Clinical Operations Specialist, Phoenix

Health Data Innovations, Inc.; Phoenix (AZ); On-site; USD 65,000 - 95,000; Full time

Job summary

Generator Health is seeking a Clinical Operations Specialist for a full-time, onsite role in Phoenix, AZ. You will help ensure the accuracy and integrity of our prior authorization process by interpreting clinical data and translating it into actionable results for the team.

In this high-autonomy role you will audit AI outputs and third-party reviews, flag errors, and collaborate with our clinical intelligence and product teams to improve workflows and patient access across medical specialties.

Qualifications

• 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.

Responsibilities

• 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 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.

Skills

Prior authorization

Clinical documentation

Medical records interpretation

Written communication

Cross-functional collaboration

Job description

FULL TIME ONSITE IN PHOENIX, AZ

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

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.