Clinical Operations Specialist

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 me...