Clinical Operations Associate

About the Company Squad Health is a New York-based technology company on a mission to improve patient access to specialty medications by eliminating the administrative friction that slows down care. Today, affordability for specialty therapies often depends on complex, manual coordination across patients, providers, pharmacies, payers and pharmaceutical manufacturers placing significant burden on clinical teams and delaying treatment for patients. Squad Health partners directly with provider organizations to automate these workflows end-to-end, giving practices time back and helping patients start therapy faster. By connecting providers, pharmacies, and payers through a single intelligent platform, Squad Health delivers measurable outcomes: faster approvals, lower administrative burden, reduced costs, and a better experience for both staff and patients. Role Overview We are looking for a highly analytical, detail-oriented Healthcare Operations Associate to join our specialty medication access team and develop expertise in prior authorizations. This is an opportunity for someone early in their career who enjoys solving complex problems, learning quickly, and taking ownership of meaningful work. You will help patients access critical specialty medications by navigating insurance requirements, reviewing clinical information, coordinating with healthcare stakeholders, and driving authorization requests through to resolution. We place a high value on intellectual curiosity, academic achievement, sound judgment, and the ability to learn complicated processes quickly. We are looking for individuals with the potential to develop into exceptional specialists through hands-on training and experience. What You'll Do Manage Prior Authorizations and Medication Access Learn and manage the end-to-end prior authorization process for specialty medications, including those used in rheumatology, gastroenterology, and allergy/immunology. Verify insurance benefits and determine whether medications are covered under pharmacy or medical benefits. Review clinical documentation, diagnoses, and treatment histories to understand payer requirements and identify missing information. Prepare, submit, and track authorization requests through insurance portals, fax, and phone. Investigate complicated cases, identify underlying issues, and work toward timely resolutions. Communicate clearly with patients, healthcare providers, payers, and internal teams. Maintain accurate case documentation and proactively track outstanding follow-ups. Collaborate with teammates to improve the accuracy, efficiency, and reliability of operational processes. Contribute insights from day-to-day workflows to help continuously improve how our platform supports medication access. What We're Looking For Strong undergraduate academic performance, having recently completed a degree. Exceptional analytical reasoning and the ability to understand and work through complex information. Strong problem-solving skills, intellectual curiosity, and a demonstrated ability to learn new concepts quickly. Excellent written and verbal communication skills. High attention to detail, organization, and accuracy. Ability to manage multiple priorities and take ownership of tasks from beginning to completion. A proactive, resourceful mindset and comfort operating in a fast-paced startup environment. Interested in healthcare, technology, or solving meaningful operational challenges. We welcome applicants from all academic disciplines. We particularly value candidates who have demonstrated academic excellence, initiative, and strong critical-thinking abilities. Nice to Have Academic background in biology, neuroscience, chemistry, public health, psychology, pre‑medical studies, or a related field. Exposure to healthcare systems, insurance processes, clinical research, or patient access workflows. Familiarity with healthcare software, electronic health records, or operational tools. These qualifications are advantageous but not required. Why Join Us Meaningful impact: Help patients overcome administrative barriers to accessing important medications. Accelerated learning: Develop specialized expertise in healthcare operations, insurance processes, and prior authorizations. High ownership: Take responsibility for real operational challenges and see the direct results of your work. Technology-driven environment: Gain exposure to how an AI-native healthcare company is transforming traditionally manual workflows. Professional growth: Build a strong foundation in specialty medication access with opportunities to take on greater responsibility as the company grows. We are looking for people who are excited to learn, take initiative, and make a meaningful contribution from the beginning of their careers. Equal Opportunity Statement: Squad Health is committed to diversity and inclusivity in the workplace. #J-18808-Ljbffr