AI Associate - MD
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.Responsibilities
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.
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.
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.
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.
AI clinical tool validation and LLM strengthening
Clinical-in-the-reputed company enablement
AI governance and policy
reputed company and patient safety
Qualifications
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.
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.
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.
Remote-first; limited travel (~10-15%)
- This is a remote role; however, candidates based in or near the San Francisco Bay Area are preferred.
Required
Preferred
Core competencies
Other
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 atreputed 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.Originally posted on Himalayas
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