Senior Clinical Intelligence Quality Specialist
Listed on 2026-10-31
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Science
Healthcare Compliance
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Senior Clinical Intelligence Quality Specialist
Senior Clinical Intelligence Quality Specialist Fully Remote
• Remote
Full-time
DescriptionPost Acute Analytics (PAA) is a healthcare technology company building the operating system for post-acute care. Millions of Americans transition each year out of the hospital into skilled nursing, home health, or back home, and those transitions too often fail them. Readmissions, medication errors, missed follow-ups, families left in the dark. Our clinical intelligence platform, Anna, gives providers, payers, and caregivers the visibility and workflow tools to get the right care to the right person at the right time.
PAA combines deep clinical expertise, connected technology, and industry-leading datasets to help our partners deliver better outcomes, streamline care coordination, and improve the patient experience across the post-acute continuum. Today Anna operates across millions of covered lives, more than 40 states, and many of the industry’s most recognized payer and provider organizations. What distinguishes PAA is how we work. Clinical judgment leads.
Technology amplifies clinician expertise rather than replacing it. Client trust is infrastructure, not a metric. Post-acute care is genuinely complex, and we build for that complexity honestly.
The Senior Clinical Intelligence Quality Specialist serves as a senior clinical evaluator within PAA’s Clinical Intelligence Governance and Quality function, leading complex clinical audits, validation reviews, performance investigations, and reviewer-calibration activities. Working within established governance methodology, this role leads complex reviews, conducts secondary quality checks, investigates performance concerns, and produces decision-ready evidence for governance leadership. The role evaluates clinical intelligence outputs, identifies potential patient-safety and decision quality risks, investigates discrepancies and performance changes, and converts findings into structured evidence that supports governance decisions.
This position works across SNF, Home Health, Medicare Advantage, and emerging clinical programs.
- Audit clinical recommendations, summaries, assessments, indicators, classifications, document outputs, and level-of-care results using approved methodology.
- Assess whether outputs are accurate, complete, clinically supported, appropriately contextualized, and appropriate for the intended workflow, and escape potential safety concerns through defined governance processes.
- Document error type, severity, likely source, potential downstream impact, and required escalation.
- Meet established throughput, quality, documentation, and turnaround expectations while preserving clinical rigor.
- Support pre-launch validation, regression testing, post-launch surveillance, targeted review, and revalidation after material changes.
- Investigate disagreement patterns, clinician feedback, potential drift, data-quality concerns, and recurring error themes.
- Distinguish clinical intelligence or solution-performance issues from documentation, workflow, education, and data-availability issues.
- Evaluate whether performance patterns vary meaningfully across clinical populations, care settings, client workflows, or other relevant subgroups and escape potential equity or generalizability concerns.
- Recommend enhanced surveillance, remediation, or escalation when evidence indicates increased clinical risk.
- Participate in clinical reviewer calibration and help maintain consistent interpretation of audit definitions, severity classifications, and escalation standards.
- Perform secondary review or quality checks on selected…
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