FULL TIME ONSITE IN PHOENIX, AZ
About the roleAs a Clinical Operations Specialist at Generator Health, you will play a critical role in ensuring the accuracy and integrity of our system’s prior authorization process. You'll bring your expertise in clinical data understanding to catch errors, and uphold the standards that our patients and providers depend on.
This is a high-autonomy role where your attention to detail and ability to read, understand, and translate clinical data into results directly impacts patient access to treatment. Tens of thousands of patients move through our platform every week. You will work closely with our clinical intelligence team to support prior authorization, appeals, denial prediction and more. Your contributions will help us continuously improve the accuracy and reliability of our platform, whether decisions were made by AI, a third party, or our internal team.
Review a live queue of prior authorization cases coming through the platform, ensuring every decision meets clinical and operational standards
Audit AI outputs, third party reviews, and internal team decisions for accuracy, consistency, and compliance
Flag errors and edge cases, documenting findings clearly for the clinical intelligence team
Collaborate cross-functionally to surface patterns and help refine the workflows and logic that power our platform
Expand your knowledge across medical specialties as you work across a diverse range of cases
Contribute to improving the tools, standards, and processes that support patient access to treatment
2+ years of hands-on experience in prior authorization, utilization management, clinical care coordination, scribing, or other roles that involve deep work with clinical documentation
Strong familiarity with medical records and clinical notes, and comfort interpreting them accurately
Strong written communication, with an ability to translate clinical complexity into clear, actionable findings for non-clinical teams
Exceptional attention to detail and accuracy
Comfort and/or a strong interest in collaborating with product, engineering, and data science teammates on building new technologies
Our salary ranges are based on a number of factors, including qualifications, experience level, and geography.
Generator Health is an equal opportunity employer and does not discriminate on the basis of race, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition, or any other basis protected by law.
Skills Required
- 2+ years of hands-on experience in prior authorization, utilization management, clinical care coordination, scribing, or similar clinical documentation work
- Strong familiarity with medical records and clinical notes
- Ability to accurately interpret clinical documentation
- Strong written communication skills and ability to translate clinical complexity into actionable findings
- Exceptional attention to detail and accuracy
- Comfort with or strong interest in collaborating with product, engineering, and data science teams
- Ability to work full time onsite in Phoenix, Arizona
What We Do
Generator Health is the operational backbone for next-generation healthcare technology, combining human expertise with advanced AI to dismantle bureaucratic barriers and streamline patient access to critical prescriptions.
