Medical Director, Care & Case Management
Included HealthVirtual Care company
RemoteDirector
Greylock
Venrock
The Carlyle Group
Harrison Metal
Revelation Partners
Leadership & General Management
About the role
TL;DR
Lead care, case, and utilization management programs, owning performance and clinical direction.
- •The Medical Director, Care Management leads Included Health's care, case, and utilization management programs, setting clinical direction and owning program performance.
- •This physician leader is a strong operator focused on achieving performance and quality targets, ultimately bending the cost curve by navigating members to high-quality care.
- •Key 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, including setting targets, evaluating performance gaps, and redesigning workflows.
- •Partner with Product and Engineering to design, validate, and deploy AI and agentic tools into clinical workflows.
- •Lead, manage, and develop leaders, setting clear clinical and operational expectations.
- •Requirements MD or DO degree.
- •Board certified in internal medicine, family medicine, med-peds, or related specialty, with 7+ years of post-residency clinical experience.
- •Minimum of 5 years in a healthcare leadership role with direct oversight of clinical teams or programs, including managing managers.
- •Active, unrestricted medical license.
- •Track record of delivering against operational KPIs in a scaled, performance-driven setting.
Required skills
Performance Management
Domain expertise
healthcare