Surrogacy Careers with SurrogateFirst
Build your career in surrogacy with a team that understands the journey
SurrogateFirst is a U.S. surrogacy agency supporting surrogates and intended parents through every stage of their journey. Our team combines professional expertise with a deep understanding of fertility, surrogacy and family building — and many of us bring first-hand experience to the work we do.
We are continuously growing our remote U.S. team across intake and case management. If you are looking for surrogacy agency jobs that combine meaningful work, strong professional standards and the flexibility of working from home, explore our open roles below
What we do
SurrogateFirst was created to make the surrogacy journey more informed, supported and personal for everyone involved. That same approach shapes how we work as a team.
Surrogacy is highly personal, but it is also complex. Every journey involves many moving parts across medical care, legal processes, coordination, communication and emotional support. Our role is to help people navigate that complexity with clarity, consistency and care.
Who thrives at SurrogateFirst
The strongest SurrogateFirst team members combine empathy, professionalism and ownership.
You should be comfortable supporting people through sensitive, often complex situations while staying organized, proactive and focused on what happens next.
Across our intake and case management teams, we value people who:
- Communicate clearly, proactively and consistently.
- Take ownership of their work and follow through.
- Stay organized while managing multiple priorities.
- Approach sensitive situations with empathy and good judgment.
- Work independently in a fully remote environment.
- Enjoy guiding people through complex processes.
- Care about delivering a high standard of service.
Why work at SurrogateFirst?
Work that has a real human impact
The people who contact SurrogateFirst are making significant decisions about their families, their bodies and their futures.
Whether you are speaking with someone considering becoming a surrogate for the first time or supporting an active journey between a surrogate and intended parents, your work contributes to something deeply personal and important.
For many people, that sense of purpose is what makes a career in surrogacy especially rewarding: you are not just managing a process, you are helping people move through one of the most significant experiences of their lives.
Turn personal experience into valuable work
Many members of the SurrogateFirst team came to this field through their own experience with surrogacy, infertility or family building.experiences into a career — using what they have learned to support others going through similar journeys.
It means the experience you once lived personally can become something you use every day to make someone else’s journey easier and better supported while also supporting yourself and your family.
Benefits for full-time employees
Our employment packages are designed to support our team both professionally and personally.
Benefits include:
- Competitive compensation
- 100% covered medical benefits
- 401(k), Life insurance, Profit sharing
- Fully remote work within the United States
- Annual in-person team meeting
Work from home, by default
SurrogateFirst is a fully remote U.S. team. Working from home is our normal way of working, rather than an occasional benefit.
Our team is distributed across the United States, with some team members in California and Nevada meeting in person more frequently. We also bring the wider team together for an annual in-person meeting.
This gives our employees the independence of remote work while still creating opportunities to build strong working relationships face to face.
Open Surrogacy Agency Jobs
As our company keeps growing, we continuously recruit for key roles across our Intake and Case Management teams.
Each role is fully remote within the United States. Applicants must have permanent U.S. work authorization and be able to work without employer sponsorship.
Intake Team
Our Intake Team is the first point of contact for prospective surrogates.
This team helps applicants understand the surrogacy process, answers early questions, evaluates whether candidates may meet program requirements and guides qualified applicants through the first stages of applying for their journey with SurrogateFirst.
Strong intake team members are approachable, highly organized and comfortable having detailed conversations with people who may be completely new to surrogacy.
Intake Coordinator – Surrogacy
Location: Fully remote, U.S. only
Benefits: 100% covered medical benefits, 401(k) retirement plan, life insurance and profit sharing
As a Surrogate Intake Coordinator at SurrogateFirst, you will help grow our community of qualified surrogates and guide prospective candidates through the first stages of their journey.
The role combines surrogate recruitment, relationship building and intake coordination. You will connect with women who may be considering surrogacy, help them understand what the journey involves, assess initial eligibility and support qualified candidates through the intake process until they are ready to transition to the Case Management Team.
For many prospective surrogates, you will be their first personal connection with SurrogateFirst. The goal is not simply to process applications, but to build trust, answer questions and help each candidate make an informed decision about whether surrogacy — and SurrogateFirst — is right for her.
- Screen applications and candidates against initial program requirements.
- Conduct outreach and process prospective surrogate applications from referrals, social media, marketing leads and other recruitment channels.
- Conduct intake interviews, demonstrating strong communication skills and the ability to build rapport.
- Explain the surrogacy process, the SurrogateFirst program, eligibility requirements, compensation and what candidates can expect from a journey.
- Carefully screen candidates with strong attention to detail, assessing them against company requirements and ASRM guidelines.
- Build long-term trust with candidates through clear, responsive and supportive communication.
- Follow up proactively with prospective surrogates throughout the decision-making and intake process.
- Assist candidates in finding a suitable match, prepare them for match interviews, and work with the Intended
- Parents Coordinator to help ensure a good match fit.
- Work with the wider SurrogateFirst team to ensure a smooth handoff into the next stage of the journey.
- Help qualified candidates complete the information and documentation required to move forward.
- Maintain accurate, up-to-date candidate information and track progress through the intake pipeline.
- 2-3 years of years of surrogacy experience preferred.
- Bilingual English-Spanish is a strong plus.
Intake Director – Surrogacy
Location: Fully remote, U.S. only
Benefits: 100% covered medical benefits, 401(k) retirement plan, life insurance and profit sharing
The Intake Director leads SurrogateFirst’s surrogate intake function and is responsible for maintaining a healthy, consistent pipeline of qualified surrogate candidates.
This role combines team leadership, performance oversight and quality control. You will work closely with Intake Coordinators to ensure the team is generating enough qualified candidates, screening them consistently and moving strong applicants through the intake process efficiently.
You will also use intake data and team performance metrics to identify gaps, improve processes and support the team with coaching, training and day-to-day guidance.
- Oversee the surrogate intake pipeline and ensure a consistent flow of qualified candidates.
- Monitor intake volume, conversion and progression metrics.
- Review team performance and identify where additional support, follow-up or process improvements are needed.
- Work with Intake Coordinators to maintain high standards in screening and candidate qualification.
- Coach, train and support team members to improve consistency and performance.
- Review more complex or borderline candidate situations when additional judgment is needed.
- Help refine outreach, screening and follow-up processes
- Ensure prospective surrogates receive a consistent, responsive and professional experience.
- Collaborate with other SurrogateFirst teams to support. smooth handoffs and maintain the quality of candidates entering the next stage.
This role suits someone who is comfortable balancing people management with data, process and performance.
You should be able to look at both the numbers and the quality behind them: understanding whether the pipeline is strong enough, whether the team is screening consistently and where improvements are needed.
Experience leading intake, recruitment, client services, patient coordination or another relationship-driven team is valuable, particularly in surrogacy, fertility, healthcare or a related field.
A strong understanding of the fertility and family-building space is preferred, whether through professional experience or personal connection.
- 5-10 years of years of surrogacy experience preferred.
- Bilingual English-Spanish is a strong plus.
Case Management Team
Once a surrogate is matched, the Case Management Team takes over coordination of the journey.
Case Managers guide surrogates and intended parents through the major medical, legal, financial and logistical stages that follow — from medical screening and pre-IVF requirements through embryo transfer, contracting, escrow coordination and the ongoing milestones of an active journey all the way up to birth and post birth.
They also serve as a consistent point of contact for both surrogates and intended parents: coordinating appointments and next steps, keeping intended parents updated, supporting surrogates throughout the process and helping ensure that every part of the journey stays aligned.
It is a highly detailed role that combines case coordination, relationship management and practical problem-solving across many moving parts at once.
Case Manager – Surrogacy
Location: Fully remote, U.S. only
Benefits: 100% covered medical benefits, 401(k) retirement plan, life insurance and profit sharing
As a SurrogateFirst Case Manager, you will support surrogates and intended parents throughout their surrogacy journey.
You will serve as an ongoing point of contact, helping everyone understand key milestones, coordinating information and ensuring questions or issues are addressed as the journey progresses.
Surrogacy journeys last many months and involve medical providers, attorneys and other professionals. Strong surrogacy case management means keeping track of those moving pieces while maintaining clear, responsive and compassionate communication with the people at the center of the journey.
- Support surrogates and intended parents throughout active surrogacy journeys.
- Maintain regular communication and help clients understand upcoming milestones.
- Coordinate information between relevant stakeholders involved in the journey: surrogate, intended parents, medical clinics, lawyers, insurance, escrow company.
- Track key stages and help keep cases progressing.
- Respond to questions and help resolve issues as they arise.
- Maintain accurate case information and documentation.
- Escalate situations when additional support or specialist input is required.
- Help create a consistent and supportive experience from matching through the later stages of the journey.
- Successful case managers are highly organized, dependable and calm under pressure.
- You should be comfortable managing several active relationships at once and communicating about sensitive topics with both empathy and professionalism.
- Previous experience in case management, fertility, surrogacy, healthcare, patient coordination or another complex client-service environment is valuable.
- A strong understanding of the fertility and family-building space is preferred, whether through professional experience or personal connection.
- 2-3 years of years of surrogacy experience preferred.
- Bilingual English-Spanish is a strong plus.
Case Management Director – Surrogacy
Location: Fully remote, U.S. only
Benefits: 100% covered medical benefits, 401(k) retirement plan, life insurance and profit sharing
The Case Management Director leads the team responsible for supporting SurrogateFirst’s active surrogacy journeys.
This role combines people management, case oversight and process improvement. You will help ensure case managers have the guidance and resources they need while maintaining a consistently high standard of communication and support for surrogates and intended parents.
You should be comfortable overseeing complex journeys, supporting team members through difficult situations and identifying ways to strengthen both the client experience and internal case-management processes.
- Lead and support SurrogateFirst’s Case Management Team.
- Oversee the quality and consistency of active case management.
- Provide guidance on more complex cases or situations.
- Support case managers with escalation, decision-making and problem-solving.
- Monitor workflows and key milestones across active journeys.
- Help train, coach and develop team members.
- Improve case-management processes as the agency grows.
- Collaborate with intake and other internal teams to support smooth transitions between stages of the journey.
- This role requires strong leadership, communication and organizational skills, along with the ability to manage both people and complex client situations.
- Previous management experience in surrogacy, fertility, healthcare, case management or another high-touch service environment is valuable.
- A strong understanding of the fertility and family-building space is preferred, whether through professional experience or personal connection.
- 5-10 years of years of surrogacy experience preferred.
- Bilingual English-Spanish is a strong plus.
What our team says
Learn more about SurrogateFirst
Our team brings together professional expertise, lived experience and a shared commitment to supporting surrogates and intended parents with clarity, care and transparency.
Learn more about the people behind SurrogateFirst, our values and the experience we bring to each journey.
