Healthcare Operations Associate

Job Summary

To support member activation in a fast-paced environment, the full-time Healthcare Operations Associate will manage benefit eligibility checks, prior authorization requests, and document follow-ups while working remotely.

Key responsibilities

• Run benefit eligibility checks and maintain accurate member status in systems
• Manage medical prior authorization requests and ensure timely approvals
• Coordinate clinical staffing and medication shipping with partners to facilitate treatment

Required qualifications

• 2+ years in a healthcare administrative or operations role focused on prior authorization or eligibility verification
• Familiarity with payer portals and prior authorization workflows
• Proficiency with CRM or EHR systems and document management platforms
• Proven ability to manage high volumes of detailed work effectively
• Strong organizational skills and ability to work independently in a remote setting