Is the Nurse Annotator (Prior Auth) Remote in US position at UnitedHealth Group fully remote?

Yes, this Nurse Annotator (Prior Auth) Remote in US position at UnitedHealth Group is a remote position. The role is available for candidates in United States.

Is this a full-time or part-time Nurse Annotator (Prior Auth) Remote in US role?

This is a full-time Nurse Annotator (Prior Auth) Remote in US position at UnitedHealth Group.

What benefits does UnitedHealth Group offer for this position?

UnitedHealth Group offers the following benefits: Health Insurance, Equity.

What is the salary range for the Nurse Annotator (Prior Auth) Remote in US position?

The salary range for this Nurse Annotator (Prior Auth) Remote in US role is $0.029k - $0.052k.

How do I apply for the Nurse Annotator (Prior Auth) Remote in US position at UnitedHealth Group?

You can apply for this Nurse Annotator (Prior Auth) Remote in US position by clicking the "Apply Now" button on this page, which will take you to UnitedHealth Group's application portal.

Nurse Annotator (Prior Auth) Remote in US at UnitedHealth Group

United States

$0.029k - $0.052k

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together The Registered Nurse Clinical Annotator plays a critical role in supporting the development of artificial intelligence models designed to streamline and automate prior authorization processes in healthcare. This position leverages clinical expertise to interpret, annotate, and validate medical documentation, ensuring that AI systems are trained on accurate, contextually relevant, and policy-compliant data. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities:<ul><li>Review medical records and interpret clinical documentation with accuracy and clinical judgment</li><li>Apply guideline-based criteria to annotate, categorize, and label case data used for AI model training</li><li>Ensure annotations are clinically sound, consistent, and aligned with established utilization management (UM) guidelines</li><li>Contribute to the development of high quality training datasets that support safe and effective AI model performance</li><li>Identify gaps, ambiguities, or inconsistencies in documentation and escalate issues as needed</li><li>Participate in refinement and continuous improvement of annotation guidelines, clinical rules, and workflows</li><li>Collaborate with cross functional teams including data science, clinical operations, and product teams to ensure clinical accuracy and operational relevance of labeled data</li><li>Support testing, validation, and quality review activities for AI supported UM tools and workflows</li><li>Maintain detailed documentation of annotation decisions, rationales, and guideline interpretations</li><li>Uphold clinical, ethical, and regulatory standards in all aspects of data handling, patient information, and annotation workflows</li></ul> You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications:<ul><li>Active, unrestricted RN license</li><li>3+ years of recent clinical experience in acute care, utilization management, or a related clinical specialty</li><li>Experience applying guideline based criteria (e.g., InterQual, MCG) in clinical review or UM workflows</li><li>Solid understanding of clinical documentation, medical terminology, and evidence-based practice</li><li>Familiarity with HIPAA requirements, data privacy standards, and safe handling of patient information</li><li>Proficiency with electronic medical records (EMR) and comfort navigating multiple clinical systems</li><li>Proven ability to interpret medical records and determine clinical appropriateness using structured criteria</li><li>Demonstrated experience performing payer-based clinical prior authorization reviews and medical necessity determinations for outpatient and inpatient procedures, advanced imaging, DME, specialty medications, infusion therapies, and other pre-service requests in accordance with health plan policy and evidence-based clinical criteria. Experience limited to provider-side authorizations, concurrent inpatient review, post-acute review, or discharge planning alone is not sufficient</li><li>Proven ability to work independently while maintaining productivity, quality, and adherence to annotation guidelines</li></ul> Preferred Qualifications:<ul><li>BSN</li><li>Experience collaborating with cross functional teams (clinical, data science, operations)</li><li>Experience with data labeling, clinical data annotation, or AI/ML workflows</li><li>Proven high level of accuracy, attention to detail, and commitment to consistent, high quality annotations</li><li>Proven solid analytical thinking, clinical reasoning, and ability to identify gaps or inconsistencies in documentation</li><li>Proven effective written communication skills, with the ability to clearly document annotation decisions and rationales</li><li>Proven curiosity and willingness to learn emerging technologies, AI supported workflows, and evolving guidelines</li></ul> Values Based Competencies Employee<ul><li>Integrity Value: Act Ethically<ul><li>Comply with Applicable Laws, Regulations and Policies</li><li>Demonstrate Integrity</li></ul></li><li>Compassion Value: Focus on Customers<ul><li>Identify and Exceed Customer Expectations</li><li>Improve the Customer Experience</li></ul></li><li>Relationships Value: Act as a Team Player<ul><li>Collaborate with Others</li><li>Demonstrate Diversity Awareness</li><li>Learn and Develop</li></ul></li><li>Relationships Value: Communicate Effectively<ul><li>Influence Others</li><li>Listen Actively</li><li>Speak and Write Clearly</li></ul></li><li>Innovation Value: Support Change and Innovation<ul><li>Contribute Innovative Ideas</li><li>Work Effectively in a Changing Environment</li></ul></li><li>Performance Value: Make Fact-Based Decisions<ul><li>Apply Business Knowledge</li><li>Use Sound Judgement</li></ul></li><li>Performance Value: Deliver Quality Results<ul><li>Drive for Results</li><li>Manage Time Effectively</li><li>Produce High-Quality Work</li></ul></li></ul> *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $29.00 - $52.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.      UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.       UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Apply Now

Remote Opportunity

Nurse Annotator (Prior Auth) Remote in US

Join UnitedHealth Group as a mid professional working remotely from United States. Explore the role, benefits, and apply in one place.

Nurse Annotator (Prior Auth) Remote in US

UnitedHealth Group

Full Time

$0.029k - $0.052k

2 weeks ago

United States

Engineering

Mid

Registered Nurse

Utilization Management

Clinical Documentation

+5 more

Job Description

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

The Registered Nurse Clinical Annotator plays a critical role in supporting the development of artificial intelligence models designed to streamline and automate prior authorization processes in healthcare. This position leverages clinical expertise to interpret, annotate, and validate medical documentation, ensuring that AI systems are trained on accurate, contextually relevant, and policy-compliant data.

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

Primary Responsibilities:

Review medical records and interpret clinical documentation with accuracy and clinical judgment
Apply guideline-based criteria to annotate, categorize, and label case data used for AI model training
Ensure annotations are clinically sound, consistent, and aligned with established utilization management (UM) guidelines
Contribute to the development of high quality training datasets that support safe and effective AI model performance
Identify gaps, ambiguities, or inconsistencies in documentation and escalate issues as needed
Participate in refinement and continuous improvement of annotation guidelines, clinical rules, and workflows
Collaborate with cross functional teams including data science, clinical operations, and product teams to ensure clinical accuracy and operational relevance of labeled data
Support testing, validation, and quality review activities for AI supported UM tools and workflows
Maintain detailed documentation of annotation decisions, rationales, and guideline interpretations
Uphold clinical, ethical, and regulatory standards in all aspects of data handling, patient information, and annotation workflows

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Active, unrestricted RN license
3+ years of recent clinical experience in acute care, utilization management, or a related clinical specialty
Experience applying guideline based criteria (e.g., InterQual, MCG) in clinical review or UM workflows
Solid understanding of clinical documentation, medical terminology, and evidence-based practice
Familiarity with HIPAA requirements, data privacy standards, and safe handling of patient information
Proficiency with electronic medical records (EMR) and comfort navigating multiple clinical systems
Proven ability to interpret medical records and determine clinical appropriateness using structured criteria
Demonstrated experience performing payer-based clinical prior authorization reviews and medical necessity determinations for outpatient and inpatient procedures, advanced imaging, DME, specialty medications, infusion therapies, and other pre-service requests in accordance with health plan policy and evidence-based clinical criteria. Experience limited to provider-side authorizations, concurrent inpatient review, post-acute review, or discharge planning alone is not sufficient
Proven ability to work independently while maintaining productivity, quality, and adherence to annotation guidelines

Preferred Qualifications:

BSN
Experience collaborating with cross functional teams (clinical, data science, operations)
Experience with data labeling, clinical data annotation, or AI/ML workflows
Proven high level of accuracy, attention to detail, and commitment to consistent, high quality annotations
Proven solid analytical thinking, clinical reasoning, and ability to identify gaps or inconsistencies in documentation
Proven effective written communication skills, with the ability to clearly document annotation decisions and rationales
Proven curiosity and willingness to learn emerging technologies, AI supported workflows, and evolving guidelines

Values Based Competencies Employee

Integrity Value: Act Ethically
- Comply with Applicable Laws, Regulations and Policies
- Demonstrate Integrity
Compassion Value: Focus on Customers
- Identify and Exceed Customer Expectations
- Improve the Customer Experience
Relationships Value: Act as a Team Player
- Collaborate with Others
- Demonstrate Diversity Awareness
- Learn and Develop
Relationships Value: Communicate Effectively
- Influence Others
- Listen Actively
- Speak and Write Clearly
Innovation Value: Support Change and Innovation
- Contribute Innovative Ideas
- Work Effectively in a Changing Environment
Performance Value: Make Fact-Based Decisions
- Apply Business Knowledge
- Use Sound Judgement
Performance Value: Deliver Quality Results
- Drive for Results
- Manage Time Effectively
- Produce High-Quality Work

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $29.00 - $52.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Benefits

Health Insurance
Equity

Skills

Registered Nurse

Utilization Management

Clinical Documentation

Medical Terminology

Prior Authorization

Data Annotation

InterQual

AI Model Training

Ready to Apply?

Join UnitedHealth Group today

Salary Range

$0.029k - $0.052k

Posted 2 weeks ago

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