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United States
Remote only
Clinical Implementation Specialist
LOCATION
Remote (US)
TRAVEL
20–30%, federal and commercial sites
REPORTS TO
Director of Customer Delivery
LICENSE
RN, NP, PA, PharmD, or equivalent
SCHEDULE
Core business hours, with flexibility across time zones
Knowtex is transforming healthcare documentation through ambient AI scribe technology that allows clinicians to focus on patients instead of computers. Our platform uses advanced AI to convert natural clinical conversations into accurate, comprehensive medical documentation — reducing clinician burnout while improving care quality.
We're scaling rapidly across both the Department of Veterans Affairs (VA) and a growing base of commercial health systems — two very different operating environments with one shared bar: the note has to be safe, complete, and trustworthy, every time, for every clinician who depends on it in real time.
We're at a critical inflection point. Over the next 90 days, this role will drive massive scaling across our federal and commercial portfolios.
We need a Clinical Implementation Specialist who is equal parts clinician, implementation scientist, and clinical informaticist — someone who can stand in front of a room of skeptical physicians one hour and sit inside an AI prompt the next, tracing a clinician's error report back to its root cause. You'll be the clinical voice our users trust, and the clinical judgment behind how our AI is tuned, turning what you hear on the front line into documentation that's safe, complete, and trusted by the providers who sign it.
Day to day, that means onboarding new sites and clinicians, running training, building the clinical champion network that makes adoption durable rather than a one-time launch event, and leading recovery at sites that are struggling. You'll do this one clinician at a time and at scale, often in the same week: coaching a new user through their first generated note, and building the curriculum and playbook that carry that result everywhere else.
This role reports to the Director of Customer Delivery and works in daily partnership with the rest of Customer Delivery, and directly with Engineering (including the Technical Product Manager and on-call engineers) to close the loop between what clinicians experience and what the product does.
Conduct live virtual training sessions for clinicians across all specialties and both federal and commercial sites (physicians, NPs, PAs, pharmacists, mental health providers)
Present at approved provider and leadership staff meetings to provide platform updates, training, and support
Lead virtual office hours and recurring Q&A sessions providing just-in-time workflow support to users at every stage, from brand-new to long-tenured
Onboard and coach new users individually through early activation, adapting your approach to specialty, technical comfort, and sector (federal vs. commercial)
Deliver train-the-trainer sessions to build capacity among Site POCs and Clinical Champions
Track training attendance, completion, satisfaction, and time-to-activation; feed findings back into training content and coaching approach
Develop and maintain training curriculum, job aids, and education resources for both federal and commercial audiences, including specialty-specific modules
Update materials continuously based on product changes, user feedback, and clinical best practice — this is a living library, not a one-time build
Design self-paced and asynchronous resources so coaching capacity scales with user volume rather than growing linearly with it
Develop release communication for feature updates and product changes — external materials for users, and internal briefings that prepare Customer Support and Implementation before rollout
Identify Clinical Champions through both adoption data and relationships built in the field, then recruit and develop them to extend adoption support within their own facilities
Build and facilitate an active Clinical Champion community of practice — peer learning, shared best practices, and a channel that surfaces problems early
Sustain engagement over time, not just at launch; a champion network that goes quiet within a quarter isn't doing its job
Develop and execute implementation strategy for new and scaling sites across both sectors
Diagnose and lead service recovery for sites in one of two distinct situations — initial adoption struggles (never really got going) and negative first-experience recovery (tried it, had a bad early experience, and are now skeptical or vocal) — and tailor your intervention to which one you're facing
Conduct workflow assessments to identify integration opportunities and barriers, and translate findings into a concrete site-level plan
Identify patterns across sites — the failure modes that repeat, the interventions that consistently work — and document them in the implementation playbook so the next site starts ahead of where the last one did
Build and maintain deep product understanding — how the AI generates notes, where prompts and templates drive behavior, and where the boundaries of the model's clinical judgment are
Interpret clinician-reported concerns and errors (missing findings, fabricated content, incorrect clinical reasoning) and perform root cause analysis to distinguish a prompt issue from a workflow issue from a genuine model limitation
Recommend prompt changes and carry them through implementation, grounded in clinical judgment, safety, and quality standards — with the sole aim of keeping note output safe, complete, and aligned with provider expectations
Escalate patient safety concerns immediately per protocol; no finding sits unreviewed
Partner on the Clinical Quality Scoring Rubric and documentation audit findings where they intersect with training or prompt behavior
Work directly with the Technical Product Manager and on-call engineers to resolve live, customer-facing issues in real time
Serve as the trusted clinical voice inside product and engineering discussions — translating a clinician's frustration into a specific, actionable problem statement and making the clinical case for prioritization
Contribute to longer-term product and feature discussions informed by frontline patterns, not just individual tickets
CLINICAL BACKGROUND
Active clinical license (RN, NP, PA, PharmD, or equivalent) with 5+ years of direct patient care experience
Understanding of clinical documentation requirements, EHR workflows, and medical decision-making across specialties
Comfort operating in both federal (VA) and commercial healthcare environments — or a credible plan for ramping into whichever side is less familiar
Understanding of HIPAA, medical-legal documentation standards, and quality requirements
IMPLEMENTATION SCIENCE, INFORMATICS & AI
Experience with implementation science frameworks (RE-AIM, CFIR) or equivalent structured approaches to adoption and change management
Demonstrated ability to conduct root cause analysis (5 Whys, fishbone, or equivalent) on a clinical, workflow, or quality problem
Direct or adjacent experience with AI/NLP prompt design, prompt evaluation, or clinical documentation improvement technologies — you don't need to have built models, but you need to be comfortable reasoning about how a prompt change would or wouldn't fix a reported error
Comfort working from product analytics and dashboards to identify patterns, not just anecdotes
TRAINING & EDUCATION
3+ years developing and delivering clinical education or healthcare IT training
Demonstrated ability to build effective curriculum and measure its impact beyond satisfaction scores (retention, behavior change, time-to-activation)
Experience with virtual training platforms and comfort presenting to groups from 5 to 100+
Track record adapting delivery across specialties and audiences with different technical proficiency
COMMUNICATION & JUDGMENT
Exceptional verbal and written communication; able to earn a skeptical clinician's trust quickly
Strong collaborator across internal teams, with the credibility to advocate for clinical needs in technical discussions
Comfortable delivering an executive briefing on short notice, then answering a support ticket an hour later — this role moves fluidly between strategic and hands-on work
Sound clinical and ethical judgment under time pressure, particularly around patient safety escalation
MINDSET
Entrepreneurial, comfortable with ambiguity, and willing to pick up work that doesn't have an obvious owner
Genuinely mission-driven — motivated by what's at stake when the technology in question touches real-time clinical care, not just another SaaS rollout
Sees Engineering, Product, and the rest of Customer Delivery as partners, not separate lanes — inclined to bring people in early instead of arriving with a finished answer
Strongly preferred
Master's degree in Nursing, Health Administration, Public Health, Medical Education, Clinical Informatics, or related field
Experience with ambient AI, clinical documentation improvement, or speech recognition technologies
Prior experience in a startup or fast-scaling environment where role boundaries were fluid
VA clinical experience (staff clinician, clinical educator, or clinical informaticist) and commercial health system experience
Section 508 accessibility compliance experience
Technical Product Manager & On-Call Engineers
Direct, frequent partnership resolving live customer issues and shaping prompt and product changes; primary channel for surfacing root-caused clinician concerns
Director of Customer Delivery
Weekly 1:1s and strategic planning; escalation point for systemic clinical quality, safety, or training effectiveness issues
Implementation & Customer Support
Daily coordination on training schedules, go-lives, service recovery execution, and clinical quality issues surfaced through tickets
Site POCs & Clinical Champions (federal and commercial)
Primary clinical contact for training, workflow guidance, and frontline advocacy
Mission that matters
What's at stake here is different from a typical tech rollout — this technology sits inside real-time clinical care, and getting it wrong has consequences a dashboard bug never would. Every barrier you remove is a clinician who gets time back and a patient whose documentation is safer and more complete.
A true 0-to-1 environment
We're fast-paced, hands-on, and every hat gets worn by everyone. No job is too small — you'll answer tickets and deliver executive briefings in the same week, and both matter.
Direct impact, direct influence
You'll work hands-on with frontline clinicians and directly with the engineers who build the product you rely on. Your root-cause findings and prompt recommendations shape what ships next.
Team & culture
A tight, cross-functional team that treats the customer's voice — and the clinician's safety — as the center of gravity for every decision.
LOCATION
Remote, with travel required to federal and commercial sites for workflow assessments, go-lives, service recovery visits, and training events (estimated 20–30%, adjusted to implementation needs)
REPORTS TO
Director of Customer Delivery
SCHEDULE
Core business hours with flexibility for training delivery across time zones and both federal and commercial calendars
COMPENSATION
Competitive salary commensurate with experience, plus equity, comprehensive benefits, and professional development opportunities .
To Apply
We're looking for a clinician-informaticist who loves teaching, thinks in root causes, and wants to shape how AI shows up safely in real clinical practice — across both federal and commercial healthcare. Please submit your resume and a cover letter addressing:
Why a role spanning clinical practice, implementation science, and AI prompting excites you
An example of diagnosing a clinical or workflow problem down to its root cause, and what you changed as a result
Your approach to service recovery at a site that's either never adopted well or had a bad first experience
Knowtex.ai is an equal opportunity employer committed to building a diverse team that reflects the clinicians and patients we serve.
