Clinical Operations Specialist, Phoenix

Generator Health • Phoenix, AZ

4d • $25 - $25 • Onsite

About The Position

As a Clinical Operations Specialist at Generator Health, you will help ensure the accuracy and integrity of the platform’s prior authorization process. You will use your understanding of clinical data to identify errors and uphold standards that patients and providers depend on. This high-autonomy role directly affects patient access to treatment, with tens of thousands of patients moving through the platform each week.

You will work closely with the clinical intelligence team on prior authorizations, appeals, denial prediction, and related work. Your contributions will help improve the platform’s accuracy and reliability across decisions made by AI, third parties, and Generator Health’s internal team.

Requirements

• At least 2 years of hands-on experience in prior authorization, utilization management, clinical care coordination, scribing, or another role involving substantial work with clinical documentation.
• Strong familiarity with medical records and clinical notes, and the ability to interpret them accurately.
• Strong written communication skills, including the ability to translate clinical complexity into clear, actionable findings for non-clinical teams.
• Exceptional attention to detail and accuracy.
• Comfort with or a strong interest in collaborating with product, engineering, and data science teammates on building new technologies.

Responsibilities

• Review live prior authorization cases coming through the platform and ensure decisions meet clinical and operational standards.
• Audit AI outputs, third-party reviews, and internal team decisions for accuracy, consistency, and compliance.
• Flag errors and edge cases, and clearly document findings for the clinical intelligence team.
• Collaborate cross-functionally to identify patterns and help refine platform workflows and logic.
• Build knowledge across medical specialties by working with a diverse range of cases.
• Contribute to improving the tools, standards, and processes that support patient access to treatment.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed