Clinical Solutions Architect

About the Company

Anterior is on a mission to transform healthcare administration, making it seamless and invisible so clinicians can focus on delivering care. We've built an AI-powered platform designed by clinicians, for clinicians, to simplify administrative workflows and improve patient outcomes.

Responsibilities

• Own the clinical design of deployments from workflow discovery through configuration, testing, and go-live
• Translate medical policies, guideline sets, and nurse workflows into clear requirements and acceptance criteria for engineering
• Map undocumented clinical workflows by observing and interviewing health plan staff
• Deep dive into utilization management, prior authorization, and regulatory requirements
• Deliver fast proofs of concept by configuring and demonstrating the platform's clinical value
• Act as a trusted advisor to clinical leaders to guide them toward optimal solutions

Requirements

• Clinical background as an RN, BSN, NP, PA, or MD
• Experience working inside a health plan or delegated entity
• Deep understanding of utilization management, intake, eligibility, and medical review processes
• Strong ability to create intuitive workflow maps and clear written documentation
• Experience building training materials or SOPs
• High comfort level with customer-facing roles and relationship building
• Genuine interest in the application and limitations of AI in clinical judgment

Preferred Qualifications

• Knowledge of risk adjustment, HEDIS, care management, or appeals
• Experience with delegated entities and various lines of business