Care Operations Associate

About Leap

Leap is a rapidly expanding benefits platform and a leader in employer specialty pharmacy. The company is focused on changing how complex therapies are delivered and funded so patients can access the care they need while employers receive a more transparent and cost-effective solution.

Specialty medications and infusion therapies make up close to 10% of total healthcare spending and are among the fastest-rising cost areas for employers. Leap addresses this problem by removing hidden markups, widening access to quality infusion providers, and making therapy pricing and payment more transparent and equitable.

The company works with many Fortune 500 organizations and major TPAs. Every patient supported by Leap generates measurable value through lower costs, better access, and stronger care outcomes.

About the Role

The Care Operations Associate serves as the operational center of member activation, ensuring every administrative step between enrollment and treatment is completed quickly and accurately. This person builds and manages the back-office workflows that allow Care Guides and the clinical team to stay focused on member care, while also improving the systems behind the work.

This position acts as a key connection point among provider offices, payers, pharmacy partners, staffing agencies, and the internal clinical team. It reports to the Head of Member Ops. & Strategy and suits someone highly structured, process-oriented, and comfortable turning messy work into repeatable systems.

Core Responsibilities

• Verify benefits and eligibility to confirm coverage, member cost share, and any prior authorization requirements before treatment begins.
• Maintain up-to-date eligibility records for every active member in internal systems.
• Manage medical prior authorization requests, renewals, and extensions across payers and specialty pharmacy partners from start to finish.
• Prepare and submit prior authorization paperwork, monitor approval progress, and escalate delayed or denied cases before care is impacted.
• Track down missing signatures, documents, and orders by proactively following up with provider offices to keep cases moving.
• Receive referrals, faxes, and clinical paperwork, then route each item to the appropriate team or workflow.
• Coordinate clinical staffing with staffing agencies so qualified providers are ready for each member’s treatment.
• Coordinate medication shipping with pharmacy partners so the correct therapy arrives on schedule.
• Handle inbound calls from providers, pharmacy partners, and sometimes members, triaging each inquiry and routing it to the right teammate.
• Record call details accurately and complete any follow-up action items.
• Represent Leap professionally and with a strong service mindset on every call.
• Collect, organize, and store member records and clinical documents accurately and on time.
• Ensure all files comply with internal standards and HIPAA requirements.
• Help design, document, and continuously improve workflows so manual tasks become scalable, repeatable processes.

Requirements

• At least 2 years of experience in healthcare administration or operations, with exposure to prior authorization or eligibility verification.
• Working knowledge of payer portals, prior authorization workflows, and appeal or follow-up processes.
• Hands-on experience using CRM or EHR platforms, document management tools, and fax-based workflows.
• Demonstrated ability to manage a high volume of detailed tasks without missing important steps.
• Comfort working across provider offices, payers, pharmacy partners, staffing agencies, and internal teams.
• Strong organization and communication skills, plus the ability to work independently during CST business hours in a fully remote setup.
• Nice-to-have: clinical certification or licensure such as CMA, RMA, CPhT, LPN, or a similar credential.
• Nice-to-have: experience in a healthcare startup or other fast-growth environment.
• Nice-to-have: background in specialty infusion, home infusion, or rare disease programs.
• Nice-to-have: spoken and written Spanish fluency.

Perks & Benefits

• Competitive pay
• Fully remote work arrangement
• Health, dental, and vision insurance coverage
• 401(k) retirement plan
• Opportunity to help build operational infrastructure from the ground up at a high-growth company with direct patient impact

Additional Information

Leap is an equal opportunity employer and encourages candidates from all backgrounds to apply. The company is committed to building a team that reflects a wide range of perspectives, experiences, and identities.

Compensation range: $51K to $63K.

The role requires working independently during CST business hours while remaining fully remote.

No specific number of openings, start date, or application deadline was provided.