Nurse Annotator (Prior Auth) Remote in US

IntelliResume; Georgia; Remote; USD 39,950,000 - 149,001,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase and 401k

Job summary

UnitedHealth Group is seeking a Nurse Annotator to support AI-powered prior authorization processes. You will review medical records, annotate data, and apply UM guideline criteria to ensure clinically sound labeling for AI training.

The role emphasizes accuracy, compliance, and collaboration with data science and clinical teams. Ideal candidates hold an active RN license and have 3+ years of acute care or UM experience, with familiarity in InterQual/MCG guidelines.

Qualifications

• Active, unrestricted RN license required.
• 3+ years of recent clinical experience in acute care, utilization management, or a related clinical specialty.
• Experience applying guideline-based criteria (e.g., InterQual, MCG) in clinical review or UM workflows.

Responsibilities

• Review medical records and interpret clinical documentation with accuracy and clinical judgment.
• Apply guideline-based criteria to annotate, categorize, and label case data used for AI model training.
• Ensure annotations are clinically sound, consistent, and aligned with established utilization management (UM) guidelines.
• Contribute to the development of high-quality training datasets that support safe and effective AI model performance.
• Identify gaps, ambiguities, or inconsistencies in documentation and elevate issues as needed.
• Participate in refinement and continuous improvement of annotation guidelines, clinical rules, and workflows.
• Collaborate with cross-functional teams including data science, clinical operations, and product teams to ensure clinical accuracy and operational relevance.
• Support testing, validation, and quality review activities for AI-supported UM tools and workflows.
• Maintain detailed documentation of annotation decisions, rationales, and guideline interpretations.
• Uphold clinical, ethical, and regulatory standards in all aspects of data handling, patient information, and annotation workflows.

Skills

Clinical reasoning

Medical record review

Guideline application

Cross-functional collaboration

Education

RN license

Job description

About This Role

The Nurse Annotator plays a critical role in supporting the development of AI models to streamline prior authorization processes in healthcare. This position is ideal for those with clinical expertise who can interpret and validate medical documentation.

Highlights

• Location: Atlanta, GA
• Schedule: Full Time, Day shift
• Work Style: Fully remote
• Pay: $29.00 - $52.00 per hour

What You'll Do

• Review medical records and interpret clinical documentation with accuracy and clinical judgment.
• Apply guideline-based criteria to annotate, categorize, and label case data used for AI model training.
• Ensure annotations are clinically sound, consistent, and aligned with established utilization management (UM) guidelines.
• Contribute to the development of high-quality training datasets that support safe and effective AI model performance.
• Identify gaps, ambiguities, or inconsistencies in documentation and elevate issues as needed.
• Participate in refinement and continuous improvement of annotation guidelines, clinical rules, and workflows.
• Collaborate with cross-functional teams including data science, clinical operations, and product teams to ensure clinical accuracy and operational relevance.
• Support testing, validation, and quality review activities for AI-supported UM tools and workflows.
• Maintain detailed documentation of annotation decisions, rationales, and guideline interpretations.
• Uphold clinical, ethical, and regulatory standards in all aspects of data handling, patient information, and annotation workflows.

Requirements

Education:

• Active, unrestricted RN license required.

Experience:

• 3+ years of recent clinical experience in acute care, utilization management, or a related clinical specialty.
• Experience applying guideline-based criteria (e.g., InterQual, MCG) in clinical review or UM workflows.

Licenses & Certifications:

• Active, unrestricted RN license required.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase and 401k contribution.

About UnitedHealth Group

UnitedHealth Group is a leading healthcare provider committed to delivering exceptional patient care. They focus on simplifying the healthcare experience and creating healthier communities by removing barriers to quality care.