You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking a Healthcare Operations Manager to lead the development and evaluation of AI models within the healthcare sector. The role involves authoring comprehensive tasks, creating evaluation rubrics, and ensuring accurate model handling of healthcare-specific terminology and standards. This position is entirely remote, offering flexibility along with the challenge of contributing to a significant AI project.

Responsibilities / Job Duties

• Scenario & Task Authoring: Create comprehensive and realistic healthcare operations prompts and scenarios to challenge AI models.
• AI Model Evaluation & Rubric Creation: Test prompts on active AI models, analyze output accuracy, and build detailed grading rubrics.
• Domain Validation: Ensure AI models accurately handle domain-specific terminology and compliance standards.
• Independent Execution: Work self-sufficiently using AI tools and project instructions.

Minimum Education and Experience Qualification Requirements

Education

• Bachelor’s Degree strongly preferred (or equivalent advanced practical domain experience).

Qualifications

• Strong background in Healthcare Operations, Health Information Management, Revenue Cycle, or Payer/Health Plan Operations.
• Exceptional grit, attention to detail, and ability to work independently.
• Consistent availability to dedicate 30–40 hours per week over a 12-week period.
• Reliable technology setup with a high-speed internet connection.

Skills

• Medical Coding & Billing / Rev Cycle: Experience preferred in roles like Medical Coders, Coding Auditors, and Revenue Cycle Analysts.
• Certifications: AAPC or AHIMA credentials such as CPC, CCS, CCA preferred.
• HIM & Compliance: Experience in HIM Management, Compliance, or HIPAA specialization.
• Utilization & Care Management: Experience as UR Nurses or Case Managers.
• Payer & Claims Operations: Experience as Claims Adjudicators, Credentialing Specialists, or Health Plan Operations staff.
• Prior AI Experience: Experience in remote data annotation or AI model evaluation a plus.

Schedule / Shift

Must commit to 30-40 hours per week for a 12-week period with flexible hours and days.

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits/Dental/Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. Coverage begins no earlier than 60 days into the assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k open enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

Required Employment / Compliance Language

The position is fully remote and offers a flexible working schedule. It presents an opportunity to support a major AI project, adding valuable experience to your resume.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

Any required state or Joint Commission training is compensated at the state or local minimum wage rate.

^*As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.