About the role
Pelago is the leading specialty substance use care provider, built on the belief that effective treatment means matching care intensity to what each member actually needs rather than defaulting to the most expensive intervention. Our programs guide members through every stage of the substance use spectrum, from unhealthy habits to active use disorders, delivering personalized treatment for tobacco, alcohol, opioid, cannabis, and stimulant use based on individual health, habits, genetics, and goals.
With Sona, our voice-first AI Mental Health Specialist, Pelago now applies that same clinically-driven model to mental health, pairing deep clinical expertise with technology to expand access without compromising care quality. We believe technology should make clinical care more precise and more human, not replace the judgment behind it.
Pelago has scaled to helping hundreds of employers and health plans and has already helped more than 750,000 members better manage their substance use. If you're passionate about AI and making an impact on the health of others, join us and make it happen!
Medical Assistant — Clinical Operations
Remote | Full-Time
About Pelago
Pelago is the world’s leading virtual clinic for Substance Use Management. Our program provides guidance, support and treatment for members seeking to overcome their tobacco, alcohol and opioid use. From unhealthy habits to active substance use disorders, Pelago delivers a personalized solution based on individual health, habits, genetics, and goals, providing care for members wherever they might be on the substance use spectrum.
Pelago's suite of virtual services ranges from education, to cognitive behavioral therapy (CBT) to comprehensive medication-assisted treatment (MAT). Pelago enables employers and health plans to deliver accessible, affordable, and effective treatment for substance misuse.
Pelago has scaled to helping hundreds of employers and health plans and has already helped more than 750,000 members manage their substance use better. We have recently closed our Series C and raised over $151m from leading global investors. If you are passionate about making an impact on the health of others, join us and make it happen!
About the Role
As a Medical Assistant at Pelago Health, you'll play a central role in our members' care journeys by providing compassionate support, medication coordination, and seamless care navigation for individuals receiving treatment for substance use disorders. Embedded within a cross-functional care team, you'll serve as the primary coordinator for medication management and prior authorization workflows, helping ensure members have timely access to treatment while partnering closely with providers, pharmacies, and internal teams to deliver an exceptional care experience.
What You'll Do
- Manage medication-assisted treatment (MAT) workflows, including medication refills, fulfillment coordination, adherence support, and medication-related member outreach.
Coordinate prior authorization workflows across prescribed medications, including preparing submissions, tracking status, supporting appeals, and ensuring timely resolution.
Communicate directly with members, providers, pharmacies, and internal care teams to help ensure timely access to medications and a seamless care experience.
Support providers with medication management activities, serving as a key clinical support partner throughout the member's treatment journey.
Partner with counselors and other members of the care team to coordinate care, address member concerns, and promote positive treatment outcomes.
Collaborate with clinical, product, and operations teams to help build and improve scalable medication management workflows.
Maintain accurate documentation and ensure medication-related tasks are completed in accordance with clinical protocols and organizational standards.
What We're Looking For
Active Medical Assistant (MA) certification or equivalent experience, as required by state regulations.
Experience with prior authorizations, medication coordination, care coordination, or clinical operations.
Familiarity with substance use disorder (SUD), behavioral health, or addiction medicine, or a strong interest in developing expertise in these areas.
Strong organizational skills with the ability to manage multiple priorities in a fast-paced environment.
Excellent written and verbal communication skills, with the ability to collaborate effectively across multidisciplinary teams.
Self-motivated and comfortable working independently in a remote-first environment.
Previous experience working remotely and collaborating across distributed teams is a plus, but not required.
The provided range reflects our US target salary range for this full-time position, which is part of our broader total compensation package, including incentive bonus program, stock options, comprehensive benefits, and incentive pay applicable to eligible roles. Individual pay within the range will vary based on a variety of factors like role-related experience and education, internal pay equity, and other relevant business factors. At Pelago, we are committed to an equitable and fair pay philosophy and review total compensation for our employees at least twice a year.
Base Pay Range
$60,000—$70,000 USD
Originally posted on Himalayas