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Anywhere, USA
SENIOR INSURANCE SPECIALIST - 10034381
Anywhere, USACity of Hope is an independent biomedical research and treatment center for cancer, diabetes and other life-threatening diseases.
Founded in 1913, City of Hope is a leader in bone marrow transplantation and immunotherapy such as CAR T cell therapy. City of Hope’s translational research and personalized treatment protocols advance care throughout the world. Human synthetic insulin, monoclonal antibodies and numerous breakthrough cancer drugs are based on technology developed at the institution. AccessHope™, a wholly owned subsidiary, was launched in 2019 and is dedicated to serving employers and their health care partners by providing access to City of Hope’s exceptional cancer expertise.
A National Cancer Institute-designated comprehensive cancer center and a founding member of the National Comprehensive Cancer Network, City of Hope is ranked among the nation’s “Best Hospitals” in cancer by U.S. News & World Report and received Magnet Recognition from the American Nurses Credentialing Center. Its main campus is located near Los Angeles, with additional locations throughout Southern California and in Arizona.
Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today.
Position Summary
The Senior Research Insurance Specialist plays a critical leadership role in supporting clinical trial operations by guiding a team responsible for insurance verification and authorization processes. This role serves as the go-to expert for complex cases, ensuring patients have the necessary coverage to participate in clinical trials while maintaining compliance and efficiency. You’ll help drive operational excellence, support team development, and ensure timely access to life-saving treatments.
As a successful candidate, you will:
- Lead and support daily operations of the Research Insurance Specialist team
- Provide training, coaching, and onboarding for new and existing team members
- Assign and monitor workload to ensure timely insurance verifications and authorizations
- Verify insurance benefits and determine coverage eligibility for clinical trial participation
- Coordinate with clinical teams to secure authorizations and pre-certifications for patient care
- Analyze study coverage to distinguish sponsor-paid vs. insurance-covered services
- Monitor productivity metrics and identify opportunities for process improvements
- Act as a liaison across departments and step in during leadership absences
- Support appeals and resolution of insurance denials
- Deliver exceptional customer service to patients, providers, and internal teams
Your qualifications should include:
- Associate Degree.Experience may substitute for minimum education requirements
- 5 years of related experience and 3 years of healthcare experience
City of Hope employees pay is based on the following criteria: work experience, qualifications, and work location.
City of Hope is an equal opportunity employer.
To learn more about our Comprehensive Benefits, pleaseCLICK HERE.