Job Description

In this role, you will play a crucial part in advancing healthcare compliance and care coordination through the development of structured evaluation tasks. As a Compliance & Care Coordination Expert, you will create long-horizon tasks that reflect real-world scenarios, each accompanied by a deterministic rubric to assess agent performance against verifiable standards. Your work will focus on ensuring that tasks have checkable answers, avoiding subjective judgments. Key Responsibilities

• Develop scenarios related to regulatory compliance, including HIPAA documentation and CMS quality reporting.
• Create care coordination tasks, such as care plans and handoff documents, that adhere to clinical guidelines.
• Design value-based care scenarios, focusing on HEDIS/STAR gap closure and HCC coding.
• Engage in challenging tasks that require sustained focus and attention to detail.

• A minimum of 3 years of experience in care coordination, case management, or healthcare compliance.
• Preferred qualifications include RN, LCSW, CCM, or equivalent credentials.
• Expertise in HEDIS and STAR measures, HCC coding, care plan documentation, and HIPAA program operations.
• Ability to read and produce care coordination artifacts, including care plans, case notes, and compliance memos.
• Strong written communication skills, with the ability to articulate reasoning clearly and develop deterministic rubrics.
• Must be located in the United States.

This is a remote position with an hourly employment type.

The compensation ranges from $70 to $95 per hour, depending on domain expertise and prior experience. High-performing contributors will have opportunities for promotion based on the quality of their work and task throughput.

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