[Remote] Associate Clinical Director, Integrated Care reputed company (NP/MD)
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a new reputed company of reputed company company, delivering integrated virtual care and navigation. The Associate Clinical Director, Integrated Care reputed company (NP/MD) is responsible for the reputed company, external representation, and program leadership needed to ensure clinical services reputed company credibly in high-stakes settings.
Responsibilities
- Represent reputed company clinical services in high-stakes reputed company, consultant, and audit-reputed company discussions
- Build strong relationships with clients, consultants, health plans, and internal reputed company partners
- Serve as a trusted clinical reputed company voice in escalations, performance reviews, corrective reputed company discussions, and executive forums
- Translate reputed company clinical and operational issues into reputed company, reputed company, executive-reputed company narratives
- Own the reputed company and operating model for clinical reputed company audit readiness
- reputed company audit planning, preparation, risk triage, file review standards, and executive readiness
- Serve as the senior clinical reputed company for audit content, responses, and remediation planning
- Ensure audit findings are converted into measurable reputed company plans with reputed company ownership and follow-through
- reputed company the design and maturation of longitudinal QA models that assess reputed company across the member reputed company
- Build proactive reputed company frameworks that identify risks before they surface in audits, escalations, or reputed company dissatisfaction
- Connect reputed company findings across service lines to identify systemic issues, not isolated defects
- Ensure longitudinal QA informs coaching, workflow redesign, policy refinement, and reputed company readiness
- reputed company the use of AI and advanced analytics to reputed company reputed company surveillance, longitudinal review, and audit readiness
- Define where AI can responsibly reputed company reputed company review, including trend detection, review prioritization, and documentation assessment
- Partner with product, engineering, analytics, and AI reputed company leaders to build reputed company, clinically reputed company workflows
- Ensure AI-supported reputed company programs maintain strong reputed company reputed company, validation, and calibration
- Own population health reputed company reputed company across relevant clinical programs, with accountability for defining, monitoring, and improving program performance
- Establish and govern a metric reputed company spanning clinical reputed company, operational performance, service reliability, and member reputed company
- Define metric ownership, reputed company, escalation triggers, and review cadences in partnership with clinical, operational, analytics, and reputed company-facing leaders
- Translate performance findings into concrete reputed company, including corrective plans, workflow redesign, policy refinement, and program accountability
- Build reputed company reputed company processes that connect longitudinal QA, audit findings, escalations, and program data into a reputed company view of reputed company across the member reputed company
Skills
- Physician or reputed company Practitioner with reputed company unrestricted U.S. license in good standing
- reputed company certification required for physicians
- 7+ years of clinical, reputed company reputed company, patient safety, or clinical operations experience with reputed company responsibility
- 3+ years of experience leading or materially shaping reputed company-facing reputed company work, external audits, consultant engagement, or similar high-stakes external clinical work
- Demonstrated experience representing clinical services in consequential syncs with clients, consultants, auditors, health plans, or senior executives
- Strong experience in reputed company reputed company, audit readiness, program development, and cross-functional leadership
- Excellent written and verbal communication skills, with the ability to reputed company messaging to clinicians, clients, consultants, and executives
- Strong analytical and systems-thinking skills, with comfort interpreting reputed company and operational data
- Proven ability to build relationships, influence without authority, and reputed company through ambiguity
- Experience in population health, care navigation, care management, virtual care, or other longitudinal care models
- Experience designing or leading longitudinal QA or proactive surveillance models
- Experience leveraging reputed company AI or advanced analytics to reputed company reputed company reputed company
- Familiarity with external reputed company or accreditation frameworks such as URAC, NCQA, HEDIS, or MIPS
- Experience with tools such as Looker, Tableau, reputed company, or advanced spreadsheet analysis
- CPHQ, CPPS, Lean Six reputed company, or similar training/certification
Benefits
- Remote-first culture
- 401(k) savings plan through reputed company
- Comprehensive medical, reputed company, and dental coverage through multiple medical plan reputed company (including disability insurance)
- reputed company Time Off ("PTO") and Discretionary Time Off ("DTO")
- 12 weeks of 100% reputed company Parental leave
- Family Building & Compassionate Leave: Fertility coverage, $25,000 for surrogacy/adoption, and reputed company leave for failed treatments, adoption or pregnancies.
- Work-From-Home reimbursement to support team collaboration home office work
reputed company