bamboohr
Pharmaceutical Expert (Contract)
mpathic
USA
Contract
Senior · 5+ years experience
Onsite
Discovered Today
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Your expertise in specialty medication access, pharmacy benefits, payer policies, and prior authorization will help ensure AI systems produce accurate, clinically sound, and policy-compliant recommendations.
You'll review real-world scenarios, evaluate AI-generated outputs, and provide the feedback that helps make these systems more reliable for patients, providers, and care teams.
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About mpathic.ai
mpathic is keeping humans safe in the AI era through automated tools and expert datasets that are rooted in psychology and powered by clinicians.
We are a series A start-up backed by Tier 1 investors including Foundry.vc and Next Frontier Capital.
If you have applied for an expert role within the past 12 months, you do not need to reapply.
About The Role
Your expertise in specialty medication access, pharmacy benefits, payer policies, and prior authorization will help ensure AI systems produce accurate, clinically sound, and policy-compliant recommendations.
You'll review real-world scenarios, evaluate AI-generated outputs, and provide the feedback that helps make these systems more reliable for patients, providers, and care teams.
What You'Ll Do
- Evaluate AI-generated prior authorization recommendations for accuracy, completeness, and alignment with payer requirements.
- Review specialty medication requests using your expertise in formularies, step therapy protocols, and pharmacy benefit policies.
- Assess supporting clinical documentation and determine whether AI outputs reflect appropriate medical necessity criteria.
- Apply structured evaluation guidelines to annotate model responses and identify errors, gaps, and opportunities for improvement.
- Provide clear, actionable feedback that helps improve AI performance on complex pharmacy authorization workflows.
- Assess AI outputs involving coordination with prescribers, specialty pharmacies, and payers throughout the authorization process.
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