خبير في توجيه الاستحقاقات

Are you a benefits professional, plan design, payer and claims operations, or benefits regulatory and compliance? Our client is developing AI-generated benefits-navigation content, and needs experienced benefits professionals to validate it.

In this role, you'll:

• Review and validate evaluation rubrics for accuracy and real-world relevance

• Assess AI-generated benefits-navigation scenarios used to inform a synthetic dataset

• Identify inaccurate, unrealistic, ambiguous, or potentially harmful guidance

• Recommend improvements based on real-world benefits administration experience

You're a strong fit if you:

• Have substantial experience in benefits administration, benefits navigation, or healthcare coverage, Must Have

• Bring a strong understanding of Medicare and/or Medicaid, Must Have

• Know common customer questions, service workflows, and escalation practices, Must Have

• Can tell general educational guidance from situations needing a licensed, legal, clinical, or plan-specific referral

Strongly preferred:

• Employer-sponsored group benefits or health and welfare administration

• Benefits navigation, advocacy, or benefits-related customer service

• Quality assurance, rubric development, or content validation

• Experience reviewing AI-generated or synthetic customer-service content

This is a non-clinical review role, likely not the right fit if your background is primarily hands-on clinical care.

Details:

• Remote, hourly, $70/hour

• Application includes a short domain-expert interview