What are the responsibilities and job description for the Founding Clinical Lead position at ClarityCare AI?
Company Description
ClarityCare AI specializes in automating utilization management workflows, including prior authorization, concurrent review, and appeals processes. By integrating directly with your existing systems, ClarityCare reviews clinical documentation, applies plan criteria, and generates auditable determinations with efficiency and accuracy. The company enables healthcare organizations to comply with evolving regulations such as CMS-0057F and state-specific mandates while ensuring effective population management. ClarityCare is dedicated to improving operational workflows and delivering innovative AI-driven healthcare solutions.
Role Description
- Define the clinical reasoning engine behind our AI prior authorization agents
- Translate complex chart reviews into structured logic that engineers can scale safely
- Set the gold standard for clinical accuracy, guideline interpretation, and decision quality
- Design and run clinical QA processes that ensure consistency across thousands of cases
- Partner closely with engineers to turn medical expertise into reliable agent behavior
- Expand our clinical coverage across specialties and evidence-based criteria
- Work with an A* team of ex-founders, operators, and clinicians
Qualifications
- Active RN, PA, or MD license with hands-on utilization management experience — this is a must
- Deep familiarity with clinical guidelines (MCG, InterQual, or equivalent) and PA/UM workflows
- Experience in concurrent review, prior authorization, or medical management
- Ability to translate clinical judgment into structured, scalable logic — you think in systems
- Strong communicator who can bridge clinical and engineering teams
- Comfortable with ambiguity and energized by building from scratch
- You love operationalizing clinical expertise and improving patient access at scale