Clinical AI Specialist

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🤖 Artificial Intelligence

👻 Ghost score 15%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Just posted.
• No salary listed.

Apply Now

Find Similar Remote Jobs

Generator Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Generator Health is an operations-focused healthcare company that acts as the human-in-the-loop backbone for emerging health technology platforms. The company navigates complex patient access workflows — including insurance authorization, pharmacy logistics, and provider coordination — and uses that operational data and expertise to train and power proprietary AI models. Generator Health positions itself as a career-oriented employer that converts administrative healthcare complexity into streamlined, tech-enabled patient access solutions.

📋 Description

• Audit a high volume of prior authorizations and AI-generated clinical outputs for accuracy, completeness, and alignment with medical records and applicable payer criteria • Apply evidence-based clinical reasoning to complex or ambiguous cases • Distinguish clinically meaningful errors from minor issues • Help build scalable systems that apply clinical expertise • Identify recurring error patterns, gaps in clinical guidance, and edge cases • Investigate underlying causes and recommend improvements to review standards and workflows • Apply AI tools to clinical review and auditing • Critically evaluate AI outputs and identify ways to increase throughput while maintaining clinical quality • Own the quality and timeliness of work, meet review expectations, and follow issues through to resolution

🎯 Requirements

• A Doctor of Pharmacy (PharmD) degree • 2–10 years of professional experience, including hands-on managed care work in prior authorization, utilization management, appeals, or clinical quality at a health plan, pharmacy benefit manager (PBM), or similar organization • Excellent clinical reasoning and ability to synthesize medical records, medication histories, payer criteria, and clinical evidence • Strong systems thinking and ability to identify recurring patterns and root causes • Precise written communication and attention to detail • Ability to provide structured, clear clinical feedback • Ability to work independently, prioritize effectively, and reliably deliver accurate work at high volume • Excitement about applying AI to clinical work, intellectual curiosity, willingness to experiment, and sound judgment when evaluating AI outputs • Ability to contribute at least 40 hours per week • Ability to start in the next 2 weeks

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume