Spring Health is a global mental health company on a mission to eliminate every barrier to mental health. We're building a world where getting support is simple, personal, and built around the person, so care can continue through every job, move, health plan, and life stage.Our AI-native platform helps us deliver personalized support across self-guided tools, coaching, therapy, medication management, and specialty care.Our mission: eliminating every barrier to mental health.Alma, a Spring Health Company, is on a mission to simplify access to high-quality, affordable mental health care.Alma is available in all 50 states, with over 20,000 therapists in our growing network.Alma is looking for a Program Manager to join our Payer Success team within Operations. In this role, you'll be the central quarterback for our payer partnerships in steady-state operations – the person who holds the full picture across the end-to-end RCM lifecycle, from credentialing and rostering to claims adjudication to CX. You won't be expected to solve every issue yourself, but you will be the one making sure nothing falls through the cracks: tracking open issues, mobilizing the right internal experts, and driving accountability across teams until problems are resolved. You'll work closely across all teams at Alma, in particular within Operations and Business Development, to turn operational insights into action and improve outcomes across our payer portfolio. This is a full time, fully remote position on our team. Occasional travel may be required for team or company events/meetings.What you'll doTrack open payer issues end-to-end, ensuring clear ownership, visibility, and accountability across cross-functional teams until resolutionDrive measurable business outcomes by improving RCM efficiency and effectiveness, with the ultimate goal of increasing revenue performance and delivering a better experience for Alma providers and their clientsPartner closely with internal operations teams to connect the dots across stakeholders, subteams, and workflows - surfacing interdependencies and ensuring issues move to resolution rather than stallServe as the primary operational point of contact for BD counterparts, triaging and coordinating new requirements surfaced by the payer and claims, roster, complaints, and escalation issues across assigned payersPartner with the Business Development Team on payer calls to drive RCM discussions, align stakeholders, and move issues to resolutionProactively monitor for new payer requirements and evolving payer mergers, and mobilize the right internal teams to implement changes before they become problemsTrack and report on RCM performance by payer - surfacing trends, flagging risks, and ensuring the right teams are engaged to drive improvementWhat success looks like:Portfolio RCM performance improvement (e.g., denial rate, reimbursement, AR days)Portfolio payers meeting performance goalsOn-time completion of payer initiatives/projectsCompletion and maintenance of payer health assessments/business reviewsStakeholder satisfaction (internal and payer partners)Who you areExperienced in healthcare operations - you understand how insurance claims and payer relationships actually workA strong cross-functional collaborator who can align people across teams without direct authorityHighly organized with a track record of managing complex, multi-stakeholder projects from kickoff through launchComfortable in ambiguity - you can proactively identify what needs to happen next without waiting to be toldA clear communicator who can distill operational complexity for both internal partners and external payer contactsDetail-oriented and data-driven, with the ability to monitor performance metrics and translate them into actionBenefits:We’re a remote-first companyHealth insurance plans through Aetna (medical and dental) and MetLife (vision), including FSA and HSA plans401K plan (ADP)Lifestyle Spending Account for health, wellness, and family careMonthly co-working space membership stipendMonthly work-from-home stipendFinancial wellness benefits through NorthstarPet discount program through United Pet CareFinancial perks and rewards through PerkSpotEAP access through AetnaOne-time home office stipend to set up your home officeInclusive family and medical leave plans12 paid holidays and 1 Alma Give Back DayFlexible PTO The target base salary range for this position is $97,000 - $113,500.Not sure if you meet every requirement? Research shows that women and people from historically underrepresented communities often hesitate to apply for roles unless they meet every qualification compared to other similarly-qualified candidates. At Spring Health, we are committed to fostering a workplace where everyone feels valued, empowered, and supported to Thrive. If this role excites you, we encourage you to apply.
about 1 month ago