Care Operations Associate

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $51k - $63k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

⚙️ Operations

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 21%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Leap

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2023

🛡️ Insurance

💼 Consulting

🏥 Healthcare

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

Insurance • Consulting • Healthcare

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 • Manage medical prior authorization requests, renewals, and extensions across payers and specialty pharmacy partners end to end • Prepare and submit prior authorization documentation • Track approval status and escalate stalled or denied authorizations before they delay care • Follow up proactively with provider offices for unsigned documents and orders • Process incoming referrals, faxes, and clinical documents and route them appropriately • Coordinate clinical staffing with staffing agencies • Coordinate medication shipping with pharmacy partners • Answer and triage inbound calls from providers, pharmacy partners, and occasionally members • Document call details accurately and follow through on action items • Represent Leap professionally with a service-oriented approach • Collect, organize, and store member records and clinical documentation • Ensure files meet internal standards and HIPAA compliance requirements • Design, document, and continuously improve operational workflows • Report to the Head of Member Ops. & Strategy

🎯 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 • Proven track record managing high volumes of detailed work accurately • Comfort coordinating across provider offices, payers, pharmacy partners, staffing agencies, and internal teams • Strong organizational and communication skills • Ability to work independently during CST business hours in a fully remote setting • Clinical certification or licensure (CMA, RMA, CPhT, LPN, or similar) is a bonus • Experience in a healthcare startup or high-growth environment is a bonus • Experience in specialty infusion, home infusion, or rare disease programs is a bonus • Spanish fluency, spoken and written, is a bonus • Legal authorization to work in the United States is requested in the application

🏖️ Benefits

• Competitive salary • Stock options/equity • Competitive health, dental, and vision coverage • 401(k) retirement plan • Fully remote work • Opportunity to build operational infrastructure from the ground up at a fast-growing company • Limit of up to 3 applications in any 90-day period across jobs in this group • Reapplication to the same role after 60 days if not offered a role