You move fast but finish strong. You think like a builder and speak like a clinician. You don’t stop at outputs — you care about outcomes. You build trust, speak boldly, and never opt out when it matters.

Key Responsibilities

• Act as lead clinical SME for national/regional payers across core use cases.
• Design and validate AI models with QA rigor and clinical compliance for our products and solutions (e.g., validation of clinical summarization, chart review, and documentation use cases)
• Partner directly with customer clinical teams during pilots and go-lives, co-creating success criteria and ensuring embedded workflow alignment.
• Translate payer clinical workflows into repeatable AI configurations.
• Proactively bring back customer insights that improve product-market fit and influence roadmap direction.
• Serve as the clinical liaison to Product, Delivery, and Engineering on roadmap and logic design.
• Collaborate cross-functionally with Product, AI, and Customer Success to ensure every feature meets a high bar for safety, clarity, and clinical value.
• Constantly improve QA, documentation, and clinical review workflows to support velocity and scale.
• Brief execs and engineers on trade-offs, surface market intel, and recruit external SMEs when a new domain or use cases arise.
• Track and report clinical success metrics.
• Guide clinical training and adoption strategies; support frontline change management.

Required Qualifications

• RN (active or retired) with 10+ years in payer operations (UM, Case Management, Quality, HEDIS/STARS, etc.) with experience across Commercial, Medicare, Medicare Advantage, and Medicaid plans.
• Proven cross-functional leadership in clinical implementation or consulting.
• Experience with clinical QA frameworks, CMS guidelines, and health plan workflows.
• Strong communicator with ability to influence exec, clinical, and technical stakeholders.
• Deep familiarity with CMS guidelines, NCQA standards, HEDIS measures, and other regulatory frameworks relevant to health plan and provider performance.
• Strong knowledge of Medical and Payment policies in US Healthcare
• Strong ability to assess and translate clinical workflows into operational and product requirements.
• You’ve lived inside clinical workflows — and know how to break them down, improve them, and digitize them.
• Bias for action and ownership mindset — you don’t wait to be told, and you don’t stop until it’s solved.
• Proven capacity to collaborate across diverse teams and communicate clearly with both technical and clinical audiences.
• Comfort with rapid iteration and feedback — we build fast, learn faster, and refine often.
• Excellent written and verbal communication skills.

What We Offer

• A chance to make a real impact in the future of healthcare
• Autonomy, ownership, and the ability to chart your own growth path
• Competitive compensation and benefits
• 100% employer-paid health, vision, and dental insurance
• Retirement plans (401k), disability insurance, employee assistance programs

At Autonomize, we’re not just building AI for healthcare. We’re building AI with healthcare — and that starts with people like you. If you want to own hard problems, collaborate deeply, and be part of something industry-defining, we want to hear from you