Jobs at Big Leap Health, Inc.

Lead resolution of complex prior authorizations, denials, and pharmacy logistics to ensure patient access to Spravato/TMS. Advocate with payers/PBMs, support clinics and pharmacies, maintain audit-ready EHR/CRM/Airtable records, mentor BPO team, and track payer behaviors to improve processes.

Build end-to-end full‑stack features from database schemas to UI, ship production workflows, raise code quality and engineering standards, and work closely with teammates and clinic customers. Own features from design through deployment at a fast‑moving NYC startup (3–4 days/week in office).

Owner of the end-to-end payer fee schedule process: submit and follow up with Medicare, Medicaid, and commercial payers, verify CPT codes and provider identifiers, obtain written rate confirmations, log status updates, flag discrepancies, and collaborate with credentialing and billing teams to resolve stalled items.

Lead end-to-end resolution of complex prior authorizations, denials, and pharmacy logistics for Spravato/TMS patients. Advocate with payers and PBMs, support clinics and pharmacies, maintain audit-ready records in EHR/CRM/Airtable, mentor BPO team members, and drive process improvements to ensure timely patient access to specialty behavioral health treatments.