Clinical Subject Matter Expert

About the role

Redefining Healthcare with AI
Xsolis is an AI-driven technology company reducing administrative waste in healthcare by enabling smarter collaboration between providers and payers. Since 2013, our vision has been to create a frictionless healthcare system.

Responsibilities

• Serve as the clinical expert supporting the design, development, testing, and validation of AI and data science solutions.
• Review, interpret, and annotate clinical documentation and medical records to support machine learning model development and evaluation.
• Validate AI-generated clinical outputs and assess generative AI responses for clinical accuracy, completeness, and appropriateness.
• Evaluate model predictions, identify discrepancies, investigate complex clinical cases, and provide actionable recommendations for model improvement.
• Define and validate clinical acceptance criteria, including Definition of Ready and Definition of Done for clinical features and AI outcomes.
• Support clinical outcome measurement and ensure AI products align with evidence-based clinical practice and organizational quality standards.
• Participate in operational testing, quality assurance, and automation of clinical outcome testing.
• Apply expertise in utilization review, revenue cycle, and clinical documentation to ensure accurate interpretation of patient records.
• Collaborate with cross-functional teams, including Data Science, Engineering, Product Management, Clinical Operations, and Quality teams, to translate clinical requirements into technical solutions.
• Communicate clinical findings, rationale, and recommendations clearly to technical and non-clinical stakeholders.
• Support continuous improvement of AI models through ongoing clinical feedback, documentation review, and outcome analysis.

Requirements

• Active Registered Nurse (RN) license.
• Minimum of 5 years of clinical nursing experience.
• Experience in Utilization Review (UR).
• Strong understanding of clinical documentation, medical record interpretation, and healthcare documentation standards.
• Working knowledge of healthcare reimbursement and revenue cycle processes.
• Demonstrated analytical and critical thinking skills with the ability to investigate complex clinical scenarios.
• Excellent written and verbal communication skills with the ability to explain clinical concepts to technical audiences.
• Comfortable using AI-assisted technologies such as ChatGPT, Claude, or similar generative AI tools.

Preferred Qualifications

• Experience conducting medical record audits.
• Case Management experience is preferred.
• Experience supporting quality improvement or regulatory healthcare programs.
• Exposure to healthcare analytics, data science, or machine learning projects.
• Basic understanding of statistics and data analysis concepts.
• Experience working with healthcare technology, software development, or product teams.

Key Competencies

• Utilization Review
• Clinical Decision Making
• AI Outcome Evaluation and Validation
• Clinical Quality Assurance
• Medical Record Review and Annotation
• Clinical Documentation Interpretation
• Revenue Cycle Knowledge
• Analytical Problem Solving
• Attention to Detail
• Cross-functional Collaboration
• Communication with Technical and Clinical Stakeholders
• Continuous Improvement and Process Optimization

Success Measures

• Ensure AI-generated clinical outputs are clinically accurate, consistent, and aligned with evidence-based practice.
• Improve model performance through high-quality clinical review and feedback.
• Support reliable, repeatable clinical validation processes for AI products.
• Contribute to the successful delivery of AI solutions that improve clinical outcomes and operational efficiency.
• Effectively bridge the gap between clinical practice and data science teams through clear communication and expert clinical guidance.

Pay

Full-time Employees’ Total Rewards package include:

• Medical/Dental/Vision insurance
• 401K company match
• Flexible Paid Time Off
• Paid parental leave
• HSA/FSA options
• Education reimbursement program
• Employer-paid EAP & Mental Health services

Schedule

Position requires little to moderate physical activity. Mostly sedentary work exerting up to 10 pounds of force occasionally or a negligible amount of force to lift, carry, push, pull, or otherwise move objects. Work involves sitting most of the time, but may involve walking or standing for brief periods of time. No significant stooping is usually required.

Benefits

This role requires travel to our home offices in TN for training.

Equal Opportunity Employer

Xsolis is proud to be an equal opportunity employer. We celebrate diversity and are committed to building an inclusive environment for all. We encourage candidates of every background to apply.

Background Check

All candidates must successfully pass a background check and fall under the same security role, which includes access to sensitive information, including proprietary data and PHI.

Work Authorization

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