Medical Director, Care & Case Management
- Experience
- C-Level
- Employment
- Full-time
Open to US only. Set where you work from to check your eligibility.
No BS summary
Physician leader for care, case, and utilization management programs. Must be a strong operator who owns clinical outcomes, quality targets, client commitments, and third-party oversight at scale. US remote role with healthcare/population health focus.
Role overview 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.
What you'll do
- Leads the care, case, and utilization management programs.
- Sets clinical direction and owns program performance for Included Health's CCM and UM programs.
- Owns outcomes, not just clinical standards, with success defined as the program hitting its performance and quality targets.
- 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.
- Translates organizational priorities into clinical operations that perform at scale.
- Ensures the programs contribute to clinical outcomes, client commitments, and third-party oversight.
- Leads an innovative, fast-moving team at the core of Included Health’s population health strategy.
What they require
- Physician leader.
- Strong operator.
- Strong, evidence-based point of view.
- Comfortable operating under ambiguity.
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
- Bonus
- Equity
Included Health is a new kind of healthcare company providing personalized all-in-one virtual care, navigation, and community support for employers, health plans, and members.
What people say about this company
3.0/ 5
- Employees appreciate the company's mission and the positive impact it has on healthcare.
- Many reviews mention a good work-life balance.
- Some employees feel that management could be more supportive and effective.