Clinical Operations Specialist

Generator Health

Job Overview

Location

Remote

Job Type

Full-time

Full Job Description

📋 Description

• As a Clinical Operations Specialist at Generator Health, you will play a critical role in ensuring the accuracy and integrity of the prior authorization process, directly impacting patient access to treatment by reviewing clinical data and upholding standards that patients and providers depend on.
• You will review a live queue of prior authorization cases, audit AI outputs and third-party decisions for accuracy and compliance, flag errors and edge cases with clear documentation, collaborate cross-functionally to refine workflows, and expand your knowledge across medical specialties through diverse case exposure.
• Generator Health is a mission-driven health technology company focused on improving patient access to treatment through intelligent prior authorization solutions, where your work supports continuous improvement of platform reliability across AI, third-party, and internal decision-making processes.
• In this role, you will deepen your expertise in clinical data interpretation, prior authorization workflows, and healthcare operations while contributing to the refinement of clinical logic and tools that power the platform, gaining experience at the intersection of healthcare, technology, and data science.

🎯 Requirements

• 2+ years of hands-on experience in prior authorization, utilization management, clinical care coordination, scribing, or other roles involving deep work with clinical documentation
• Strong familiarity with medical records and clinical notes, with comfort interpreting them accurately
• Strong written communication skills, with ability to translate clinical complexity into clear, actionable findings for non-clinical teams
• Exceptional attention to detail and accuracy
• Comfort and/or strong interest in collaborating with product, engineering, and data science teammates on building new technologies

🏖️ Benefits

• High-autonomy role with direct impact on patient access to treatment
• Opportunity to work closely with clinical intelligence, product, engineering, and data science teams
• Exposure to a diverse range of medical specialties through real-world prior authorization cases
• Chance to contribute to improving tools, standards, and processes that support healthcare accessibility
• Remote work flexibility

Skills & Technologies

Remote

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Generator Health

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About Generator Health

Generator Health is a leading diagnostics group in South Africa, offering a comprehensive range of pathology services. With a network of over 400 collection points and state-of-the-art laboratories, they provide accessible and high-quality diagnostic solutions to patients and healthcare professionals across the country. Their services encompass routine blood tests, genetic testing, and specialized pathology, all supported by advanced technology and a commitment to patient care. Generator Health focuses on delivering accurate results efficiently, contributing to better health outcomes and supporting the broader healthcare ecosystem in South Africa through innovation and reliable service delivery.

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