Senior Insurance Specialist

City of Hope

1d

About The Position

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today.
Position Summary
The Senior Research Insurance Specialist plays a critical leadership role in supporting clinical trial operations by guiding a team responsible for insurance verification and authorization processes. This role serves as the go-to expert for complex cases, ensuring patients have the necessary coverage to participate in clinical trials while maintaining compliance and efficiency. You’ll help drive operational excellence, support team development, and ensure timely access to life-saving treatments.

Requirements

• Associate Degree. Experience may substitute for minimum education requirements
• 5 years of related experience and 3+ years of healthcare experience

Responsibilities

• Lead and support daily operations of the Research Insurance Specialist team
• Provide training, coaching, and onboarding for new and existing team members
• Assign and monitor workload to ensure timely insurance verifications and authorizations
• Verify insurance benefits and determine coverage eligibility for clinical trial participation
• Coordinate with clinical teams to secure authorizations and pre-certifications for patient care
• Analyze study coverage to distinguish sponsor-paid vs. insurance-covered services
• Monitor productivity metrics and identify opportunities for process improvements
• Act as a liaison across departments and step in during leadership absences
• Support appeals and resolution of insurance denials
• Deliver exceptional customer service to patients, providers, and internal teams

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 1,001-5,000 employees