Senior Director, Specialty Benefits Programs

About Leap

Leap is one of the fastest-growing benefits solutions and a category-defining pioneer in employer specialty pharmacy. We are reshaping how life-changing therapies are delivered and financed, ensuring patients get the treatment they need while employers finally get a fair deal.

Specialty drugs and infusions represent nearly 10% of all healthcare spend and are the fastest-growing cost category for employers. Leap tackles this challenge with a novel approach: eliminating hidden markups, expanding access to high-quality infusion providers, and bringing clarity and fairness to how therapies are priced and paid for.

We’re proud to partner with numerous Fortune 500 companies and leading TPAs. Each patient we serve creates immediate ROI: lower costs, improved access, and better care. Join us as we redefine what’s possible in specialty care.

About the Role

Leap is hiring a Senior Director, Specialty Benefits Programs to design and operate programs that align benefit design, clinical requirements, and member engagement to make Leap a seamless, preferred pathway for lower-cost, high-quality specialty drug and infusion care.

This is a hands-on product ownership role. You'll define how each one works in practice, identify the capabilities Leap needs to run it, build or contract for those capabilities, establish the operating and performance model, and take it live. You'll do this in close partnership with Sales, Legal, Clinical Affairs, Operations, and Client Success.

You'll have the opportunity to build this capability at an early stage and shape how it scales. Success means turning complex benefit and operational requirements into models that can be implemented consistently across clients, deliver a strong member experience, and generate measurable savings.

What You'll Accomplish

Program Design

Own the design and evolution of Leap's specialty benefit programs

Define program structure and rules, including participation requirements, member incentives, and clinical exceptions, and formalize them into plan terms and clinical criteria

Translate business and client requirements into clear product, operational, and partner requirements

Capability & Partner Development

Identify the capabilities, infrastructure, and partnerships Leap needs to operate these programs effectively

Determine when to build capabilities internally versus partner externally

Evaluate, select, negotiate, and contract with enabling partners, including TPAs, utilization management organizations, and other healthcare vendors

Own partner performance, renewals, and renegotiation once they're live

Program Operations & Performance

Establish the operating model, including prior authorization workflows, service-level expectations, exception handling, and escalation paths

Own execution once live, making day-to-day product and operational decisions and resolving issues across internal and external partners

Define and track performance across engagement, utilization, savings, member experience, and operational execution

Use performance data and operational learnings to improve outcomes and build repeatable models that scale across clients

Product & Commercial Enablement

Own and communicate the value proposition for these offerings across the organization

Serve as the product and technical subject matter expert in key prospect and client conversations

Partner with Sales and Client Success to translate client needs into the right structure and clearly communicate how it works

Develop the customer segmentation and total addressable market (TAM) across different program configurations, and use it to prioritize which configurations to build and for which client segments

What We're Looking For

Required

Experience owning a healthcare product or offering from design through implementation and live operation

Experience working directly with self-funded employers and TPAs, and navigating the operational dependencies required to implement benefit programs across employers, TPAs, health plans, networks, and utilization management partners

Experience identifying capability gaps and building or contracting for solutions to address them

Direct experience evaluating vendors and negotiating contracts and commercial terms

Ability to make product and operational tradeoffs balancing member experience, client savings, and operational feasibility

Comfortable serving as the product and technical expert in sales and client conversations

Preferred

Strong understanding of healthcare benefit design and utilization management mechanics

Experience with specialty drugs, infusion therapy, buy-and-bill, or site-of-care programs

At Leap, we’re building an outlier company with real impact — and that takes focus, energy, and commitment. If that excites you, we’d love to hear from you.

Leap is an equal opportunity employer and welcomes applicants from all backgrounds. We’re committed to building a team that reflects a diversity of perspectives, experiences, and identities.