Care Operations Specialist

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.

• Track and manage prior authorization requests, renewals, and extensions across payers and specialty pharmacy partners

• Prepare and submit prior authorization documentation and monitor approval status

• Verify member eligibility and benefits to confirm coverage requirements for care initiation
  Maintain accurate records of authorization and eligibility status within Leap’s CRM/EHR systems

• Contact provider offices to obtain updated orders and clarify documentation requirements

• Track outstanding provider requests and follow up proactively to prevent delays in care

• Coordinate communication between provider offices, specialty pharmacies, and Leap’s clinical team

• Upload, organize, and maintain member records and clinical documentation accurately and in a timely manner

• Process incoming referrals, faxes, and documentation and route materials to the appropriate care team members

• Ensure documentation meets internal standards and HIPAA compliance requirements

• Answer inbound calls from providers, pharmacy partners, and occasionally members and route inquiries appropriately

• Document call details and ensure timely follow-through on related action items

• Represent Leap with professionalism and a service-oriented approach during all interactions

Required:

• 2+ years of experience in a healthcare administrative or operations role supporting prior authorization or eligibility verification processes

• Familiarity with payer portals, prior authorization documentation workflows, and follow-up or appeal processes

• Proficiency with CRM or EHR systems and document management platforms including fax

• Proven ability to manage high volumes of administrative tasks with accuracy and attention to detail.

• Comfortable coordinating across provider offices, payers, pharmacy partners, and internal clinical teams

• Strong organizational and communication skills in a fast-paced operational environment

• Ability to work independently during CST business hours in a fully remote setting.

Preferred:

• 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 language fluency (spoken and written).

At Leap, we’re building an outlier company with real impact — and that takes focus, energy, and commitment. If that excites you, we’d love to hear from you.

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.