AI Associate - MD

Included-Health

New York, New York, United States

New York, New York, United States

About

Job Summary At Included Health, we're redefining healthcare to ensure everyone has access to top-quality care. Our Clinical Quality and Safety team contributes in this mission. We are looking for a physician to join our team at Included Health, where you will be instrumental in driving our mission to raise the standard of healthcare. This role is responsible for clinical AI quality assurance, oversight, and core clinical quality/safety responsibilities. You will lead and support the governance, validation, and monitoring of AI/LLM tools, and additionally support URAC/NCQA‑aligned quality operations across our virtual and hybrid care models. This role reports to the Patient Safety Officer within the Clinical Quality team.
Responsibilities AI clinical tool validation and LLM strengthening
Lead pre‑deployment validation
Produce model cards/transparency (intended use, limits, monitoring, rollback)
Partner on data quality (provenance, representativeness, refresh cadence, privacy)
Build LLM evaluation datasets/gold standards; run clinical red‑teams and prompt testing; refine prompts/guardrails; assess RAG fidelity
Clinical‑in‑the‑loop enablement
Train clinicians to oversee AI tools and adjudicate exceptions; create SOPs/checklists/escalations for LLM use
Collaborate with engineering and product, security, compliance, legal, care and service line leaders
AI governance and policy
Administer clinical AI governance (ethics, safety, regulatory, privacy, change control, documentation) in partnership with the Patient Safety Officer
Define clinical use criteria and human‑in‑the‑loop guardrails
Maintain governance artifacts (charter, SOPs, decision logs) and audit readiness
Quality and patient safety
Support clinical QA; URAC/NCQA activities; policy/standards/rubrics management
Lead/participate in event detection, RCA/FMEA, CAPA; education (CME/CE, targeted training)
Support client/payer audits, RFPs, VBC metrics (HEDIS, MIPS), implementations, and escalations, grievances/appeals
Lead and/or support cross‑functional efforts to analyze clinical quality performance data, identify improvement opportunities, and translate value‑based care insights into health plan design enhancements
Conduct ongoing assessments of clinical services, applying continuous improvement and evidence‑based methodologies to ensure service effectiveness, measurable patient outcomes, and alignment with organizational quality standards
Qualifications Required
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‑team/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
Preferred
Experience building, deploying, and iterating, clinical AI agents
Proficiency in business intelligence and analytics (Tableau/Power BI; basic SQL/statistics)
Experience in virtual care/care navigation and enterprise audits
Core competencies
Strong clinical judgment; systems thinking
Analytical rigor; documentation excellence
Risk identification/mitigation in tech‑enabled care
Coaching/influencing across clinical and technical teams
Leads through ambiguity; works independently
Other
Remote‑first; limited travel (~10‑15%)
Candidates based in or near the San Francisco Bay Area are preferred
Pay MD Candidates: 188,270-288,048 + bonus + equity + benefits
Benefits & Perks
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
Equal Opportunity Employment Included Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Included Health considers all 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.
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New York, New York, United States

Languages

English

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