Leap
Care Operations Associate
US (Remote)
Sponsorship not specifiedDetected 20 days ago
ComplianceCRMHIPAAEHR/EMRCommunicationOrganizational Skills
About the role
- 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.
- 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.
- Keep eligibility status accurate and current for every active member in our systems
Responsibilities
- We're proud to partner with numerous Fortune 500 companies and leading TPAs.
- 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 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
Requirements
- 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
- Experience in specialty infusion, home infusion, or rare disease programs
Compensation
- Competitive salary
Benefits
- Run benefit eligibility checks to confirm coverage, cost-share, and authorization requirements before care begins
- Manage medical prior authorization requests, renewals, and extensions across payers and specialty pharmacy partners end to end
Company info
- Leap is one of the fastest-growing benefits solutions and a category-defining pioneer in employer specialty pharmacy.
- We are reshaping how life-changing therapies are delivered and financed, ensuring patients get the treatment they need while employers finally get a fair deal.
- Specialty drugs and infusions represent nearly 10% of all healthcare spend and are the fastest-growing cost category for employers.
This listing is sourced directly from Leap's careers page and normalized into a canonical job model.