Weekday AI (YC W21) ยท 2 months ago
Infusions / Specialty Pharmacy Documentation Reviewer
United States
Full-time
Remote
Mid LevelWeekday AI is a leading AI lab advancing applied AI in healthcare, seeking experienced professionals from the infusions and specialty pharmacy domain. The role focuses on ensuring accurate payer authorization and medical necessity criteria in clinical documentation, working with AI-generated outputs and providing structured feedback to refine automated decision-making standards.
Computer Software
Responsibilities
Support documentation and criteria review systems
Ensure payer authorization and medical necessity criteria are accurately reflected and applied to clinical documentation
Work with AI-generated outputs, validating determinations, and reviewing them against payer coverage policies
Provide structured feedback to help refine automated decision-making standards
Qualification
Required
experienced professionals from the infusions and specialty pharmacy (SP) domain
ensure that payer authorization and medical necessity criteria are accurately reflected and applied to clinical documentation
work with AI-generated outputs
validating determinations
reviewing them against payer coverage policies
providing structured feedback to help refine automated decision-making standards
backgrounds in intake, case management, documentation review, or clinical review within the infusions or specialty pharmacy space
Preferred
apply their expertise in a flexible, high-impact environment
Company
Weekday AI (YC W21)
We are a YC-backed recruitment startup. Find select jobs posted by premium YC as well as VC backed startups here. Hand-curated by Weekday team.
Founded in 2022
11-50 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase