Clinical Quality Specialist (PT)

**Part-Time Clinical Quality Specialist at SonderMind in Denver, CO (Remote)** **What you'll do** - Conduct prospective, concurrent, and retrospective utilization reviews to assess medical necessity and treatment appropriateness - Apply evidence-based criteria to evaluate clinical documentation and support authorization processes - Monitor care intensity and utilization trends to identify outliers and inform provider interventions - Partner with health plans on external UR requests and peer-to-peer review coordination **What they're looking for** - Sound clinical judgment with utilization review experience - Ability to serve as a bridge between clinical care, payor expectations, and internal quality standards - Familiarity with AI productivity tools considered essential **Details** - Location: Denver, CO (Remote) - Type: Part-Time - Salary: null