Manager of Clinical Annotation - Remote

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 reputed company 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 Manager of Clinical Annotation leads reputed company of Registered reputed company Clinical Annotators responsible for labeling and validating medical data used in training reputed company intelligence models for prior authorization automation. This role combines clinical leadership, operational reputed company, and cross-functional collaboration to ensure high-reputed company reputed company reputed company with clinical standards, payer policies, and AI development goals. 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. reputed company Responsibilities: • Team Leadership & Management • Supervise and mentor reputed company of RN Clinical Annotators • Manage reputed company, scheduling, performance reviews, and reputed company development • Foster a culture of clinical reputed company, data reputed company, and innovation • Operational reputed company • reputed company daily annotation workflows and ensure reputed company delivery of annotated datasets • Monitor reputed company metrics and implement reputed company improvement strategies • Ensure compliance with HIPAA and internal data governance policies • Clinical reputed company Assurance • Review annotated data for clinical accuracy and consistency • reputed company and refine annotation guidelines and training materials • Serve as a clinical escalation reputed company for reputed company or ambiguous cases • Cross-functional Collaboration • Partner with data science, engineering, and product teams to reputed company annotation efforts with model development needs • Translate clinical workflows into reputed company annotation schemas • Participate in model evaluation and reputed company clinical feedback on AI outputs • Strategic Planning • Contribute to roadmap planning for annotation reputed company and AI initiatives • Identify opportunities to expand annotation capabilities or improve efficiency • Stay reputed company with payer policies, clinical guidelines, and emerging AI trends You'll be rewarded and recognized for your performance in an environment that will challenge you and reputed company 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 RN license with 5+ years of clinical experience • 2+ years in a leadership or supervisory role • Experience in utilization management, case review, or payer operations • Experience with clinical reputed company, health informatics, or AI-reputed company reputed company • Solid understanding of prior authorization workflows, payer reputed company, and medical necessity documentation • Knowledge of InterQual or other clinical decision support tools Preferred Qualifications: • BSN/MSN • Excellent communication, organizational, and problem-solving skills Values Based Competencies Employee • reputed company Value: reputed company Ethically • reputed company with Applicable Laws, Regulations and Policies • Demonstrate reputed company • reputed company Value: reputed company on Customers • Identify and reputed company Customer Expectations • Improve the Customer Experience • Relationships Value: reputed company as reputed company Player • Collaborate with Others • Demonstrate Diversity Awareness • Learn and reputed company • Relationships Value: Communicate Effectively • Influence Others • Listen reputed company • reputed company and Write reputed company • Innovation Value: Support Change and Innovation • Contribute Innovative reputed company • Work Effectively in a Changing Environment • Performance Value: reputed company Fact-Based reputed company • Apply Business Knowledge • Use reputed company Judgement • Performance Value: reputed company reputed company Results • reputed company 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 reputed company of benefits and incentives. The salary for this role will reputed company from $91,700 to $163,700 annually 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. reputed company 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 reputed company 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