<div><strong>Job Overview:</strong></div> <div>At Included Health, we are reimagining healthcare so that everyone can access high-quality care. Our Clinical Quality and Patient Safety team plays a central role in making that happen.</div> <div></div> <div>We are seeking a physician who will join Included Health and help raise the standard of healthcare. This role is responsible for ensuring the clinical quality of AI and providing oversight—along with core responsibilities in clinical quality and patient safety. You will lead and/or support governance, validation, and monitoring of AI/LLM tools. You will also help support URAC/NCQA-aligned quality processes within our virtual and hybrid care models. This position reports to the Patient Safety Officer within the Clinical Quality team.</div> <div></div> <div></div> <div><strong>Responsibilities</strong></p> <div class="posting-requirements plain-list" data-qa="posting-requirements"> <div> <div> <p data-pm-slice="1 3 []"><strong>Validate clinical AI tools and strengthen LLMs</strong></p> <ul> <li> <p>Lead validation before rollout.</p> </li> <li> <p>Create model cards/transparency documents (intended use, limitations, monitoring, rollback).</p> </li> <li> <p>Partner on data quality (source, representativeness, update cadence, privacy).</p> </li> <li> <p>Develop LLM evaluation datasets and “gold standards”; run clinical red teams and prompt testing; refine prompts and safeguards; evaluate RAG faithfulness.</p> </li> </ul> <p><strong>Implement “Clinical-in-the-loop”</strong></p> <ul> <li> <p>Train physicians on monitoring AI tools and making exception decisions; create SOPs/checklists/escalation processes for using LLMs.</p> </li> <li> <p>Work with Engineering and Product, Security, Compliance, Legal, and leadership across care/service lines.</p> </li> </ul> <p><strong>AI governance and policy</strong></p> <ul> <li> <p>Drive governance for clinical AI (ethics, safety, regulation, privacy, change control, documentation) in partnership with the Patient Safety Officer.</p> </li> <li> <p>Define criteria for clinical use and protective measures with “human-in-the-loop.”</p> </li> <li> <p>Maintain governance documentation (charter, SOPs, decision logs) and support audit readiness.</p> </li> </ul> <p><strong>Quality and patient safety</strong></p> <ul> <li> <p>Support clinical QA, URAC/NCQA-related initiatives, and oversee guidelines/standards/rubrics.</p> </li> <li> <p>Lead and/or participate in event detection, root-cause analyses (RCA/FMEA), and CAPA; provide training (CME/CE and targeted sessions).</p> </li> <li> <p>Support customer/payer audits, RFPs, VBC metrics (HEDIS, MIPS), implementations, and escalations, including complaints and appeals.</p> </li> <li> <p>Lead and/or support cross-functional work to analyze data on clinical quality performance, identify improvement opportunities, and use insights from value-based care to improve the design of health plans—aiming to optimize outcomes, member experience, and cost efficiency.</p> </li> <li> <p>Conduct ongoing assessments of clinical performance and use continuous improvement processes and evidence-based methods to ensure effective care, measurable patient outcomes, and alignment with organizational quality standards.</p> </li> </ul></div> </p></div> </p></div> </div> <div><strong>Qualifications</strong></p> <div class="posting-requirements plain-list" data-qa="posting-requirements"> <div> <div> <p data-pm-slice="1 3 []"><strong>Required</strong></p> <ul> <li> <p>MD/DO with an active, unrestricted medical license.</p> </li> <li> <p>3+ years of clinical practice; 2+ years in quality, patient safety, or clinical operations.</p> </li> <li> <p>Experience clinically reviewing LLM outputs; building evaluation datasets; conducting red-team/prompt tests; evaluating RAG.</p> </li> <li> <p>Expert knowledge in QI/patient safety (PDSA, Lean/Six Sigma, RCA/RCA2, FMEA, CAPA).</p> </li> <li> <p>Working knowledge of URAC, NCQA, and CMS; familiarity with HEDIS/MIPS.</p> </li> <li> <p>Proven track record of quality improvement in value-based care models.</p> </li> <li> <p>Experience partnering with analytics/data science; ability to interpret relevant performance metrics.</p> </li> <li> <p>Strong documentation skills and ability to communicate with stakeholders.</p> </li> </ul> <p data-pm-slice="1 3 []"><strong>Preferred</strong></p> <ul> <li> <p>Experience building, deploying, and iteratively improving clinical AI agents.</p> </li> <li> <p>Competence in business intelligence and analytics (e.g., Tableau/Power BI; basic SQL/statistics).</p> </li> <li> <p>Experience with virtual care/care navigation and enterprise audits.</p> </li> </ul> <p data-pm-slice="1 3 []"><strong>Key Skills</strong></p> <ul> <li> <p>Strong clinical judgment and systems thinking.</p> </li> <li> <p>Analytical rigor; excellent documentation.</p> </li> <li> <p>Ability to identify and mitigate risks in technology-enabled care.</p> </li> <li> <p>Coaching and influence across clinical and technical teams.</p> </li> <li> <p>Can lead through ambiguity and work independently.</p> </li> </ul> <p data-pm-slice="1 3 []"><strong>Other</strong></p> <ul> <li> <p>Remote-first; limited travel (approximately 10–15%).</p> </li> </ul></div> </p></div> </p></div> </div> <div><strong>Compensation:</strong></div> <div>The target base salary range in the United States for this full-time position for new employees is:</div> <div></div> <div>MD candidates: $188,270–$288,048 + bonus + equity + benefits</div> <div></div> <div>This range reflects the minimum and maximum target base salary amounts for new hires—depending on the candidate’s geographic “zone.” Included Health is committed to transparent and fair compensation practices across our different geographic zones.</div> <div></div> <div>Your starting base salary depends on job-related factors specific to each candidate. These can include, among others, education, training, skills, years and depth of experience, certifications and licenses, our hiring needs, internal compensation alignment, organizational considerations, and your understanding of geographic and market data. Compensation structures and ranges are adjusted to match market conditions in each zone to ensure all employees receive a fair and strong compensation package based on their role and location. Your recruiting team can share your geographic zone upon request.</div> <div></div> <div><strong>Benefits & Perks:</strong></div> <div>In addition to competitive compensation, the package—depending on the role—may include:</div> <div>Remote-first culture</div> <div>401(k) savings plan through Fidelity</div> <div>Comprehensive medical, vision, and dental coverage through multiple plan options (including disability insurance)</div> <div>Paid time off (“PTO”) and discretionary time off (“DTO”)</div> <div>12 weeks of fully paid parental leave</div> <div>Family-building and caregiving/compassion leave: fertility coverage, $25,000 for surrogacy/adoption, and paid time off for failed treatments, adoption, or pregnancies</div> <div>Home office reimbursement to support collaboration for work from home</div> <div></div> <div>Your recruiting team will provide additional details on salary range and benefits during the hiring process.</div> <div><strong>About Included Health:</strong></div> <div>Included Health is a new healthcare company that provides integrated virtual care and navigation. Our mission is to raise the standard of healthcare for everyone. We remove barriers so that people everywhere can access high-quality care—regardless of where they are in their health journey or what kind of care they need, from acute to chronic and from behavioral to physical care. We support members through care guidance and advocacy, as well as access to personalized virtual and in-person care for everyday and urgent needs, including primary care, mental/behavioral health, and specialized care. All of this is included. Learn more at <a href="" target="_blank" rel="noopener noreferrer"> <div></div> <div>Included Health is an equal opportunity employer and considers applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetics, or any other basis prohibited by federal, state, or local law. Included Health also considers qualified applicants with arrest or conviction records in accordance with the San Francisco Fair Chance Ordinance, the Los Angeles County Fair Chance Ordinance, and California law.</div>