Job Description
We are sharing a specialised part-time consulting opportunity for United States-based healthcare professionals experienced in prior authorization, utilization management, clinical review, medical necessity criteria, payer authorization workflows, documentation review, and healthcare operations.
This role supports current and upcoming remote consulting opportunities focused on AI-assisted prior authorization evaluation, clinical justification review, payer workflow assessment, and high-quality project execution. Selected professionals will apply clinical and authorization expertise to evaluate AI-generated prior authorization recommendations, review medical necessity documentation, identify workflow or compliance issues, and provide structured feedback based on detailed project criteria.
Key Responsibilities
Professionals in this role may contribute to:
Prior Authorization & Clinical Review