Program Manager, Payer Operations

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $97k - $113.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Program Manager

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Spring Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

💼 Consulting

🛡️ Insurance

🏥 Healthcare

Consulting • Insurance • Healthcare

Spring Health is a comprehensive mental health solution designed for employers and health plans. It utilizes Precision Mental Healthcare to deliver personalized mental health support by matching individuals with the right care, whether it's digital support, meditation exercises, coaching, therapy, or medication. By partnering with leading organizations, Spring Health aims to improve mental health accessibility and outcomes, reduce employee turnover, and enhance productivity. Trusted by over 4,500 organizations, the company provides an evidence-based approach that has been proven to deliver positive clinical and financial results.

📋 Description

• Track open payer issues end-to-end, ensuring clear ownership, visibility, and accountability across cross-functional teams until resolution • Improve RCM efficiency and effectiveness to increase revenue performance and deliver a better experience for Alma providers and their clients • Connect stakeholders, subteams, and workflows across internal operations teams, surface interdependencies, and move issues to resolution • Serve as the primary operational point of contact for Business Development counterparts, coordinating payer requirements and claims, roster, complaints, and escalation issues • Partner with the Business Development Team on payer calls to drive RCM discussions, align stakeholders, and resolve issues • Monitor new payer requirements and evolving payer mergers, and mobilize internal teams to implement changes proactively • Track and report RCM performance by payer, surface trends and risks, and engage teams to drive improvement • Deliver portfolio RCM performance improvement, payer performance goals, on-time payer initiatives, maintained payer health assessments/business reviews, and stakeholder satisfaction

🎯 Requirements

• Experience in healthcare operations and understanding of insurance claims and payer relationships • Strong cross-functional collaboration skills and ability to align teams without direct authority • Track record managing complex, multi-stakeholder projects from kickoff through launch • Ability to work comfortably in ambiguity and proactively identify next steps • Clear communication skills for distilling operational complexity to internal partners and external payer contacts • Detail-oriented and data-driven approach with ability to monitor performance metrics and translate them into action

🏖️ Benefits

• We’re a remote-first company • Health insurance plans through Aetna (medical and dental) and MetLife (vision), including FSA and HSA plans • 401K plan (ADP) • Lifestyle Spending Account for health, wellness, and family care • Monthly co-working space membership stipend • Monthly work-from-home stipend • Financial wellness benefits through Northstar • Pet discount program through United Pet Care • Financial perks and rewards through PerkSpot • EAP access through Aetna • One-time home office stipend to set up your home office • Inclusive family and medical leave plans • 12 paid holidays and 1 Alma Give Back Day • Flexible PTO