Audit medical summaries, timelines and record classifications against source records.
Write clinical review guidelines and gold-standard examples for research and engineering teams.
Flag clinically significant omissions, causation issues and prior-history findings.
Brighterway builds AI-native claims software and administration for casualty claims, starting with workers' compensation medical-legal review. The team is small, technical, and close to customers, with everyone shipping and talking directly to users.
Review AI-generated educational content on surgical anatomy, instrumentation, sterile technique, and patient safety.
Rate content accuracy, completeness, and alignment with professional standards for surgical technology learners.
Complete asynchronous evaluations within defined timelines and participate in periodic evaluation cycles.
Elsevier is a global information analytics company specializing in science and health publishing and digital solutions. The company employs thousands worldwide and fosters an innovative, collaborative culture focused on advancing research and healthcare.
Perform concurrent medical record reviews on nursing units to clarify patient documentation.
Prompt physicians to resolve missing, unclear, or conflicting documentation for appropriate reimbursement.
Provide education to patient care providers on clinical documentation standards and coding requirements.
Virginia Mason Franciscan Health provides a full spectrum of health care services across the Puget Sound region, with a legacy of compassionate care and innovation. With 10 hospitals and nearly 300 care sites, the organization is dedicated to healing the whole person through rigorous research, education, and collaboration.
Evaluate AI-generated clinical interactions for accuracy, safety, and appropriateness.
Annotate and score AI responses against evidence-based protocols and structured rubrics.
Provide detailed written feedback and participate in calibration sessions to enhance AI reliability.
The company focuses on improving AI-powered clinical solutions by leveraging clinical expertise. It is an early-stage partner organization offering flexible, remote contract opportunities for healthcare professionals.
Perform clinical reviews to evaluate medical necessity, level of care, and benefit coverage for members.
Apply internal policies, MCG, and NCCN guidelines to deliver timely and compliant utilization management decisions.
Escalate complex cases and build audit-ready documentation for Medical Director review.
Personify Health created the first and only personalized health platform, bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. Their mission-driven culture empowers diverse perspectives to drive real impact on people's health.
Evaluate AI-generated clinical content across respiratory therapy topics including airway management, mechanical ventilation, and pharmacology.
Apply structured evaluation metrics to score accuracy, completeness, and clinical applicability.
Provide expert feedback to improve clarity, safety, and educational value for respiratory therapy learners.
Elsevier is a global information analytics company specializing in science, health, and technology content. It employs thousands worldwide and fosters a mission-driven culture focused on supporting researchers and healthcare professionals.
Serve as clinical expert and advocate for Abridge's nursing solutions during customer demos and strategic engagements.
Partner with commercial teams and executives, translating clinical value for CNOs, CIOs, and other senior leaders.
Provide customer feedback to product teams and represent Abridge as a clinical thought leader at industry events.
Abridge's AI-powered platform converts medical conversations into structured clinical notes, improving documentation and care. It's a high-growth startup with a team of MDs, AI scientists, and engineers across SF, NYC, and Pittsburgh, emphasizing empathy and ownership.
Analyze and summarize medical records, highlighting relevant clinical findings for attorneys.
Prepare medical chronologies and long-term care assessments to support case evaluations.
Provide objective, evidence-based medical insights and coordinate with expert witnesses.
The partner company provides specialized legal nurse consulting services to attorneys, analyzing medical records and supporting injury-related cases. This role offers flexible, part-time contract work in a fully remote environment.
Review medically complex claims, pre-authorization requests, appeals, and fraud/abuse referrals.
Assess payment determinations using clinical information and established coverage guidelines.
Educate teams on medical review processes and support quality control activities.
Broadway Ventures is a veteran-owned small business delivering mission-critical support to federal health and defense customers. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business, it is built on integrity, collaboration, and excellence.
Review and annotate AI agent conversations across clinical use cases to assess accuracy, safety, and guideline adherence.
Score and annotate agent performance using structured rubrics and evidence-based protocols.
Identify clinical safety concerns and provide actionable feedback to refine AI-driven clinical agents.
Hippocratic AI is developing a healthcare-only, safety-focused large language model to improve patient outcomes globally. With $404M in funding, the company brings together experts from top healthcare and AI institutions like Stanford, Google, and NVIDIA.
Performs pre-admission, admission, and continued stay reviews using approved medical necessity criteria.
Coordinates patient care and communicates with physicians, patients, caregivers, and third-party payers.
Manages patient progression through the healthcare system and proactively works with payers to secure certification and minimize denials.
Ochsner Health is a leading not-for-profit healthcare provider in the Gulf South, with 46 hospitals and 370+ care centers. It employs more than 38,000 team members and has been recognized as a top workplace and the No. 1 hospital in Louisiana.
Lead complex client implementations, from customer use cases to success metrics and clinical workflows.
Train and educate customers on BioIntelliSense product offerings and value proposition.
Provide ongoing clinical support and post-implementation optimization while coordinating across teams.
BioIntelliSense is a healthcare technology company providing FDA-cleared wearable monitors, like the BioButton, and AI-driven analytics for early detection of patient decline. The company has a remote-first culture with a global team and offices in Colorado and California.
Perform prospective, concurrent, and retrospective utilization review to ensure medical necessity and appropriate level of care.
Research and respond to appeals, coordinate discharge planning, and analyze care patterns.
Collaborate with providers and internal teams to resolve benefit and eligibility issues.
HealthEdge provides AI-powered operational infrastructure for health insurance companies, helping them modernize operations and compete effectively. The company is expanding and investing in its people, offering opportunities to shape the future of healthcare technology.
Review a variety of claim types including Radiology, Ambulance, Physical Therapy, and Surgical for medical necessity and coverage.
Document medical rationale for payment or denial decisions using Medicare guidelines and established criteria.
Educate internal and external staff on medical review, terminology, coverage determinations, and coding.
We transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business, we are built on integrity, collaboration, and excellence.
Provide clinical and administrative support to a remote healthcare team during weekends, holidays, and peak patient volume.
Review laboratory results, coordinate referrals and pharmacy communications, and document actions in the EMR.
Work independently while collaborating with physicians, PAs, and care coordinators to ensure continuity of care.
The partner company is a growing virtual care organization delivering remote healthcare services across Canada. Their team focuses on inclusive, accessible patient care and multidisciplinary collaboration.
You'll review AI-generated outputs for clinical accuracy, safety, and appropriateness across Headway's patient and provider products.
You'll apply and refine evaluation rubrics, documenting your clinical reasoning and collaborating with peers on ambiguous cases.
You'll work with Clinical and Product teams to turn feedback into rubric and model improvements, ensuring high standards before launch.
Headway builds a new mental healthcare system that automates insurance admin and gives therapists tools to run their practice. We are a Series D company with $325M+ in funding, supporting 85,000+ providers and 1M+ patients across all 50 states.
Perform medical reviews and utilization management to determine medical necessity for services and appeals.
Evaluate medical records and document decisions using clinical guidelines and protocol sets.
Educate members, providers, and staff on coverage determinations, medical terminology, and coding procedures.
Palmetto GBA is a healthcare administrator and one of the nation's largest medical claims processors. As part of BlueCross BlueShield of South Carolina, we've served clients for 70+ years and offer training and tuition assistance.
Conduct clinical and billing reviews of claims, itemized bills, and UB-04 forms to ensure accuracy.
Perform utilization reviews to assess medical necessity and validate charges against policies.
Mentor reviewers, meet productivity targets, and maintain active RN licensure with CEUs.
Our partner is a healthcare services company that conducts medical claims and utilization reviews to ensure accurate billing and appropriate care. They offer a collaborative, quality-focused remote environment with opportunities for professional development.
Conduct medical necessity reviews and continued stay reviews using approved clinical criteria to support quality and financial outcomes.
Collaborate with liaisons, physicians, and revenue cycle teams to manage denials, appeals, and appropriate levels of care.
Maintain documentation, monitor utilization trends, and facilitate patient care planning across the care team.
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They empower associates to challenge the status quo and put people first, fostering a collaborative and innovative culture.
Conduct clinical reviews of inpatient admissions and continued stays using approved medical necessity criteria.
Collaborate with physicians, care managers, and payer teams to resolve utilization concerns and prevent denials.
Support quality improvement initiatives, maintain accurate documentation, and communicate review outcomes effectively.
This role is with a partner company focused on healthcare utilization management, helping hospitals improve patient outcomes and ensure appropriate resource use. The team operates as a distributed remote group supporting care coordination, revenue integrity, and clinical compliance.