# Clinical Solutions Architect

**Company:** [Anterior](https://hotfix.jobs/companies/anterior)
**Location:** Remote
**Role:** Solutions Architecture
**Skills:** utilization management, prior authorization, clinical workflow mapping, medical guidelines, risk adjustment, hedis, care management, appeals, ai in healthcare, process documentation
**Posted:** 2026-07-31

> Clinical Solutions Architect deploys an AI clinical reasoning platform into health plans. Maps real-world nurse/MD workflows, translates policies and guidelines into engineering requirements, configures and tests solutions, and advises clinical leadership on utilization management and prior authorization processes. Requires clinician background (RN/NP/MD) plus health plan operations experience.

## Job Description

## Responsibilities
- Own the clinical design of deployments end-to-end, from workflow discovery through configuration, testing, and go-live. Define what "clinically correct" means and maintain that standard.
- Translate clinical reality (medical policy, guideline sets, nurse workflows, MD escalation rules) into clear, buildable requirements and acceptance criteria for engineering.
- Map undocumented workflows by sitting with nurses and creating process diagrams to identify integration points for the AI platform.
- Deeply understand utilization management, prior authorization, guideline sets, lines of business, delegated entities, and upcoming regulations through onsite customer work.
- Deliver fast proofs of concept by configuring the platform to demonstrate clinical value early.
- Act as a trusted advisor to customer clinical leaders, helping them identify true needs and optimal solutions.

## Requirements
- Clinician background: RN, BSN, NP, PA, or MD.
- Experience working inside a health plan or delegated entity, with deep knowledge of intake, eligibility, network checks, medical review, and differences across lines of business.
- Strong background in utilization management (preferred); adjacent experience in risk adjustment, HEDIS, care management, or appeals is valued.
- Structured thinker with natural ability for intuitive workflow mapping, clean processes, and clear written communication (e.g., building training materials or SOPs).
- Enjoy being in front of customers and building lasting relationships with clinical counterparts.
- Genuine interest in AI, with proactive exploration of how these systems work and opinions on appropriate clinical trust boundaries.

## Nice-to-Haves
- Experience building training materials or SOPs for teams.
- Views on where AI should or shouldn't be trusted with clinical judgment.

## Compensation and Benefits
- Competitive, top-of-market salary.
- 100% covered health, dental, and vision insurance.
- Catered lunches and stocked kitchen.
- Commuter benefits.
- Company laptop and necessary tools.
- Learning & development budget.
- Team-building events.
- Flexible PTO.

## Similar roles

- [Specialist Solutions Architect](https://hotfix.jobs/jobs/ffde0e93-1ef8-4055-822a-a572314a136f) - Databricks - Remote - $180k – $248k/yr
- [Forward Deployed Data Scientist](https://hotfix.jobs/jobs/bfb182cc-acb1-4def-9ee1-e900c75d34fb) - Sift - Seattle, WA - $170k – $230k/yr
- [Forward Deployed Engineer](https://hotfix.jobs/jobs/4298684f-b97d-4818-9516-7de6f8d3b50f) - Broccoli AI - San Francisco, CA
- [Technical Solutions Strategist](https://hotfix.jobs/jobs/30a4f860-5e9d-4a12-b416-388b938d5fe0) - Nash - Remote
- [Frontier Strategist](https://hotfix.jobs/jobs/7dfa1e97-847d-449c-b5b5-05cf8f5b611a) - Anterior - New York, NY - $160k – $200k/yr

**Apply:** https://hotfix.jobs/jobs/769a9d65-2a2f-4fbe-bbe3-46a7f75849f9
**Canonical:** https://hotfix.jobs/jobs/769a9d65-2a2f-4fbe-bbe3-46a7f75849f9