Care Operations Associate

🔥 13 hours ago

🇺🇸 United States – Remote

💵 $51k - $63k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

⚙️ Operations

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Leap

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2023

⚕️ Healthcare Insurance

🤝 B2B

💰 $1M Venture Round - LEAP HEALTH on 2024-03

Healthcare Insurance • B2B

Leap is the only transparent specialty infusion benefit solution for employers. It eliminates hidden drug markups and provides end-to-end coordination of specialty infusion care — from pharmacy sourcing to in-home nursing — to reduce specialty drug costs and simplify the patient experience. Leap serves self-funded employers, brokers/consultants, and patients with a tech-enabled care model that cuts infusion spending, improves engagement, and delivers in-year hard-dollar savings.

📋 Description

• Run benefit eligibility checks to confirm coverage, cost-share, and authorization requirements before care begins • Keep eligibility status accurate and current for every active member in our systems • Manage medical prior authorization requests, renewals, and extensions across payers and specialty pharmacy partners end to end • Prepare and submit PA documentation, track approval status, and escalate stalled or denied authorizations before they delay care • Chase down unsigned documents and orders—following up proactively with provider offices so nothing stalls in limbo • Process incoming referrals, faxes, and clinical documents, routing each to the right place • Coordinate clinical staffing with staffing agencies to ensure providers are in place for each member's treatment • Coordinate medication shipping with pharmacy partners so the right therapy arrives at the right time • Answer inbound calls from providers, pharmacy partners, and occasionally members, triaging and routing each inquiry to the right team member • Document call details accurately and follow through on any action items • Collect, organize, and store member records and clinical documentation accurately and on time • Ensure all files meet internal standards and HIPAA compliance requirements • Design, document, and continuously improve the workflows behind all of the above—turning manual, ad hoc tasks into repeatable systems as we scale

🎯 Requirements

• 2+ years in a healthcare administrative or operations role supporting prior authorization or eligibility verification • Familiarity with payer portals, PA workflows, and follow-up/appeal processes • Proficiency with CRM or EHR systems and document management platforms, including fax • A proven track record managing high volumes of detailed work without dropping the ball • Comfort coordinating across provider offices, payers, pharmacy partners, staffing agencies, and internal teams • Strong organizational and communication skills, and the ability to work independently during CST business hours in a fully remote setting

🏖️ Benefits

• Competitive salary • Fully remote • Competitive health, dental, and vision coverage • 401(k) retirement plan • A rare chance to build operational infrastructure from the ground up at a fast-growing company where your work directly gets patients into treatment