Remote Care Operations Associate: PA & Eligibility

Leap

Oregon

Hybrid

USD 50,000 - 65,000

Full time

7 days ago
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Benefits offered by this job

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

Job summary

Leap is building a fast-growing specialty care platform and seeks a Care Operations Associate to ensure smooth member activation from enrollment to treatment. You will streamline back-office processes, coordinate with providers, payers, and pharmacy partners, and own workflows to scale operations.

The role reports to the Head of Member Ops & Strategy and is ideal for a highly organized, process-minded operator who thrives on systematizing complex tasks in a fully remote setting.

Qualifications

  • 2+ years in healthcare administrative or operations roles, supporting prior authorization or eligibility verification.
  • Familiarity with payer portals and PA workflows.
  • Experience with CRM or EHR systems and document management.
  • Proven ability to manage high volumes of detailed work without errors.
  • Ability to coordinate across provider offices, payers, pharmacy partners and internal teams.

Responsibilities

  • Run benefit eligibility checks to confirm coverage, cost-share, and authorization requirements before care begins.
  • Manage medical prior authorization requests, renewals, and extensions end to end.
  • Process referrals, faxes, and clinical documents, routing to the right team.
  • Coordinate staffing and shipping for member treatment with providers and pharmacies.
  • Answer inbound calls, triage inquiries, and document actions accurately.

Skills

Healthcare admin
Prior authorization
CRM systems
EHR
Attention to detail
Communication

Tools

Payer portals
Faxing systems
CRM tools
Document management

Job description

Leap is building a fast-growing specialty care platform and seeks a Care Operations Associate to ensure smooth member activation from enrollment to treatment. You will streamline back-office processes, coordinate with providers, payers, and pharmacy partners, and own workflows to scale operations.

The role reports to the Head of Member Ops & Strategy and is ideal for a highly organized, process-minded operator who thrives on systematizing complex tasks in a fully remote setting.

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