Senior Manager, Clinical Data Annotations

Frontera Health is revolutionizing pediatric healthcare by developing a cutting-edge, tech-enabled platform that delivers essential therapies to rural families. Our platform leverages AI/ML to create a robust video-based data model for early intervention and developmental disorders. By collaborating closely with parents, caregivers, and clinical partners, we’re bridging the gap in access to care, improving health equity, and providing personalized treatment plans. Backed by leading investors like Lightspeed and Lux, Frontera Health is poised for rapid growth.

Our ABA direct services are designed to meet the unique needs of children in underserved communities, providing them with the support and resources they require to reach their full potential. We are passionate about ensuring that every child, regardless of their location or socioeconomic status, has access to high-quality healthcare. By leveraging our technology platform and partnering with local providers, we are able to deliver effective ABA therapy to families who may otherwise have limited access to these essential services.

We are hiring a Senior Manager+ of Annotation Operations to lead and scale Frontera’s clinical annotation function. This team powers the labeling of video, audio, and text data used to train and fine-tune Frontera’s foundational and production AI models.

This is not a generic labeling operations role. Our annotations demand clinical nuance, judgment under ambiguity, and close coordination with ML and QA stakeholders. You will architect the operational backbone of this function, owning throughput, tooling, team workflows, and performance management across a distributed global team.

The ideal candidate brings deep expertise in operations, process design, and scalability. You know how to build systems that grow without breaking, balancing clarity and control with flexibility and speed. You’re a strong facilitator, a thoughtful leader, and a steady presence when ambiguity is high. You move seamlessly between strategic planning and tactical execution, and you love creating order out of complexity.

What You’ll Bring

• 5+ years of experience in operations, data labeling, content workflows, or high-throughput environments

• 2+ years of experience leading distributed teams, with a focus on performance management and coaching

• Strength in process architecture: you can design, implement, and iterate scalable systems that work

• Operational fluency: you track throughput, capacity, and QA rigorously—without micromanaging

• Exceptional problem-solving and facilitation skills; you bring teams together and build alignment

• Calm, wise leadership under pressure—able to triage issues and focus teams on what matters most

• Hands-on experience with annotation tooling (e.g., Label Studio, Scale AI, SuperAnnotate, Snorkel, etc.)

• Familiarity with inter-rater agreement / IOA frameworks (e.g., Cohen’s or Fleiss’ kappa)

• Preferred: Background in healthcare, behavioral science, or clinical research

• Bonus: Understanding of ML model development and how labeled data fuels model training

Why Join us?

At Frontera, you’ll help shape the future of pediatric behavioral health—building the data infrastructure that powers equitable, evidence-based care. We’re a mission-driven team operating at the intersection of AI and clinical care, and we’re looking for builders, leaders, and systems thinkers ready to make a real impact.

Frontera Health, Inc. is committed to creating and maintaining a diverse, equitable, and inclusive workplace where everyone feels valued, respected, and has the opportunity to thrive. We believe that our differences make us stronger and that all employees, regardless of their background, experiences, or abilities, contribute to our success.

We are committed to:

• Providing equal employment opportunities to all qualified individuals, without regard to race, color, religion, sex, national origin, disability status, sexual orientation, gender identity or expression, age, genetic information, veteran status, or any other characteristic protected by law.
• Fostering a culture of inclusion and belonging where everyone feels valued and respected.
• Providing reasonable accommodations to employees with disabilities.
• Continuously learning and improving our DE&I practices.

We will achieve this commitment by:

• Recruiting and hiring a diverse workforce that reflects the communities we serve.
• Creating and maintaining an inclusive work environment that is free from discrimination and harassment.
• Actively listening to and addressing the needs and concerns of all employees.

We believe that diversity, equity, and inclusion are essential to our success as a company and to our mission of serving the pediatric behavioral health community. We are committed to continuous improvement in this area and welcome feedback from all employees.