Clinical Operations Specialist
Generator Health
Clinical Operations Specialist
Generator Health
Human-in-the-loop prescription access services
FULL TIME ONSITE IN Tempe, AZ
As 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
The office includes:
Daily coffee and breakfast, afternoon snacks, and a fully stocked beverage refrigerator
Weekly and monthly community events
Onsite gym w/ locker rooms & showers - for an additional fee
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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.
Human-in-the-loop prescription access services
Generator Health provides an operational backbone for health tech platforms by streamlining patient access to prescriptions. It combines human experts with AI to handle tasks like prior authorizations, insurance workflows, pharmacy coordination, and coordinating with providers to ensure prescriptions are approved and dispensed efficiently. It uses a human-in-the-loop model where specialists perform complex administrative tasks and the data from these workflows trains proprietary AI models to improve over time. This approach helps partner platforms scale care delivery, reduce delays in medication access, and support revenue cycle management by outsourcing essential prescription-access operations.
Explore more opportunities at Generator Health