$120-$330/hr anatomic and clinical pathology work, on your schedule
Review a model's diagnoses, tumor grades, and synoptic reports the way you sign out a resident's case. Tell a mimic from real disease and name the CAP element it skipped.
Trusted by top research companies
Hi, we're Zac and Jack, the founders of Terac. We want to talk to you directly, because you are the most important part of what we're building.
Terac is a community of experts. People who have spent years getting good at something specific and hard. The world is about to need more of you, not less. As AI takes on more of the world's work, the bottleneck shifts to the people who actually know what they're talking about.
Expert labor is the rarest resource in the world right now, and it is shockingly hard to find. The companies that need a pathologist's eye on an overcalled Gleason grade spend weeks chasing people, paying placement fees, and settling for whoever is available. Meanwhile thousands of qualified people are sitting with knowledge that no one ever asks for.
That gap is what we're here to close. Every project that lands on Terac is routed to the people who actually know the answer, on their schedule, paid fairly, and only when the work is verified. No middleman taking a cut of your time. No vague gigs. No chasing checks.
We care about every single person in this community. If you join Terac, you're not a row in a database to us. We read the feedback. We answer the emails. We will fight for you when a customer is being unreasonable, and we will be honest with you when something on our side is broken. The quality of this panel is our entire company, and we owe you a serious bar.
If you've made it this far, here is what we're asking: claim your profile. Put your expertise on the record. Let the world's most ambitious teams come find you for the work only you can do.
Pathology questions
Still curious? Write to us at support@terac.com.
Yes. Subspecialty depth is the most sought-after and best-compensated work. A GU pathologist adjudicating Gleason calls, a hematopathologist reviewing lymphoma workups, or a cytopathologist grading Bethesda categories each maps to dedicated projects. You declare your subspecialties at onboarding.
We require current or recent US board certification in anatomic pathology, clinical pathology, or both, and verify it through our attestation process. An active license is preferred, but pathologists who have stepped back while maintaining certification are welcome, since this is evaluation work rather than sign-out for patients.
No. You evaluate the model's diagnoses and reports against professional standards, not issue official diagnoses for living patients. There is no patient-physician relationship, no diagnostic liability for care, and the cases you review are synthetic or de-identified with no PHI attached.
You review AI-drafted diagnoses, tumor grades, synoptic and CAP-formatted reports, immunohistochemistry interpretations, and ancillary-test recommendations. Tasks range from full sign-out over-reads on de-identified cases to focused judgments such as whether an IHC panel or molecular confirmation is warranted.
Projects supply whole-slide images and any ancillary results at the resolution the task requires. When a case cannot be responsibly graded because of scan quality, missing levels, or inadequate sampling, you flag that limitation instead of forcing a call, and that flag is treated as valuable signal.
Why your expertise matters
Today's pathology AI describes a slide but is most overconfident where the diagnosis becomes ground truth. It upgrades a Gleason 3 to a 4 on a tangential cut, reads reactive atypia as carcinoma, and ignores an IHC panel pointing away from its stated primary. Telling a mimic from real disease takes a pathologist, not a label. Your corrections protect the patient downstream.
How pay works
Pathologists earn $120-$330 an hour, with subspecialty sign-out (GU, GI, breast, heme, derm, cyto) and molecular interpretation at the top of the range. The work is remote and asynchronous - fit it around your own service schedule. You are paid per verified task, not per case volume.
What the work looks like
A sample of the anatomic and clinical pathology work you would pick up. Every project is scoped, remote, and paid on verified completion.
- Review a prostate biopsy report that called Gleason 4+3=7 on a single tangentially sectioned gland, and downgrade it with morphologic justification.
- Correct an IHC interpretation that read a TTF-1 negative, CK20 positive tumor as a lung primary when the panel supports a colorectal origin.
- Grade a synoptic breast resection report against CAP protocol and flag the missing margin distance and lymphovascular invasion status.
- Evaluate a diagnosis that called a reactive lymph node a follicular lymphoma without flow cytometry or BCL2 confirmation.
- Assess a frozen-section read that called a margin clear when freezing artifact obscured the deep edge, and recommend permanent-section correlation.
- Audit a clinical pathology interpretation that read a smear as iron-deficiency anemia when the indices point to thalassemia trait.
Specialties we match
Pathology projects span a wide range of focus areas. Tell us where you go deep and we route the work that fits.
- Surgical pathology diagnosis and morphologic interpretation
- Gleason grading and other tumor grading systems
- CAP cancer protocols and synoptic reporting
- Immunohistochemistry panel selection and interpretation
- Frozen section evaluation and intraoperative consultation
- Cytopathology, including Bethesda and Paris systems
- Molecular and genomic result interpretation
- Margin assessment and tumor staging (AJCC/TNM)
- Clinical pathology and laboratory medicine interpretation
- Special stains and ancillary test triage
- Diagnostic mimic and pitfall recognition
- Amended report and discrepancy adjudication
