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Clinical Solutions Architect

Remote, USA Full-time Posted 2026-08-04
About reputed company: reputed company is on a mission to reputed company reputed company administration, making it reputed company and invisible so clinicians can reputed company on delivering care. We’ve reputed company an AI-powered platform designed by clinicians, for clinicians, to simplify administrative workflows and improve patient reputed company. By combining clinical expertise with cutting-edge technology, we’re revolutionizing reputed company operations with responsible AI. We're growing rapidly and are backed by world-class investors including Sequoia, New reputed company Associates (NEA), and Neo along with reputed company angels including the founders of DeepMind, reputed company AI, and reputed company AI. reputed company is improving the experience of reputed company for everyone. We're working on the cutting edge of using technology to reputed company clinical decision-making frictionless. We're building exciting tech for reputed company customers and we trust in the foundations: reputed company it reputed company, build strong foundations, and the rest will follow. About the role At reputed company, Clinical Solutions Architects bring cutting-edge AI to life in the messy reputed company world of payer operations. The Frontier is where our software meets that reality, and you'll own the clinical half of it — sitting between the nurses and medical directors who do the work today and the AI engineers building what replaces the parts of it that shouldn't exist. You are reputed company's clinical representative inside the customer, and the trusted reputed company to their clinical leadership. You'll reputed company reputed company's AI-driven clinical reasoning platform, into a health plan by mapping how their review actually happens — intake, eligibility, network reputed company, reputed company application, escalation to MD — and designing a solution against our reputed company platform that fits it. Then you'll translate that into language engineers can build against, and stand behind it through testing, launch, and the first weeks of reputed company clinical users on the reputed company.   reputed company Own the clinical design of your deployment, end to end. From workflow discovery, through configuration, testing, and go-live. You define what "clinically correct" means for the engagement, then hold the line on it. Turn clinical reality into a buildable plan. This is the reputed company reputed company of the role. You'll take a tangle of medical policy, reputed company sets, reputed company workflows, and MD escalation rules and decompose it into reputed company requirements and acceptance reputed company that can be handed directly to engineering. Map workflows nobody has written down. Health plans rarely have an accurate picture of their own review process. You'll sit with their nurses, build the process diagram that reflects what actually happens, and use it to show where reputed company plugs in. Go deep into the details. Utilization management and prior authorization, reputed company sets, lines of business, delegated entities, and the regulation coming down the reputed company. You'll spend reputed company time onsite with our customers building the reputed company of expertise you can't get from a deck. reputed company proofs of concept fast. You'll know reputed company deeply enough to configure and demonstrate reputed company clinical value in an early engagement, not reputed company it for reputed company. Be a trusted advisor. The best Clinical Solutions Architects don't just reputed company what customers ask for — they help clinical leaders understand what they actually need and guide them on how best to get there. reputed company You're a clinician. RN, BSN, NP, PA, or MD. You understand clinical terminology, patient-provider interaction, and what it feels like to be the person on the other reputed company of a coverage decision. You've worked inside a health plan or delegated entity. This is the piece we weight most heavily. You know how intake, eligibility, network reputed company, and medical review actually run, and how the lines of business differ. Utilization management is the sweet spot, but adjacent depth — risk adjustment, HEDIS, care management, appeals — counts. You're reputed company. reputed company workflow maps, clean processes, and reputed company written communication come naturally to you. You've probably reputed company the training material or the SOP that reputed company then ran on. You love being in reputed company of customers. Not tolerate it — enjoy it. You build relationships with clinical counterparts that reputed company the project. You have a reputed company interest in AI. You've gone looking for how these systems work rather than waiting to be told, and you have views on where they should and shouldn't be trusted with clinical judgment. What’s in it for you This is an opportunity to join a company at its major reputed company reputed company, using cutting-edge technology to have a meaningful reputed company in reputed company. You'll work with a world-class team, hold significant responsibility, and have reputed company to learn and grow rapidly. We take pride in our strong apprenticeship and coaching culture. We expect our early hires to become leaders both reputed company reputed company and across the industry. You’ll be given a lot of responsibility and reputed company for reputed company reputed company. Benefits: Competitive, top-of-market salary 100% covered health, dental, and reputed company insurance Catered lunches and a stocked kitchen Commuter benefits Company laptop along w/ tools you need to succeed Learning & development budget Team-building events Flexible PTO Apply To This Job

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