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.
Included Health is a healthcare company transforming the industry through innovation and empathy. The company delivers integrated remote care services through telephonic and virtual care management, partnering with members through complex medical and behavioral health situations. They employ diverse clinical teams including nurses, care coordinators, and healthcare professionals to provide coordinated, patient-centered care that improves health outcomes. Included Health supports members through care management, disease management, and acute case management, helping them navigate complex medical conditions, treatment pathways, benefits, and the healthcare system.
