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Clinical Data Annotator and AI Trainer - Remote
Clinical Data Annotator and AI Trainer - RemoteUnitedHealth Group • Eden Prairie, MN, United States
Clinical Data Annotator and AI Trainer - Remote

Clinical Data Annotator and AI Trainer - Remote

UnitedHealth Group • Eden Prairie, MN, United States
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Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

This role combines deep clinical expertise with critical thinking to support the development of intelligent automation tools that enhance utilization management processes. The ideal candidate has a solid background in clinical decision-making, particularly in inpatient concurrent review and prior authorization, and is skilled in interpreting diverse clinical criteria sets. This position partners closely with development and analytical teams to design and refine tools that extract relevant clinical language from documentation and map it to decision criteria, enabling automated and accurate determinations.

As the Clinical Data Annotator and AI Trainer, you will serve as the clinical authority guiding the development of automation tools that support decision-making in utilization management. You will lead efforts to interpret and structure clinical criteria, define logic hierarchies, and ensure that documentation inputs are accurately translated into responses that align with medical necessity standards.

This role requires close collaboration with developers, data analysts, and clinical stakeholders to ensure that the tool's language processing capabilities reflect real-world clinical documentation and decision pathways. You will also oversee user acceptance testing (UAT), annotation processes, and contribute to the strategic roadmap for expanding automated services.

You'll enjoy the flexibility to work remotely

  • from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Primary Responsibilities :

  • Clinical Criteria Interpretation & Tool Development
  • Serve as the clinical lead for defining and structuring decision criteria hierarchies used in automated review tools

  • Interpret multiple sets of clinical criteria (e.g., InterQual, MCG, internal guidelines) and translate them into decision trees and logic models
  • Collaborate with development teams to teach the tool how to extract and interpret clinical language from documentation
  • Guide annotation efforts to ensure accurate mapping of clinical terms to criteria questions
  • Lead UAT efforts to validate tool performance against clinical expectations
  • Implementation & Integration
  • Define clinical requirements for new services to be added to the automated decisioning platform

  • Partner with clinical and technical teams to ensure readiness for go-live milestones and integration success
  • Document and communicate clinical business requirements, timelines, and dependencies
  • Strategic Collaboration
  • Work with clinical leadership to align automation efforts with care delivery standards and regulatory requirements

  • Provide clinical insight into platform enhancements and future roadmap planning
  • Represent clinical automation initiatives in cross-functional and executive-level discussions
  • You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

    Required Qualifications :

  • Active clinical licensure in your state of residence (e.g., RN, LPN, NP)
  • Experience interpreting and applying clinical criteria sets (e.g., InterQual, MCG)
  • Experience collaborating with development teams on clinical technology solutions
  • Solid background in utilization management, including prior authorization and concurrent review
  • Proven ability to translate clinical workflows and documentation into structured system requirements
  • Proven ability to manage multiple priorities in a dynamic healthcare environment
  • Preferred Qualification :

  • Proven excellent communication and stakeholder engagement skills
  • All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
  • Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.

    Application Deadline : This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

    At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

    UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

    UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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