Care Operations Associate

The role

The Care Operations Associate manages administrative steps for member activation. You will build and run back-office processes to support clinical teams and coordinate between providers, payers, and pharmacy partners.

What you will do

• Run benefit eligibility checks to confirm coverage, cost-share, and authorization requirements
• Keep eligibility status accurate and current for every active member
• Manage medical prior authorization requests, renewals, and extensions
• Prepare and submit PA documentation and track approval status
• Follow up with provider offices for unsigned documents and orders
• Process incoming referrals, faxes, and clinical documents
• Coordinate clinical staffing with staffing agencies
• Coordinate medication shipping with pharmacy partners
• Answer inbound calls from providers, pharmacy partners, and members
• Design, document, and improve workflows

Required qualifications

• 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
• 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

Nice to have

• Clinical certification or licensure (CMA, RMA, CPhT, LPN, or similar)
• Experience in a healthcare startup or high-growth environment
• Experience in specialty infusion, home infusion, or rare disease programs
• Spanish fluency (spoken and written)

Benefits

• Competitive salary
• Fully remote
• Competitive health, dental, and vision coverage
• 401(k) retirement plan

About the company

Leap is a benefits solutions provider and specialty pharmacy pioneer. They partner with Fortune 500 companies and TPAs to deliver and finance life-changing therapies.