Lead the care, case, and utilization management programs at Included Health, focusing on clinical outcomes and program performance.
Posted by employer 1 month ago
First seen on Joblaze 1 week ago
Last verified on the company career page 19 hours ago
Not disclosed in this posting: compensation, years of experience, work arrangement, visa sponsorship.
Joblaze summary
The Medical Director of Care & Case Management at Included Health is responsible for leading and optimizing care management programs, focusing on achieving performance and quality targets. This role requires a strong operational background, with an emphasis on evidence-based practices and the ability to navigate complex clinical environments. Ideal candidates are experienced physician leaders who can translate strategic goals into effective clinical operations. The position is pivotal within a dynamic team that drives Included Health's population health initiatives.
From the original posting
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.