Clinical Operations Specialist, Phoenix
- Location
- Phoenix, AZ · On-site
- Job type
- Full-time
- Level
- Mid-level
- Experience
- 2+ years
- Listed
- 21 days ago
Skills & highlights for this role
- prior authorization
- clinical documentation review
- medical records interpretation
Also useful
- utilization management
- clinical care coordination
About the Role
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.
If You Join, You Will
- 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
We’ll Be Most Excited If You Have
- 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
Pay and benefits
Our salary ranges are based on a number of factors, including qualifications, experience level, and geography.
Equal opportunity and legal notices
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.
From Generator Health's careers page, first listed on Rolev.ai on October 20, 2026. Rolev.ai is not the employer.
How Rolev.ai helps with this application
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Common questions
Where is the Clinical Operations Specialist, Phoenix job at Generator Health located?
This Clinical Operations Specialist, Phoenix position at Generator Health is located in Phoenix, AZ (On-site). Always check Generator Health's application page for specific state eligibility or relocation policies.
What qualifications are required for Clinical Operations Specialist, Phoenix at Generator Health?
For the Clinical Operations Specialist, Phoenix role, Generator Health highlights 2+ years of relevant experience; experience with prior authorization, clinical documentation review, medical records interpretation. Rolev.ai can score your existing resume against these requirements and show any skill gaps before you apply.
How do I apply for the Clinical Operations Specialist, Phoenix position at Generator Health?
This listing links directly to Generator Health's Ashby application page. You can apply directly on Generator Health's site, or use Rolev.ai to check your resume fit, generate a zero-hallucination tailored resume and cover letter for this posting, and autofill the Ashby application form in 1 click with the Rolev.ai Chrome extension. You always review the form and press Submit yourself.