Remote Care Operations Specialist

Leap Health, Inc.; United States; On-site; USD 60,000 - 95,000; Full time

Benefits offered by this job

Fully remote

Competitive salary

Health coverage

401(k) plan

Ground-up infra build

Job summary

Leap Health, Inc. is seeking a Care Operations Associate to serve as the operational backbone of member activation. You’ll ensure every step from member enrollment to treatment is executed accurately and rapidly, building back-office workflows to scale with growth.

You’ll connect with provider offices, payers, and pharmacy partners, reporting to the Head of Member Ops & Strategy. This role suits a highly organized, process-minded operator who thrives on systemizing procedures.

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.
• 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.

Responsibilities

• 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.
• Process incoming referrals, faxes, and clinical documents, routing each to the right place.
• Chase down unsigned documents and orders—follow up proactively with provider offices.
• 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 on time.
• Answer inbound calls from providers, pharmacy partners, and members, triaging and routing inquiries.

Skills

Healthcare operations

Prior authorization

Eligibility verification

Tools

CRM systems

EHR platforms

Documentation management

Job description

Leap Health, Inc. is seeking a Care Operations Associate to serve as the operational backbone of member activation. You’ll ensure every step from member enrollment to treatment is executed accurately and rapidly, building back-office workflows to scale with growth.

You’ll connect with provider offices, payers, and pharmacy partners, reporting to the Head of Member Ops & Strategy. This role suits a highly organized, process-minded operator who thrives on systemizing procedures.