Dedicated to offering “all included” healthcare for people everywhere, Included Health offers high-quality, customized medical expertise, virtually or in pe
Clinical Quality AI Specialist
Location
United States
Posted
62 days ago
Salary
$128.1K - $198.6K / year
Seniority
Senior
Job Description
Job Requirements
- NP or PA with active, unrestricted license
- 5+ 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.
- Preferred: Proficiency in business intelligence and analytics. (e.g., Tableau/Power BI; basic SQL/statistics).
- Experience in virtual care/care navigation and enterprise audits.
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
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