active, unrestricted medical license in good standing in state of residence, plus active multi-state licensure or willingness to obtain it
- Operations and Performance: Track record of delivering against operational KPIs, like productivity, clinical quality, engagement, in a scaled, performance-driven setting
More about this role
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 physician leader is first a strong operator. The person owns outcomes, not just clinical standards, with success defined as the program hitting its performance and quality targets. This role owns a critical program that bends the cost curve: navigating members to high-quality care, educating members about their health, and supporting them during vulnerable moments.
Reporting to the Senior Medical Director, Complex Care, they bring a strong, evidence-based point of view, are comfortable operating under ambiguity, and translate organizational priorities into clinical operations that perform at scale. They are responsible for ensuring the programs contribute to clinical outcomes, client commitments, and third-party oversight. This physician leader leads an innovative, fast-moving team at the core of Included Health’s population health strategy.
Serve as the clinical escalation point for care, case, and utilization management programs.
Set and maintain clinical standards,...
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