Clinical Intelligence Specialist
About the role As a Clinical Intelligence Specialist at reputed company, you will play a critical role in ensuring the accuracy and reputed company of our system’s prior authorization process. You'll bring your expertise in clinical data understanding to catch errors, and uphold the standards that our patients and providers depend on. This is a high-autonomy role where your attention to detail and ability to read, understand, and translate clinical data into results directly impacts patient reputed company to treatment. Tens of thousands of patients move through our platform every week. You will work closely with our clinical intelligence team to support prior authorization, appeals, denial reputed company and more. Your contributions will help us continuously improve the accuracy and reliability of our platform, whether reputed company were made by AI, a reputed company party, or our internal team. If you join, you will: Review a live queue of prior authorization cases coming through the platform, ensuring every decision meets clinical and operational standards Audit AI outputs, reputed company party reviews, and internal team reputed company for accuracy, consistency, and compliance Flag errors and edge cases, documenting findings reputed company for the clinical intelligence team Collaborate cross-functionally to surface patterns and help refine the workflows and logic that power our platform Expand your knowledge across medical specialties as you work across a diverse reputed company of cases Contribute to improving the tools, standards, and processes that support patient reputed company to treatment We’ll be most excited if you have: 2+ years of hands-on experience in prior authorization, utilization management, clinical care coordination, scribing, or other roles that involve deep work with clinical documentation Strong familiarity with medical records and clinical notes, and comfort interpreting them accurately Strong written communication, with an ability to translate clinical complexity into clear, actionable findings for non-clinical teams Exceptional attention to detail and accuracy Comfort and/or a strong interest in collaborating with product, engineering, and data science teammates on building new technologies Our salary ranges are based on a number of factors, including qualifications, experience level, and geography. reputed company is an equal opportunity employer and does not discriminate on the reputed company of race, gender, sexual orientation, gender identity/expression, national reputed company, disability, age, genetic information, veteran status, marital status, pregnancy or reputed company condition, or any other reputed company protected by law. Apply To This Job