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About the Role
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems. We are seeking experienced Prior Authorisation Managers with clinical and medical expertise to support the evaluation of AI tools designed to streamline prior authorisation workflows. Your clinical knowledge of medical-necessity criteria, payer review processes, and utilisation management will help train AI systems to reduce administrative burden and improve patient access to care. Manage end-to-end prior authorisation workflows for medic
What You'll Do
Manage end-to-end prior authorisation workflows for medical and clinical services across multiple payer types.
Review clinical documentation to assess medical necessity against InterQual, MCG, or payer-specific criteria.
Evaluate AI-generated prior authorisation recommendations and clinical justification drafts for accuracy and appropriateness.
Coordinate with clinical staff, physicians, and payers to obtain timely authorisation approvals.
Independent contractor engagement, fully remote. Mercor pays weekly via Stripe or Wise.
Common Questions
Mercor has a reliability rating of very reliable based on the listings we track, with an onboarding time of 1-3 weeks (interview + assessment + trial). See our full Mercor review for the details behind that rating.
Applying takes you to Mercor's own website, where the application is completed. We are not a recruiter or employer and do not process applications directly - we may be recorded as the referring source.
$105/h - Independent contractor engagement, fully remote. Mercor pays weekly via Stripe or Wise.
Manage end-to-end prior authorisation workflows for medical and clinical services across multiple payer types. Review clinical documentation to assess medical necessity against InterQual, MCG, or payer-specific criteria. Evaluate AI-generated prior authorisation recommendations and clinical justification drafts for accuracy and appropriateness.
