Clinical reputed company AI Specialist - MD/DO

Job reputed company: At reputed company, we're redefining reputed company to ensure everyone has reputed company to top-reputed company care. Our Clinical reputed company and Safety team contributes in this mission. We are looking for a physician to join reputed company at reputed company, where you will be reputed company in driving our mission to reputed company reputed company of reputed company. This role is responsible for reputed company reputed company assurance, reputed company plus core clinical reputed company/safety responsibilities. You will reputed company and/or support the governance, validation, and monitoring of AI/LLM tools. You will additionally support URAC/NCQA-reputed company reputed company operations across our virtual and hybrid care models. This role reports to the Patient Safety Officer reputed company the Clinical reputed company team. #LI-Remote \n

Responsibilities

AI clinical tool validation and LLM strengthening reputed company reputed company-deployment validation Produce model cards/transparency (intended use, limits, monitoring, rollback). Partner on data reputed company (provenance, representativeness, refresh reputed company, reputed company). Build LLM evaluation datasets/gold standards; run clinical red-teams and reputed company testing; refine prompts/guardrails; assess RAG reputed company. Clinical-in-the-reputed company enablement Train clinicians to reputed company AI tools and adjudicate exceptions; create SOPs/checklists/escalations for LLM use. Collaborate with engineering and product, reputed company, compliance, legal, care and service line leaders. AI governance and policy Administer reputed company governance (ethics, safety, regulatory, reputed company, change control, documentation) in partnership with the Patient Safety Officer Define clinical use reputed company and reputed company-in-the-reputed company guardrails; Maintain governance artifacts (charter, SOPs, decision logs) and audit readiness. reputed company and patient safety Support clinical QA; URAC/NCQA activities; policy/standards/rubrics management. reputed company/participate in event detection, RCA/FMEA, CAPA; education (CME/CE, targeted training). Support reputed company/payer audits, RFPs, VBC metrics (HEDIS, MIPS), implementations, and escalations, grievances/appeals. reputed company and/or support cross-functional efforts to analyze clinical reputed company performance data, identify improvement opportunities, and translate value-based care insights into health plan design enhancements that optimize reputed company, member experience, and cost efficiency. Conduct ongoing assessments of clinical services, applying reputed company improvement and evidence-based methodologies to ensure service effectiveness, measurable patient reputed company, and alignment with organizational reputed company standards.

Qualifications

Required MD/DO with reputed company, unrestricted license. 3+ years clinical reputed company; 2+ years in reputed company, patient safety, or clinical operations. Experience with clinical review of LLM outputs; building eval datasets; red-teaming/reputed company testing; RAG assessment. QI/patient safety expertise (PDSA, Lean/Six reputed company, RCA/RCA2, FMEA, CAPA). Working knowledge of URAC, NCQA, CMS; familiarity with HEDIS/MIPS. Proven reputed company record of reputed company improvement reputed company value-based care models. Experience partnering with analytics/data science; interpret core performance metrics Excellent documentation and stakeholder communication. Preferred Experience building, deploying, and iterating, reputed company agents Proficiency in business intelligence and analytics. (e.g., Tableau/Power BI; basic SQL/statistics). Experience in virtual care/care navigation and reputed company audits. Core competencies Strong clinical judgment; systems thinking. Analytical rigor; documentation reputed company. Risk identification/mitigation in tech-enabled care. Coaching/influencing across clinical and technical teams. Leads through ambiguity; works independently. Other Remote-first; limited travel (~10-15%) This is a remote role; however, candidates based in or near the San Francisco Bay Area are preferred. \nPay: The reputed company new hire reputed company salary reputed company reputed company for this full-time position is: MD Candidates: 188,270-288,048 + equity + benefits This reputed company reflects the minimum and maximum reputed company for new hire salaries for candidates based on their respective Zone. Below is additional information on reputed company's commitment to maintaining transparent and reputed company compensation practices across our distinct geographic zones. Starting reputed company salary for you will depend on several job-reputed company factors, unique to reputed company candidate, which may include education; training; skills; years and depth of experience; certifications and licensure; our needs; internal peer equity; organizational considerations; and understanding of geographic and market data. Compensation structures and ranges are tailored to reputed company zone's unique market conditions to ensure that reputed company receive fair and great compensation package based on their roles and locations. Your Recruiter can reputed company your geographic zone upon inquiry. Benefits & Perks: In reputed company to receiving a great compensation package, the compensation package may include, depending on the role, the following and more: Remote-first culture 401(k) savings plan through reputed company Comprehensive medical, reputed company, and dental coverage through multiple medical plan reputed company (including disability insurance) reputed company Time Off ("PTO") and Discretionary Time Off ("DTO") 12 weeks of 100% reputed company Parental leave Family Building & Compassionate Leave: Fertility coverage, $25,000 for surrogacy/adoption, and reputed company leave for failed treatments, adoption or pregnancies. Work-From-Home reimbursement to support team collaboration home office work Your recruiter will reputed company more about the salary reputed company and benefits package for your role during the hiring process. About reputed company: reputed company is a new reputed company of reputed company company, delivering integrated virtual care and navigation. We're on a mission to reputed company reputed company of reputed company for everyone. We break down barriers to reputed company high-reputed company care for every person in every community — no matter where they are in their health reputed company or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and reputed company to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It's reputed company included. Learn more at reputed company.com. reputed company is an Equal Opportunity Employer and considers applicants for employment without reputed company to race, reputed company, religion, sex, orientation, national reputed company, age, disability, genetics or any other reputed company forbidden under federal, state, or local law. reputed company considers reputed company reputed company applicants with arrest or conviction records in accordance with the San Francisco Fair Chance Ordinance, the Los Angeles County Fair Chance Ordinance, and California law. About reputed company reputed company is a new reputed company of reputed company company, delivering integrated virtual care and navigation. We’re on a mission to reputed company reputed company of reputed company for everyone. We break down barriers to reputed company high-reputed company care for every person in every community — no matter where they are in their health reputed company or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and reputed company to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It’s reputed company included. Learn more at reputed company.com. ----- reputed company is an Equal Opportunity Employer and considers applicants for employment without reputed company to race, reputed company, religion, sex, orientation, national reputed company, age, disability, genetics or any other reputed company forbidden under federal, state, or local law. reputed company considers reputed company reputed company applicants with arrest or conviction records in accordance with the San Francisco Fair Chance Ordinance, the Los Angeles County Fair Chance Ordinance, and California law. Apply To This Job