Clinical & Health Specialist

Donato Technologies Inc

5d•$25 - $130•Remote

About The Position

This remote contractor assignment seeks experienced Clinical & Health subject matter experts to author, evaluate, and calibrate high-fidelity clinical tasks, long-chart scenarios, workplace simulations, and benchmark evaluation rubrics. The unified role covers contributors across clinical, behavioral-health, revenue-cycle, quality, pharmacy, rehabilitation, and healthcare-operations disciplines. Candidates are assigned to either an Expert Contributor or Senior Specialist / Functional Lead track based on clinical depth, years of experience, active licensure or certification, leadership experience, and review or calibration expertise. The position is offered for a 12-week engagement, with a full-time or part-time commitment of 40 or 20 hours per week and four hours of PST overlap. It involves structured review cycles, standardized rubrics, and calibration environments. Senior-track contributors may review and calibrate peers’ work, maintain pod quality, resolve complex edge cases, support rubric development, and escalate clinical, regulatory, or rubric ambiguities to the Functional SME Lead.

Requirements

Approximately 3 to 15+ years of demonstrable professional experience in one or more relevant Clinical & Health disciplines.
Current or recent practice within the last three years in the applicable clinical, hospital, payer, laboratory, behavioral-health, revenue-cycle, or quality setting.
Active professional licensure, board certification, or recognized credential appropriate to the discipline.
Strong clinical reasoning, chart-review, documentation, and written communication skills.
Ability to interpret fragmented medical records, reconcile conflicting information, identify missing or unsafe actions, and produce clinically defensible conclusions.
High attention to detail regarding patient safety, clinical terminology, medical necessity, coding accuracy, payer requirements, regulatory standards, and documentation gaps.
Ability to work within structured review cycles, standardized rubrics, and fast-paced calibration environments.
Bachelor’s degree, graduate degree, professional degree, or equivalent practical experience in a relevant healthcare discipline.
Active professional license, board certification, or recognized industry credential where applicable.
Depending on discipline, applicable qualifications may include an active PT, OT, SLP, RN, RD/RDN, LCSW, PharmD, MD, DO, or other professional license.
Depending on discipline, experience may include acute-care rehabilitation, swallow evaluation, nutrition support, diabetes education, utilization management, prior authorization, payer appeals, medical coding, CDI, infection prevention, NHSN reporting, medication reconciliation, addiction medicine, emergency medicine, or EMS medical direction.
Experience authoring or reviewing complex clinical documentation, longitudinal charts, discharge plans, medical-necessity determinations, coding assignments, safety assessments, or quality audits.

Nice To Haves

Familiarity with US clinical guidelines, payer policies, regulatory requirements, and healthcare workflows; relevant reference materials may be supplied in context for non-US contributors.
Board certification or specialist credentials such as BCPS, BCCCP, CIC, CPHQ, CPPS, CCS, CPC, CDIP, CCDS, CDCES, ABEM, ABPN, ABPM, or equivalent.
Experience in clinical practice, healthcare operations, medical review, AI evaluation, data annotation, content review, quality assurance, clinical documentation, or a related analytical role.
Prior experience reviewing expert work, creating clinical education content, developing assessment materials, or participating in quality-improvement programs.

Responsibilities

Develop high-difficulty clinical tasks, long-chart scenarios, realistic workplace cases, gold-standard answers, and evaluation criteria within the assigned discipline.
Evaluate fragmented, multi-encounter records and identify clinically meaningful trends, contradictions, omissions, risks, and required actions.
Assess whether outputs are clinically accurate, practical, evidence-aligned, patient-safe, and appropriate for the relevant care setting.
Apply evaluation criteria defined by the Functional SME Lead to assess clinical reasoning, terminology, documentation quality, regulatory alignment, payer accuracy, and patient-safety implications.
Review specialty tasks involving areas such as mobility and discharge planning, swallow and diet-texture recommendations, medical necessity, prior authorization, claims and denials, nutrition support, diabetes management, psychosocial safety, infection prevention, coding and CDI, medication safety, addiction treatment, emergency decision-making, and EMS handoffs.
For senior-track contributors, review and calibrate pod members’ work, resolve edge-case ambiguities, identify rubric inconsistencies, and maintain day-to-day quality standards.
Evaluate tasks requiring coordination across physicians, nurses, therapists, pharmacists, social workers, dietitians, coders, case managers, payers, laboratory professionals, or emergency personnel.
Incorporate calibration feedback, revise task content and solutions, and participate in multiple critique cycles to align deliverables with project standards.
For senior-track contributors, escalate clinical, regulatory, or rubric ambiguities to the Functional SME Lead and support consistent decision-making across the pod.
For senior contributors, author high-difficulty tasks and gold-standard solutions, maintain quality across a designated pod, resolve complex edge cases, support rubric development, identify evaluation-criteria gaps, and grade adjacent specialties where clinically appropriate.