What the work actually involves

You write clinical scenarios the way a case would actually present — a 4-year-old with reduced intelligibility and a history of recurrent otitis media, a 71-year-old post-CVA with a suspected pharyngeal-phase deficit, a middle schooler whose IEP team is pushing for dismissal. Each scenario ships with a reference answer that spells out the reasoning: which assessment you'd select and why, what differential you're ruling out, what the evidence base supports, and where the decision point actually sits. The reference answer is the product. A correct conclusion with no visible reasoning chain is worth very little to the labs buying this work.

The second half of the job is grading. You read model responses against your own reference and score them for diagnostic accuracy, patient safety, and fidelity to evidence-based practice. The hardest and most valued judgment is catching output that sounds like a competent clinician — correct terminology, plausible structure, confident tone — but would harm a real patient or fail an audit. Recommending thin liquids where instrumental assessment was never completed, citing a treatment approach outside its evidence base, missing a red flag that warrants medical referral rather than therapy.

What the screen looks for

  • Verifiable credentials. Active CCC-SLP, active unencumbered state license, and at least two years of post-CF practice. These get checked.
  • Real depth in a named population. Generalist answers score poorly. The screen probes one area — pediatric speech sound disorders, adult dysphagia, aphasia, AAC — and follows up until it hits the edge of what you actually know.
  • Written reasoning. You'll be asked to explain a clinical decision in prose. Clarity and completeness matter more than length.
  • Calibration. Whether you can distinguish a wrong answer from an incomplete one, and say what specifically is missing.

Instrumental swallow experience (MBSS or FEES), AAC depth, medical or school-based caseloads, and CF or graduate supervision history are all preferred and worth naming explicitly.

Logistics

Fully remote, fully asynchronous, no scheduled calls or patient contact. You claim tasks and set your own hours against a stated minimum of roughly 10 per week. Pay is hourly via Stripe on a weekly cycle; the $70–105 range reflects rates observed on the platform and typically tracks specialization and grading track record rather than a fixed ladder. Work is ongoing rather than a single project, and volume varies by population as labs commission new evaluation sets.