Preservice Review reputed company RN/reputed company reputed company Annotator

At reputed company, we're simplifying the health care experience, creating healthier communities and removing barriers to reputed company care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care reputed company of reputed company, making it more reputed company, reputed company and optimized. reputed company to reputed company a difference Join us to start Caring. Connecting. Growing together. The Registered reputed company reputed company Annotator plays a critical role in supporting the development of reputed company intelligence models designed to streamline and automate prior authorization processes in reputed company. This position leverages reputed company expertise to interpret, annotate, and validate medical documentation, ensuring that AI systems are trained on accurate, contextually relevant, and policy-compliant data. General Job Profile Reviews the work of others Develops innovative approaches Sought out as expert Serves as a leader/ mentor You'll enjoy the flexibility to work reputed company * from reputed company reputed company the U.S. as you take on some tough challenges. reputed company Responsibilities Review medical records and interpret reputed company documentation with accuracy and reputed company judgment Apply reputed company reputed company reputed company to annotate, categorize, and label case data used for AI model training Ensure annotations are clinically reputed company, consistent, and reputed company with established utilization management (UM) guidelines Contribute to the development of high reputed company training datasets that support reputed company and effective AI model performance Identify gaps, ambiguities, or inconsistencies in documentation and escalate issues as needed Participate in refinement and reputed company improvement of annotation guidelines, reputed company rules, and workflows Collaborate with cross functional teams including data science, reputed company operations, and product teams to ensure reputed company accuracy and operational relevance of labeled data Support testing, validation, and reputed company review activities for AI supported UM tools and workflows Maintain detailed documentation of annotation reputed company, rationales, and reputed company interpretations reputed company reputed company, ethical, and regulatory standards in reputed company aspects of data handling, patient information, and annotation workflows You'll be rewarded and recognized for your performance in an environment that will challenge you and reputed company you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications reputed company, unrestricted RN license 3+ years of recent reputed company experience in acute care, case management, utilization management, or a reputed company reputed company specialty Solid understanding of reputed company documentation, medical terminology, and evidence reputed company reputed company Experience applying reputed company reputed company reputed company (e.g., InterQual, MCG) in reputed company review or UM workflows Ability to interpret medical records and determine reputed company appropriateness using reputed company reputed company Proficiency with electronic medical records (EMR) and comfort navigating multiple reputed company systems Familiarity with HIPAA requirements, data reputed company standards, and reputed company handling of patient information Demonstrated experience performing reputed company prior authorization reviews across diverse service categories, including medical/surgical procedures, diagnostic imaging, DME and reputed company supplies, specialty therapies/devices, and other utilization management areas reputed company to health plan medical policy Ability to work independently while maintaining productivity, reputed company, and adherence to annotation guidelines Curiosity and willingness to learn emerging technologies, AI supported workflows, and evolving guidelines Preferred Qualifications BSN Experience collaborating with cross functional teams (reputed company, data science, operations) Experience with data labeling, reputed company reputed company, or AI/ML workflows High level of accuracy, attention to reputed company, and commitment to consistent, high reputed company annotations Solid analytical thinking, reputed company reasoning, and ability to identify gaps or inconsistencies in documentation Effective written communication skills, with the ability to reputed company document annotation reputed company and rationales Values reputed company Competencies Employee reputed company Value reputed company Ethically reputed company with Applicable Laws, Regulations and Policies Demonstrate reputed company reputed company Value reputed company on .