[Remote] Clinical Quality AI Specialist

About the Role

[Remote] Clinical Quality AI Specialist at Included Health in Anywhere. Lifestyle: remote. Benefits: 401k, health benefits, PTO.

Work-Life Balance Factors

Remote/telehealth

Key Responsibilities

• Lead pre-deployment validation
• Build LLM evaluation datasets/gold standards; run clinical red-teams and prompt testing; refine prompts/guardrails; assess RAG fidelity
• Collaborate with engineering and product, security, compliance, legal, care and service line leaders
• Maintain governance artifacts (charter, SOPs, decision logs) and audit readiness
• Support clinical service-line QA; URAC/NCQA activities; policy/standards/rubrics management

Requirements

• NP or PA with active, unrestricted license
• Experience with clinical review of LLM outputs; building eval datasets; red-teaming/prompt testing; RAG assessment
• Experience partnering with analytics/data science; interpret core performance metrics
• Experience in virtual care/care navigation and enterprise audits
• Compassionate Leave (paid leave for employees who experience a failed pregnancy, surrogacy, adoption or fertility treatment)

Benefits & Compensation

• Lead/participate in event detection, RCA/FMEA, CAPA; education (CME/CE, targeted training)
• Comprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance)
• Full suite of Included Health telemedicine (e. g. behavioral health, urgent care, etc.) and health care navigation products and services offered at no cost for employees and dependents
• Generous Paid Time Off ("PTO") and Discretionary Time Off (“DTO”)
• Included Health has a track record of offering H1B sponsorships, with 12 in 2025, 9 in 2024, 8 in 2023, 6 in 2022. Please note that this does not guarantee sponsorship for this specific role.

Work Schedule

• 24 hours of Paid Volunteer Time Off (“VTO”) Per Year to Volunteer with Charitable Organizations