The Medical Data Reviewer will review clinical data, including vital signs, labs, medical history, and adverse events, for medical plausibility and consistency, while supporting the creation and assurance of consistency for the Medical Data Review Plan across project documents. This role involves coordinating project-specific tasks, reviewing test outputs, solving technical problems, reviewing for protocol deviations, and ensuring all medical data review activities meet agreed timelines and quality standards.

The role involves performing concurrent reviews to determine a member's overall health, evaluating the necessity and setting of care being delivered, and contributing to discharge planning based on established policies and guidelines. Responsibilities also include documenting findings, collaborating with Medical Affairs, and working with healthcare providers to approve medical determinations or offer recommendations.

The role involves collaborating with a multidisciplinary team to create and curate content focused on emerging medical technologies, and providing feedback throughout the development cycle to support clinicians at the point of care. Responsibilities include creating, rating, and ranking queries based on relevance, safety, and efficacy to aid healthcare professionals.

The role involves reviewing and evaluating AI-generated responses related to nursing health education topics, rating them on helpfulness, correctness, completeness, and potential harmfulness. Responsibilities also include completing assigned queries within specified deadlines, approximately 15 minutes per query.