Preservice Review Nurse RN/Nurse Clinical Annotator - Remote in US

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The Registered Nurse Clinical Annotator plays a critical role in supporting the development of artificial intelligence models designed to streamline and automate prior authorization processes in healthcare. This position leverages clinical expertise to interpret, annotate, and validate medical documentation, ensuring that AI systems are trained on accurate, contextually relevant, and policy-compliant data. General Job Profile Reviews the work of others Develops innovative approaches Sought out as expert Serves as a leader/ mentor You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

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 escalate 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 of labeled data 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 You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.