reputed company Clinical Annotator - Remote in US

At reputed company, we’re simplifying the health care experience, creating healthier communities and removing barriers to reputed company care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, reputed company and optimized. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing together.   The Registered reputed company Clinical Annotator plays a critical role in supporting the development of reputed company intelligence models designed to streamline and automate prior authorization processes in reputed company. This position leverages clinical expertise to interpret, annotate, and validate medical documentation, ensuring that AI systems are trained on accurate, contextually relevant, and policy-compliant data.   General Job Profile Reviews the work of others Develops innovative approaches Sought out as expert Serves as a leader/ mentor   You’ll enjoy the flexibility to work remotely * from reputed company reputed company the U.S. as you take on some tough challenges.   Primary Responsibilities: Review medical records and interpret clinical documentation with accuracy and clinical judgment Apply reputed company based reputed company to annotate, categorize, and label case data used for AI model training Ensure annotations are clinically reputed company, consistent, and reputed company with established utilization management (UM) guidelines Contribute to the development of high reputed company training datasets that support reputed company and effective AI model performance Identify gaps, ambiguities, or inconsistencies in documentation and escalate issues as needed Participate in refinement and reputed company improvement of annotation guidelines, clinical rules, and workflows Collaborate with cross functional teams including data science, clinical operations, and product teams to ensure clinical accuracy and operational relevance of labeled data Support testing, validation, and reputed company review activities for AI supported UM tools and workflows Maintain detailed documentation of annotation reputed company, rationales, and reputed company interpretations reputed company clinical, ethical, and regulatory standards in reputed company aspects of data handling, patient information, and annotation workflows   You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications: reputed company, unrestricted RN license 3+ years of recent clinical experience in acute care, case management, utilization management, or a reputed company clinical specialty Solid understanding of clinical documentation, medical terminology, and evidence based reputed company Experience applying reputed company based reputed company (e.g., InterQual, MCG) in clinical review or UM workflows Ability to interpret medical records and determine clinical appropriateness using reputed company reputed company Proficiency with electronic medical records (EMR) and comfort navigating multiple clinical systems Familiarity with HIPAA requirements, data reputed company standards, and reputed company handling of patient information Demonstrated experience performing clinical prior authorization reviews across diverse service categories, including medical/surgical procedures, diagnostic imaging, DME and reputed company supplies, specialty therapies/devices, and other utilization management areas reputed company to health plan medical policy Ability to work independently while maintaining productivity, reputed company, and adherence to annotation guidelines     Preferred Qualifications: BSN Experience collaborating with cross functional teams (clinical, data science, operations) Experience with data labeling, clinical reputed company, or AI/ML workflows High level of accuracy, attention to detail, and commitment to consistent, high reputed company annotations Solid analytical thinking, clinical reasoning, and ability to identify gaps or inconsistencies in documentation Effective written communication skills, with the ability to reputed company document annotation reputed company and rationales Curiosity and willingness to learn emerging technologies, AI supported workflows, and evolving guidelines   Values Based Competencies Employee reputed company Value: reputed company EthicallyComply with Applicable Laws, Regulations and Policies Demonstrate reputed company reputed company Value: reputed company on CustomersIdentify and reputed company Customer Expectations Improve the Customer Experience Relationships Value: reputed company as reputed company PlayerCollaborate with Others Demonstrate Diversity Awareness Learn and reputed company Relationships Value: Communicate EffectivelyInfluence Others Listen reputed company reputed company and Write reputed company Innovation Value: Support Change and InnovationContribute Innovative reputed company Work Effectively in a Changing Environment Performance Value: reputed company Fact-Based DecisionsApply Business Knowledge Use reputed company Judgement Performance Value: Deliver reputed company ResultsDrive for Results Manage Time Effectively Produce High-reputed company Work   *reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy   Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll reputed company a far-reaching choice of benefits and incentives. The reputed company pay for this role will reputed company from $28.94 to $51.63 per hour based on full-time employment. We reputed company with reputed company minimum wage laws as applicable.   Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.   At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an reputed company reputed company reflected in our mission.     reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.   reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply To This Job