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Operations Associate at Big Leap Health. Remote Location: United States, Remote. About Big Leap Health:. Big Leap Health’s mission is to transform access to mental healthcare by empowering clinics to easily launch and scale interventional psychiatry practices, specializing in cutting-edge treatments such as Spravato (esketamine) and Transcranial Magnetic Stimulation (TMS). We're building a new standard of care by providing comprehensive operational, administrative, and clinical support, enabling psychiatrists to focus on delivering effective, life-changing treatments.. Founded by industry leaders in mental health and healthcare technology, Big Leap Health is backed by top-tier investors and driven by a commitment to radically improving patient outcomes through innovative therapies.. Join us in pioneering the future of mental health!. About the Role:. We are seeking a proactive and solutions-oriented . Operations Associate. to own the critical . patient access. function at Big Leap Health. In this role, you will be the expert on our most complex operational challenges: navigating prior authorizations, intricate pharmacy logistics, and evolving payer requirements for cutting-edge therapies like Spravato and TMS.. This is not a typical administrative role. You are a . process-driven operator. in a fast-paced startup environment, responsible for expertly resolving escalated cases, managing fulfillment workflows, and ensuring continuity of care. You will use our tech stack (EHR/CRM/Airtable) to manage your work and identify opportunities to make our systems better, faster, and more scalable.. Key Responsibilities:. Own escalations end‑to‑end:. Lead resolution of complex PAs, denials, step therapy overrides, tier exceptions, continuation‑of‑therapy, and reauthorization timelines to keep treatment on schedule.. Navigate benefits expertly:. Determine the correct coverage path across medical vs. pharmacy benefits, formulary status, HCPCS/CPT coding, site‑of‑care, and specialty classification; advise partners on buy‑and‑bill vs. pharmacy fulfillment.. Direct payer/PBM advocacy:. Conduct targeted outreach to plans and PBMs to expedite decisions, correct errors, and secure patient access; prepare and submit clinical criteria summaries and appeals packets as needed.. Clinic and provider support:. Interface with clinicians and partner staff to identify missing documentation, clarify criteria, and align on next steps; coordinate with pharmacies for shipment, copay confirmation, and consent.. Documentation and systems:. Maintain precise status, outcomes, and next steps in EHR/CRM/Airtable; ensure audit‑ready records across all cases.. Quality and mentorship:. Coach other team members, perform case QA, and contribute to SOPs, checklists, and templates.. Insights and improvement:. Track payer behavior and bottlenecks, propose fixes, and partner with leadership on process and tooling improvements.. What You Bring:. Strong preference for experience in a fast-paced startup, healthtech, or specialty provider/pharmacy environment.. Deep familiarity with payer policies, clinical documentation, and fulfillment workflows (e.g., step therapy, appeals, S-codes, ICD-10 criteria).. Tech-savvy and systems-oriented: You're comfortable using and optimizing tools like Airtable, Sheets, or modern EHRs to manage your work.. Clear and concise communicator—written and verbal—with strong documentation skills.. Proven ability to stay calm and solution-focused while juggling competing priorities.. Self-directed with a “get it done” mindset and high ownership over work product.. 2-3+ years in a hands-on role focused on prior authorization or complex medical billing.. Bonus:. Experience working with Spravato, TMS, or similar high-touch behavioral health treatments.. Why This Role Matters:. You’re not just checking boxes—you’re the reason patients get access to care when bureaucracy says “no.” You ensure that providers, partners, and payers have the information they need, when they need it, to keep treatment moving forward.. What We Offer. Competitive Salary:. An annual salary range of . $63,000 - $80,000. , commensurate with your experience.. Meaningful Equity:. A stock option package, because we believe everyone should have a stake in the success we're building together.. Comprehensive Health Coverage:. A full benefits package that includes high-quality . medical, dental, and vision insurance. to support your well-being.. Remote Work:. This is a full-time, remote position for U.S.-based candidates operating on an Eastern Time (ET) schedule.. Mission-Driven Impact:. The opportunity to play a critical role in a company dedicated to radically improving access to life-changing mental healthcare.