Senior Director, Specialty Benefits Programs

Leap Health, Inc.; Northern (KY); Hybrid; USD 140,000 - 210,000; Full time

Job summary

Leap Health, Inc. is seeking a Senior Director, Specialty Benefits Programs to design and operate programs aligning benefit design, clinical requirements, and member engagement.

This hands-on product ownership role will define capabilities, build or contract necessary functions, and scale operations with collaboration across Sales, Legal, Clinical Affairs, Operations, and Client Success. You will turn complex benefit and operational requirements into scalable models, drive savings for clients,

Qualifications

• Experience owning a healthcare product or offering from design through implementation and live operation.
• Experience working directly with self-funded employers and TPAs, and navigating dependencies to implement programs across employers, TPAs, health plans, networks.
• Experience identifying capability gaps and building or contracting solutions.

Responsibilities

• Own the design and evolution of Leap's specialty benefit programs.
• Define program structure, rules, participation requirements, and clinical criteria.
• Translate client requirements into product, operational, and partner needs.
• Identify capabilities, infrastructure, and partnerships to operate programs.
• Determine build vs. partner strategy for capabilities.
• Evaluate, select, and contract with enabling partners including TPAs and vendors.
• Own operating model, including prior authorization workflows and SLAs.
• Drive day-to-day execution and resolve issues across internal and external partners.
• Define and track performance across engagement, utilization, savings, and member experience.

Skills

Product ownership

Healthcare programs

Vendor negotiation

Cross-functional lead

TPA collaboration

Job description

About Leap

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. Leap tackles this challenge with a novel approach: eliminating hidden markups, expanding access to high-quality infusion providers, and bringing clarity and fairness to how therapies are priced and paid for.

We’re proud to partner with numerous Fortune 500 companies and leading TPAs. Each patient we serve creates immediate ROI: lower costs, improved access, and better care. Join us as we redefine what’s possible in specialty care.

About the Role

Leap is hiring a Senior Director, Specialty Benefits Programs to design and operate programs that align benefit design, clinical requirements, and member engagement to make Leap a seamless, preferred pathway for lower-cost, high-quality specialty drug and infusion care.

This is a hands-on product ownership role. You'll define how each one works in practice, identify the capabilities Leap needs to run it, build or contract for those capabilities, establish the operating and performance model, and take it live. You'll do this in close partnership with Sales, Legal, Clinical Affairs, Operations, and Client Success.

You’ll have the opportunity to build this capability at an early stage and shape how it scales. Success means turning complex benefit and operational requirements into models that can be implemented consistently across clients, deliver a strong member experience, and generate measurable savings.

What You'll Accomplish

Program Design

• Own the design and evolution of Leap's specialty benefit programs

• Define program structure and rules, including participation requirements, member incentives, and clinical exceptions, and formalize them into plan terms and clinical criteria

• Translate business and client requirements into clear product, operational, and partner requirements

Capability & Partner Development

• Identify the capabilities, infrastructure, and partnerships Leap needs to operate these programs effectively

• Determine when to build capabilities internally versus partner externally

• Evaluate, select, negotiate, and contract with enabling partners, including TPAs, utilization management organizations, and other healthcare vendors

• Own partner performance, renewals, and renegotiation once they're live

Program Operations & Performance

• Establish the operating model, including prior authorization workflows, service-level expectations, exception handling, and escalation paths

• Own execution once live, making day-to-day product and operational decisions and resolving issues across internal and external partners

• Define and track performance across engagement, utilization, savings, member experience, and operational execution

• Use performance data and operational learnings to improve outcomes and build repeatable models that scale across clients

Product & Commercial Enablement

• Own and communicate the value proposition for these offerings across the organization

• Serve as the product and technical subject matter expert in key prospect and client conversations

• Partner with Sales and Client Success to translate client needs into the right structure and clearly communicate how it works

• Develop the customer segmentation and total addressable market (TAM) across different program configurations, and use it to prioritize which configurations to build and for which client segments

What We're Looking For

Required

• Experience owning a healthcare product or offering from design through implementation and live operation

• Experience working directly with self-funded employers and TPAs, and navigating the operational dependencies required to implement benefit programs across employers, TPAs, health plans, networks, and utilization management partners

• Experience identifying capability gaps and building or contracting for solutions to address them

• Direct experience evaluating vendors and negotiating contracts and commercial terms

• Ability to make product and operational tradeoffs balancing member experience, client savings, and operational feasibility

• Comfortable serving as the product and technical expert in sales and client conversations

Preferred

• Strong understanding of healthcare benefit design and utilization management mechanics

• Experience with specialty drugs, infusion therapy, buy-and-bill, or site-of-care programs

At Leap, we’re building an outlier company with real impact — and that takes focus, energy, and commitment.

Leap is an equal opportunity employer and welcomes applicants from all backgrounds. We’re committed to building a team that reflects a diversity of perspectives, experiences, and identities.