Care Operations Associate

Leap

3d•$51,000 - $63,000•Remote

About The Position

The Care Operations Associate is the operational backbone of member activation: the person who makes sure every administrative step between "member enrolled" and "member in treatment" gets done accurately and fast. You'll build and run the back-office processes that free our Care Guides and clinical team to focus on members—and you'll have real ownership to improve how this work gets done. You'll be a critical link between provider offices, payers, pharmacy partners, staffing agencies, and our internal clinical team. This role reports to the Head of Member Ops. & Strategy and is ideal for a highly organized, process-minded operator who thrives when given a problem to systematize.

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

Nice To Haves

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)

Responsibilities

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
Represent Leap with professionalism and a service-oriented approach on every call
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