Prior Authorization Specialist

The Prior Authorization Specialist will be a key member of the product team, supporting SmarterDx’s newest product launch to help health systems capture the full value of care delivered. Working directly with our Product, Design, and Data Science teams; you’ll use your deep hands-on knowledge from large health systems to guide how we design, test, and refine new product capabilities. You will bring creativity and clinical insight to provide feedback for our proprietary clinical AI models; ensuring they accurately reflect real-world workflows and payer behaviors. This role involves acting as SmarterDx’s internal expert on prior authorization workflows, payer requirements, and best practices, partnering with product managers, engineers, designers, and data scientists to design and validate new product features focused on clinical intelligence for authorizations, and reviewing, organizing, and labeling real-world prior authorization data to support model training and performance evaluation.