Remote Managed Care QA & Coverage Analyst

DataAnnotation; Ireland; Remote; EUR 127,000 - 181,000; Full time

Benefits offered by this job

Flexible schedule

Remote work

Project-based work

Job summary

DataAnnotation is seeking a remote analyst to craft prompts that probe managed care scenarios, including benefit determinations and prior authorizations. You will review AI outputs for inaccuracies and misinterpretations, then provide corrected explanations grounded in real-world payer operations.

The role emphasizes clear written English, familiarity with payer contracts, and hands-on experience in managed care or utilization review.

Qualifications

• Hands-on experience in managed care, utilization review, or payer operations.
• Clear written English is essential for explaining decisions and training signals.
• Familiarity with benefit design, prior authorization, and payer contracts is preferred.
• No degree required; practical ability and reliability matter more than formal credentials.

Responsibilities

• Write prompts that probe managed care scenarios: benefit determination, prior authorization, utilization review, and payer contracts.
• Review AI output for wrong coverage calls, misread contract terms, and rules that would not survive a real plan, and rate the reasoning.
• Write the correct answer when the model falls short, grounded in day-to-day managed care operations.

Skills

Managed care

Utilization review

Payer operations

Written English

Job description

DataAnnotation is seeking a remote analyst to craft prompts that probe managed care scenarios, including benefit determinations and prior authorizations. You will review AI outputs for inaccuracies and misinterpretations, then provide corrected explanations grounded in real-world payer operations.

The role emphasizes clear written English, familiarity with payer contracts, and hands-on experience in managed care or utilization review.