Job Description

About Alaffia & Our Mission

Each year, the U.S. healthcare system suffers from over $500B in wasted spending due to medical billing fraud, waste, and administrative burden. At Alaffia, we’re committed to changing that paradigm. We’ve assembled a team of clinicians, AI engineers, and product experts to build advanced AI solutions that will directly bend the cost curve for all patients across the healthcare ecosystem. Collectively, we’re building best-in-class AI software to provide our customers with co-pilot tools, AI agents, and other cutting-edge solutions to reduce administrative burden and reduce healthcare costs.

We’re a high-growth, venture-backed startup based in NYC and are actively scaling our company.

About the Role

We are developing advanced AI solutions to transform claim review workflows for clinicians and are looking for an experienced Medical Doctor to lead our Clinical AI Solutions team. In this role, you will be critical to the training and development of our generative AI models and clinical products. If you want to make a major impact at the core of U.S. healthcare by implementing the latest in large language models and generative AI, then we’d like to meet you.

What You’ll Be Doing

• Team Leadership: Lead a team of clinicians responsible for annotating and validating medical data, testing AI models, and ensuring clinical accuracy in product outputs.
• Cross-Functional Collaboration: Partner with our AI Engineering, Product, and Claims teams to train and refine generative AI models, incorporating clinical insights to ensure features meet client needs.
• Product Development: Provide clinical input to product teams to design features that align with industry standards and address healthcare payer pain points.
• AI Model Training: Help design and oversee processes for annotating datasets to train large language models, ensuring clinical knowledge is effectively embedded in AI tools.
• Quality Assurance: Validate evidence in medical records, focusing on areas like DRG assignments, medical necessity determinations, and evidence-based decision-making to ensure the accuracy and reliability of large language models.
• Client Engagement: Serve as a clinical subject matter expert (SME) in client demos, sales discussions, and onboarding. Communicate the value of Alaffia’s generative AI solutions to clinical and non-clinical stakeholders.
• Education and Evangelism: Advocate for the use of generative AI in healthcare by educating internal teams, external clients, and partners about its transformative potential.

What We’re Looking For

• Clinical Credentials: MD with active or recent clinical experience; expertise in DRG validation, medical necessity reviews, or similar areas preferred.
• Health Plan Expertise: Familiarity with payer systems, health plan workflows, payment integrity, and coding methodologies (e.g., MS DRG, APR DRG).
• Generative AI Enthusiast: A passion for GenAI and a curiosity about how large language models can be applied to solve healthcare challenges.
• Tech Savvy: Comfortable working with AI-powered tools and technology; experience collaborating with technical teams.
• Client-Facing Skills: Excellent communication skills with the ability to explain clinical concepts and AI capabilities to both clinical and non-clinical audiences.
• Analytical Mindset: Strong attention to detail with the ability to validate and interpret clinical data and medical records.
• Innovative Spirit: Enthusiasm for working at the intersection of healthcare and AI to solve complex problems and improve industry outcomes.

Our Culture

At Alaffia, we fundamentally believe that the whole is more valuable than the sum of its individual parts. Further to that point, we believe a diverse team of individuals with various backgrounds, ideologies, and types of training generates the most value. If you want to work alongside driven people on a mission to make a major impact at the core of U.S. healthcare by implementing the latest in cutting-edge technologies, then we’d like to meet you!

What Else Do You Get Working With Us?

• Competitive base salary
• Company stock options
• Fully covered employer-sponsored healthcare
• Unlimited PTO
• Work in a flat organizational structure — direct access to Executive team members

Please note: Alaffia Health does not provide employment sponsorships at this time

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