Big Leap Health

Operations

• Define and establish the company's Strategy & Operations function
• Report to the CEO and work on the company's highest-priority needs
• Run planning cadences and align the leadership team on quarterly objectives
• Own weekly and monthly operating rhythms, including company-wide updates
• Build the medical advisory board from concept through its first meeting
• Identify and recruit interventional psychiatry key opinion leaders
• Rebuild the financial model using operational data and assess unit economics and pricing
• Evaluate and improve the go-to-market motion and sales process
• Develop recommendations, explain the reasoning, and independently execute plans
• Potentially build and manage the Strategy & Operations team as the function grows

Strategy and Operations Lead

Navigator

• 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 BPO 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.

Big Leap Health

Strategy and Operations Lead

Senior Specialty Benefits Navigator

Senior Specialty Benefits Navigator