Clinical Solutions Architect

Anterior (formerly Co:Helm)

Clinical Solutions Architect facilitating AI-driven clinical reasoning platform deployment in healthcare payer operations. Collaborating between clinical staff and AI engineers to enhance decision-making processes.

Posted 8/1/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in clinical design and workflow mapping, translating complex medical policies into actionable plans for engineering teams. Possesses strong communication skills to build relationships with clinical leaders and deliver insights on utilization management and AI integration.

Highest-signal resume keywords

Clinical Design OwnershipUtilization Management ExpertiseWorkflow MappingCustomer Relationship BuildingAI Interest and Understanding

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical TerminologyPatient-Provider InteractionMedical Review ProcessesRisk AdjustmentHEDISCare ManagementAppeals ManagementSOP DevelopmentProofs of Concept DeliveryRequirements Gathering

Soft Skills

Structured CommunicationRelationship BuildingDetail OrientationAdvisory SkillsCustomer Engagement

Tools & Technologies

Florence

Certifications & Qualifications

RNBSNNPPAMD

Industry Keywords

Health PlanDelegated EntityUtilization ManagementIntake ProcessEligibility VerificationNetwork CheckClinical GuidelinesNurse WorkflowsMD Escalation RulesRegulatory Compliance

Tech Stack

Tools & technologies

About the role

Key responsibilities & impact

Own the clinical design of your deployment, end to end. From workflow discovery, through configuration, testing, and go-live. You define what "clinically correct" means for the engagement, then hold the line on it.
Turn clinical reality into a buildable plan. This is the core craft of the role. You'll take a tangle of medical policy, guideline sets, nurse workflows, and MD escalation rules and decompose it into clear requirements and acceptance criteria that can be handed directly to engineering.
Map workflows nobody has written down. Health plans rarely have an accurate picture of their own review process. You'll sit with their nurses, build the process diagram that reflects what actually happens, and use it to show where Florence plugs in.
Go deep into the details. Utilization management and prior authorization, guideline sets, lines of business, delegated entities, and the regulation coming down the pipe. You'll spend real time onsite with our customers building the kind of expertise you can't get from a deck.
Deliver proofs of concept fast. You'll know Florence deeply enough to configure and demonstrate real clinical value in an early engagement, not promise it for later.
Be a trusted advisor. The best Clinical Solutions Architects don't just deliver what customers ask for — they help clinical leaders understand what they actually need and guide them on how best to get there.

Requirements

What you’ll need

You're a clinician. RN, BSN, NP, PA, or MD. You understand clinical terminology, patient-provider interaction, and what it feels like to be the person on the other side of a coverage decision.
You've worked inside a health plan or delegated entity. This is the piece we weight most heavily. You know how intake, eligibility, network check, and medical review actually run, and how the lines of business differ. Utilization management is the sweet spot, but adjacent depth — risk adjustment, HEDIS, care management, appeals — counts.
You're structured. Intuitive workflow maps, clean processes, and clear written communication come naturally to you. You've probably built the training material or the SOP that a team then ran on.
You love being in front of customers. Not tolerate it — enjoy it. You build relationships with clinical counterparts that outlast the project.
You have a real interest in AI. You've gone looking for how these systems work rather than waiting to be told, and you have views on where they should and shouldn't be trusted with clinical judgment.

Benefits

Comp & perks

Competitive, top-of-market salary
100% covered health, dental, and vision insurance
Catered lunches and a stocked kitchen
Commuter benefits
Company laptop along w/ tools you need to succeed
Learning & development budget
Team-building events
Flexible PTO