Clinical & Health Specialist

Clinical & Health Specialist

Role Overview

We are seeking experienced clinical and health subject matter experts (SMEs) to author, evaluate, and calibrate high-fidelity clinical tasks, long-chart scenarios, workplace simulations, and benchmark evaluation rubrics.

This opening covers contributors across multiple clinical, behavioral-health, revenue-cycle, quality, pharmacy, rehabilitation, and healthcare-operations disciplines. Candidates will be placed in either an Expert Contributor or Senior Specialist / Functional Lead track based on clinical depth, years of experience, active licensure or certification, leadership experience, and prior review or calibration expertise.

Clinical & Health Disciplines

• Acute-care physical, occupational, and speech-language therapy
• Pathology, laboratory cytotechnology, and genetic counseling
• Utilization management, prior authorization, and payer claims
• Dietetics, nutrition, diabetes education, and chronic-disease education
• Hospital social work and behavioral-health therapy
• Clinical quality improvement, patient safety, infection prevention, and EVS policy
• Medical coding, CDI, billing, and denials
• Hospital pharmacy and clinical pharmacology
• Psychiatry, addiction medicine, and behavioral health
• Emergency medicine, EMS medical direction, paramedic, and EMT handoffs

Requirements

• Approximately 3 to 15+ years of demonstrable professional experience in one or more relevant clinical and health disciplines.
• Current or recent practice within the last three years in the applicable clinical, hospital, payer, laboratory, behavioral-health, revenue-cycle, or quality setting.
• Active professional licensure, board certification, or recognized credential appropriate to the discipline.
• Strong clinical reasoning, chart-review, documentation, and written communication skills.
• Ability to interpret fragmented medical records, reconcile conflicting information, identify missing or unsafe actions, and produce clinically defensible conclusions.
• High attention to detail, particularly regarding patient safety, clinical terminology, medical necessity, coding accuracy, payer requirements, regulatory standards, and documentation gaps.
• Ability to work within structured review cycles, standardized rubrics, and fast-paced calibration environments.
• Familiarity with US clinical guidelines, payer policies, regulatory requirements, and healthcare workflows is preferred. Reference materials may be supplied for non-US contributors.

Role-Specific Qualifications

Depending on the assigned discipline, qualifications may include an active PT, OT, SLP, RN, RD/RDN, LCSW, PharmD, MD, DO, or other applicable professional license; specialist credentials such as BCPS, BCCCP, CIC, CPHQ, CPPS, CCS, CPC, CDIP, CCDS, CDCES, ABEM, ABPN, ABPM, or equivalent; and experience in relevant clinical or healthcare workflows. Experience authoring or reviewing complex clinical documentation, longitudinal charts, discharge plans, medical-necessity determinations, coding assignments, safety assessments, or quality audits is valuable.

Responsibilities

• Develop high-difficulty clinical tasks, long-chart scenarios, realistic workplace cases, gold-standard answers, and evaluation criteria within the assigned discipline.
• Evaluate fragmented, multi-encounter records and identify clinically meaningful trends, contradictions, omissions, risks, and required actions.
• Assess whether outputs are clinically accurate, practical, evidence-aligned, patient-safe, and appropriate for the relevant care setting.
• Apply evaluation criteria to assess clinical reasoning, terminology, documentation quality, regulatory alignment, payer accuracy, and patient-safety implications.
• Review specialty tasks involving areas such as rehabilitation, swallow and diet-texture recommendations, medical necessity, prior authorization, claims and denials, nutrition support, diabetes management, psychosocial safety, infection prevention, coding and CDI, medication safety, addiction treatment, emergency decision-making, or EMS handoffs.
• Participate in peer review and calibration; senior-track contributors review pod members’ work, resolve edge cases, and maintain quality standards.
• Evaluate tasks requiring cross-functional coordination among healthcare professionals and organizations.
• Incorporate feedback, revise tasks and solutions, and participate in critique cycles.
• Senior-track contributors escalate clinical, regulatory, or rubric ambiguities and support consistent decision-making across the pod.

Education & Experience

A bachelor’s degree, graduate degree, professional degree, or equivalent practical experience in a relevant healthcare discipline is required, along with an applicable active professional license, board certification, or recognized industry credential where relevant. Experience in clinical practice, healthcare operations, medical review, AI evaluation, data annotation, content review, quality assurance, clinical documentation, or a related analytical role is preferred. Experience reviewing expert work, creating clinical education content, developing assessment materials, or participating in quality-improvement programs is advantageous.

Senior Specialist / Functional Lead Expectations

Senior contributors may author high-difficulty tasks and gold-standard solutions, review and calibrate Expert Contributor work, maintain quality across a Clinical & Health pod, resolve complex clinical and operational edge cases, support rubric development, and grade adjacent specialties where clinically appropriate.

Assignment Details

• Positions: 10 total, one per domain
• Engagement: Contractor assignment; no medical or paid leave
• Duration: 12 weeks
• Start date: November 2
• Commitment: Full-time or part-time, 40 or 20 hours per week, with four hours of PST overlap
• Locations listed: Bangladesh, Brazil, Colombia, Egypt, Ghana, India, Indonesia, Nigeria, Turkey, and the USA

Domain Experience and Rates

Role / DomainExperienceGeographyRateAcute-care Therapist3 yearsNon-US$25/hrSenior Pathologist8 yearsNon-US$40/hrUtilization Management Nurse3 yearsUS$40/hrRegistered Dietitian3 yearsNon-US$20/hrClinical Social Worker3 yearsNon-US$40/hrQuality & Patient Safety Nurse8 yearsUS$75/hrMedical Coder / CDI3 yearsUS$40/hrClinical Pharmacist3 yearsUS$40/hrSenior Psychiatrist8 yearsNon-US$35/hrEmergency Medicine Physician8 yearsNon-US$150/hr

The listed hourly rates vary by domain and geography. The estimated VND range shown in the metadata is a monthly equivalent based on the stated hourly rates and 20–40 hours per week.