Clinical Expert, Care Team Operations – NP

This is a fully remote position, open to applicants in United States.

📋 Description

• Engage in care management outreach, follow-ups for chronic conditions, closure of care gaps, and various clinical tasks supported by Thesis’s AI platform.

• Assess prior authorizations, manage appeals, and handle other clinical-administrative responsibilities that require professional clinical judgment.

• Conduct quality audits, pinpoint trends in errors or gaps, devise remediation strategies, and maintain and enhance quality scorecards and clinical rubrics.

• Develop clinical protocols, scripts, and decision-support materials that empower Thesis AI agents.

• Facilitate the onboarding and training of clinical team members on Thesis’s platform, workflows, and quality expectations.

• Act as a clinical subject matter expert during workflow design sessions.

• Evaluate new agent functionalities, identify edge cases, and provide insights to product and engineering teams.

⛳️ Requirements

• Active NP or equivalent clinical license in good standing.

• Multi-state or Compact licensure is advantageous.

• 2-5 years of experience in direct patient care and virtual or telephonic care delivery.

• Significant exposure to care management, utilization management, prior authorization, or population health workflows.

• Previous experience in a healthtech company, venture-backed startup, health plan, or technology-enabled clinical services organization.

• Detail-oriented and adept at providing constructive feedback.

• Thrives in early-stage environments where processes are built from the ground up.

• Remote position available to candidates located in the continental US.

🏝️ Benefits

• Comprehensive benefits package.

• Equal opportunity and inclusive work environment.