Clinical Content Developer - Medicaid - Remote - Optum : Job Details

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Join our team at Optum Insight, where we are leveraging cutting-edge AI and machine learning technologies to revolutionize healthcare delivery, enhance customer engagement, and drive innovation across our digital platforms.

The licensed Clinical Content Developer RN, NP, PA develops and updates the clinical content of Optum Clinical Products. Using critical appraisal and review of medical literature, synthesis of clinical information, and data analysis and with collaboration of external peer reviewers, their role is to ensure the clinical content represents best evidentiary practice standards and will meet requirements for different users, applications, and contexts. The Clinical Content Developer is also responsible for quality assurance (QA) of the content and for responding to internal and external client questions and concerns.

We are looking for a licensed RN, NP, or PA, with a broad clinical background who can join our fully remote team and collaborate with us on the development of quality content for the InterQual suite of products.

You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

• Utilizing the principles of evidence-based medicine (EBM), design, develop, and update clinical content through the critical appraisal and synthesis of information gathered from extensive review of the medical literature and Medicaid State Policy for InterQual content products. Collect and incorporate feedback from external peer reviewers and clients to ensure real-world clinical accuracy and usability
• Perform Quality Assurance of clinical content and create and maintain clinical documentation, as required
• Serve as a clinical resource and subject matter expert for both internal and external customers
• Leverage AI tools to enhance productivity and innovation by streamlining workflows and automating repetitive tasks. Evaluate emerging trends to drive continuous improvement and strategic innovation.
• Collaborate with Product Development (PD), Product Management (PM), Product Owner (PO), and Business Systems Analyst (BSA) as needed
• Participate in developing project plans, monitoring tasks, and ensuring on-time delivery of clinical development projects
• Participate in field research that contributes to product advancement as needed
• Travel Limited