$110-$310/hr autoimmune and biologics work, on your schedule
Review AI-drafted autoimmune differentials, biologic selections, and disease activity scores the way you'd review a fellow's consult. Flag the TNF inhibitor started without TB screening and explain why a positive ANA alone doesn't make the diagnosis.
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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 rheumatologist catching a biologic started without latent TB screening 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.
Rheumatology questions
Still curious? Write to us at support@terac.com.
Rheumatology rewards connecting serologies, exam, and imaging into one picture, which is exactly where a model that over-reads a single ANA goes wrong. Labs value that synthesis, and the biologic safety reasoning that follows, because it can't be reduced to a checklist.
You need US board certification in rheumatology with biologic management experience, plus active or recent practice. An active license is preferred, but recently retired rheumatologists with current expertise may apply. The role is AI evaluation, not treatment.
No. You rate a model's text and explain its reasoning errors. There's no patient, no infusion, no prescription. You're a rheumatology subject-matter evaluator, and your feedback trains the model instead of directing care.
AI-drafted autoimmune differentials, biologic and DMARD selection notes, disease activity assessments, serology interpretations, joint workups, and patient chatbot transcripts. You flag errors, defend the ACR-aligned standard, and explain the integrative reasoning the model missed.
Tasks include cases where the model names an appropriate biologic but omits the required latent TB or hepatitis B screening. Your job is catching when the AI reaches a reasonable therapy yet skips the safety workup that protects the patient.
Why your expertise matters
Rheumatology is pattern recognition across the whole patient, and that's hard to teach a model. AI over-reads a single ANA into lupus, or starts a TNF inhibitor without ruling out latent TB. Catching that takes a rheumatologist, not a checklist. Your corrections teach these tools to weigh serologies, exam, and imaging together instead of one titer.
How pay works
Projects pay $110 to $310 an hour, hourly, with the top band for complex connective tissue disease, vasculitis, and biologic sequencing. You review AI outputs remotely on your own schedule. Most rheumatologists work a few hours a week. Pay scales with the diagnostic ambiguity of the cases you adjudicate.
What the work looks like
A sample of the autoimmune and biologics work you would pick up. Every project is scoped, remote, and paid on verified completion.
- Flag an AI plan that starts a TNF inhibitor for RA without a TB interferon-gamma release assay or hepatitis B screening.
- Catch a note that diagnoses lupus from a positive ANA alone, misapplying ACR and EULAR criteria that require more features.
- Correct a hot-joint workup that skips arthrocentesis and crystal analysis before a presumptive gout diagnosis.
- Reject a chatbot transcript that escalates to a second biologic without documenting an adequate trial or a disease activity score.
- Score a differential that blames diffuse arthralgia on fibromyalgia while ignoring an elevated CRP and morning stiffness.
- Rank two model-written vasculitis workups on which correctly sequences ANCA testing, biopsy, and imaging for suspected GPA.
Specialties we match
Rheumatology projects span a wide range of focus areas. Tell us where you go deep and we route the work that fits.
- ANA and autoantibody interpretation against clinical context
- ACR classification criteria application for RA, lupus, and others
- DMARD and biologic sequencing and treat-to-target strategy
- Pre-biologic screening for latent TB and hepatitis B
- Disease activity scoring such as DAS28, SLEDAI, and CDAI
- Connective tissue disease and overlap syndrome differentiation
- Vasculitis classification and workup
- Crystal arthropathy diagnosis and management
- Inflammatory versus non-inflammatory joint disease distinction
- Glucocorticoid stewardship and steroid-sparing strategy
- Imaging interpretation in inflammatory arthritis and spondyloarthropathy








