Perform utilization review including precertification and concurrent reviews using medical necessity criteria.
Collaborate with medical directors and providers on complex cases and integrate AI tools into workflow.
Initiate referrals to disease management programs and participate in quality improvement initiatives.
Guidehealth is a data-powered healthcare company that uses AI and predictive analytics to improve healthcare affordability and patient outcomes. It is a physician-led organization with a culture of accountability, learning, innovation, and empathy.
Review AI-generated responses to clinical scenarios for accuracy and safety.
Compare and justify the best responses among multiple model answers.
Write improved exemplars and structured feedback to enhance AI model learning.
Prolific is building the largest pool of quality human data in the world, used by over 35,000 AI developers and researchers. It is a platform that connects researchers with a global participant pool for ethically sourced human data.
Review and evaluate medical record documentation for completeness, accuracy, and compliance.
Collaborate with physicians, nurses, and coding professionals to ensure appropriate clinical documentation.
Identify opportunities for documentation improvement to support coding accuracy, reimbursement, and clinical outcomes.
We improve the quality and accuracy of clinical documentation through expert CDI consulting. Our collaborative, mission-driven team offers opportunities for continuous learning and professional growth.
Define what good looks like for AI-augmented primary care, setting clinical standards and safety guardrails.
Contribute to provider and patient-facing AI applications, including building multi-agent architectures for acute and chronic care.
Lead or co-author clinical research publications in top-tier journals.
We are a health tech company on a mission to expand access to affordable, high-quality primary care for everyone. Since 2017, we have operated an AI-powered virtual primary care platform that has delivered over 700,000 patient visits, and we are a mission-driven team of talented colleagues.
Perform medical necessity reviews of clinical documentation to determine appropriateness of inpatient and outpatient services.
Develop relationships with medical providers and health plans to confirm adherence to policies and guidelines.
Stay updated on technology changes, regulatory issues, and medical practices through ongoing training.
Trend Health Partners is a tech-enabled payment integrity company that facilitates collaboration between payers and providers to reduce waste and improve healthcare access. It promotes a collaborative and innovative work environment as a dynamic, growing organization.
Provide domain expertise to design and build AI tasks that amplify productivity.
Share knowledge about day-in-the-life workflows for regulatory submissions.
Generate or review reference ground-truth artifacts for evaluation.
Edison Scientific builds and deploys AI scientist agents to accelerate science and the development of new medicines. The team is ambitious and run by scientists and engineers from leading institutions across biology, physics, chemistry, and AI.
Support quality, safety, and compliance by identifying documentation and workflow improvements.
Process physician orders within the EMR and ensure verbal orders meet documentation requirements.
Manage end-of-episode documentation, including discharge reports and OASIS visits.
Adaptive Home Health is an AI-native physical care platform transforming US healthcare, starting with home health. The company combines a world-class AI team with healthcare veterans to build a new type of healthcare company that delivers care at the speed of an AI company.
Performs utilization review of cases to determine if the request meets medical necessity criteria in accordance with medical policies.
Collaborates with client personnel to resolve customer concerns and facilitates resolution of escalated cases.
Maintains written documentation per HealthHelp’s policy and ensures compliance with HIPAA, state, and federal regulations.
WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving more than 700 clients across 10 industries. With three global headquarters, operations in 13 countries, 65 delivery centers, and more than 66,000 employees, WNS combines scale, expertise, and execution to create meaningful, measurable impact.
Create original medical documents such as clinical reports, case studies, and research papers to support AI training.
Ensure materials meet strict standards of accuracy, clarity, and educational value while de-identifying confidential information.
Collaborate remotely with project teams to curate diverse documentation sets for varied AI training use cases.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. They use AI to review applications and match top-fitting candidates to roles, operating as a project-based contractor facilitator.
Define the strategic direction and roadmap for UR and CM solutions across Xsolis’ healthcare platform.
Partner with clinical, product, data science, and commercial teams to integrate AI capabilities that improve efficiency and patient outcomes.
Drive cross-functional enablement and commercialization of products to become key revenue drivers.
Xsolis is an AI-driven technology company reducing administrative waste in healthcare by enabling smarter collaboration between providers and payers. Since 2013, they have been headquartered in Franklin, TN, and are one of the fastest-growing privately-held companies in the country, recognized on the Inc. 5000 and Deloitte Technology Fast 500 lists.
Serve as subject matter expert defining gold standard for AI-generated clinical content.
Share knowledge about day-in-the-life working with data for regulatory submissions.
Identify realistic sources of variance or data corruption in study data.
Edison Scientific builds and commercializes AI agents for science to accelerate scientific discovery. They are assembling a small team of top researchers and engineers across AI and biology to build an AI scientist.
Perform clinical reviews for medical necessity, level of care, and authorization-related denials.
Review inpatient and outpatient medical records to support appeal submissions and apply payer-specific guidelines.
Document review findings accurately and meet assigned turnaround times while maintaining quality standards.
CorroHealth helps clients exceed their financial health goals by providing scalable solutions and clinical expertise across the reimbursement cycle. The company fosters a supportive culture that invests in professional development and personal growth.
Serve as the main point of contact for a portfolio of customers, ensuring successful platform utilization to achieve their business goals.
Provide clinical guidance and workflow expertise to support organizational change management and user adoption initiatives.
Build strong relationships with clinical stakeholders and facilitate ongoing customer discussions to evaluate adoption and improvement opportunities.
We create software solutions combining lean principles, predictive analytics, and machine learning to transform hospital and infusion center operations. More than 190 health systems and over 1,200 hospitals rely on our award-winning products, and we have raised over $300 million from top-tier investors.
Supports and facilitates the design, development and implementation of Utilization Management data collection methodologies.
Displays and analyzes data to identify trends and works collaboratively to develop a plan of action.
Northside Hospital is an award-winning, state-of-the-art healthcare provider that is continually growing in Atlanta and beyond. As a large healthcare organization, they offer opportunities for healthcare professionals to join a team focused on expanding quality and reach of care.
Facilitate improvement in provider-based clinical documentation accuracy to reflect patient acuity and severity.
Conduct concurrent record reviews and formulate compliant documentation queries to improve accuracy.
Educate clinicians and facility management on documentation opportunities and coding reimbursement issues.
Banner Health is a large nonprofit health care system with hospitals, clinics, and research centers across multiple states. They focus on skilled and compassionate care using advanced technology to improve patient outcomes.
Deliver production-grade AI products using LLMs, NLP, and ML to process unstructured clinical data and drive early disease identification.
Collaborate with Market Operations, Insights Engineering, and Clinical teams to create real-world impact.
Communicate the value and opportunities of AI to internal stakeholders in a fast-paced agile environment.
Agilon health is a healthcare company focused on transforming care delivery for seniors through value-based models. With a collaborative culture and a team dedicated to innovation, they aim to improve outcomes for patients and physicians alike.
Coordinates the collection, recording, and analysis of data relevant to nursing care of patients.
Serves as a content expert for nursing processes and facilitates communication between IT and clinical staff.
Leads small-scale HIT projects, implements clinical tools, and mentors nursing staff.
Geisinger is a healthcare system committed to making better health easier for over 1 million people, with nine hospital campuses, a health plan, research centers, and a medical school. With nearly 24,000 employees and over 1,600 physicians, it fosters a collaborative culture focused on kindness, excellence, learning, innovation, and safety.
Oversee clinical enrollment for members, guiding them through protocols and eligibility for the most appropriate program.
Collaborate with a cross-functional team of nurses, health coaches, and providers to ensure a seamless member experience.
Utilize nursing judgment, motivational interviewing, and data tools to drive behavior change and improve health outcomes.
Twin Health is the only company applying AI Digital Twin technology to prevent and improve chronic metabolic diseases like type 2 diabetes and obesity. With more than $100 million raised and over 100 employees, Twin has been recognized as an Innovator of the Year and a Most Loved Workplace, backed by leading venture firms.
Provide clinical and operational leadership to support timely, evidence-based coverage determinations in Utilization Management.
Coach reviewers on consistent application of medical-necessity criteria, medical policy, and benefit plan language.
Monitor daily workflow health, coordinate coverage plans, and communicate barriers and risks to the UM Manager.
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. The company serves employers, health plans, and health systems with data-driven solutions and is on a mission to empower people to lead healthier lives.
Design and own the quality of clinical datasets for training and evaluating health AI models.
Collaborate with cross-functional teams to translate customer goals into dataset specifications and evaluation plans.
Ensure clinical realism, statistical defensibility, and compliance in health AI evaluation workflows.
Innodata is a global data engineering company that enables the responsible advancement of artificial intelligence. With over 36 years of legacy, they deliver high-quality data and outstanding outcomes for AI builders and adopters.