Clinical Quality AI Specialist, MD/DO

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $188.3k - $288k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🤖 Artificial Intelligence

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Included Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

☁️ SaaS

🤝 B2B

👥 HR Tech

SaaS • B2B • HR Tech

Included Health is a healthcare technology company that delivers personalized, employer- and health-plan-focused primary, urgent, and behavioral health care through a single app and a network of virtual and in-person services. It blends AI-driven tools and human care teams to provide 24/7 care coordination, billing and claims advocacy, second opinions from leading specialists, and mental-health support, with the goal of lowering employer healthcare costs and improving member experience and inclusivity.

📋 Description

• Drive our mission to raise the standard of healthcare • a • Responsible for clinical AI quality assurance, oversight plus core clinical quality/safety responsibilities. • Lead and/or support the governance, validation, and monitoring of AI/LLM tools. • Support URAC/NCQA-aligned quality operations across our virtual and hybrid care models. • Report to the Patient Safety Officer within the Clinical Quality team.

🎯 Requirements

• MD/DO with active, unrestricted license. • 3+ years clinical practice; 2+ years in quality, patient safety, or clinical operations. • Experience with clinical review of LLM outputs; building eval datasets; red-teaming/prompt testing; RAG assessment. • QI/patient safety expertise (PDSA, Lean/Six Sigma, RCA/RCA2, FMEA, CAPA). • Working knowledge of URAC, NCQA, CMS; familiarity with HEDIS/MIPS. • Proven track record of quality improvement within value-based care models. • Experience partnering with analytics/data science; interpret core performance metrics • Excellent documentation and stakeholder communication.

🏖️ 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