Note: The job is a remote job and is open to candidates in USA. Spring Health, including its Alma company, is a global mental health company focused on eliminating barriers to mental health care and simplifying access to affordable, high-quality services. Alma is seeking a Program Manager to lead payer operations, coordinate cross-functional resolution of payer and revenue cycle management issues, monitor performance, and improve outcomes across its payer portfolio.
Responsibilities
- Track open payer issues end-to-end, ensuring clear ownership, visibility, and accountability across cross-functional teams until resolution
- Drive 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 clients
- Partner closely with internal operations teams to connect the dots across stakeholders, subteams, and workflows - surfacing interdependencies and ensuring issues move to resolution rather than stall
- Serve 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 payers
- Partner with the Business Development Team on payer calls to drive RCM discussions, align stakeholders, and move issues to resolution
- Proactively monitor for new payer requirements and evolving payer mergers, and mobilize the right internal teams to implement changes before they become problems
- Track and report on RCM performance by payer - surfacing trends, flagging risks, and ensuring the right teams are engaged to drive improvement
Skills
- Experienced in healthcare operations - you understand how insurance claims and payer relationships actually work
- A strong cross-functional collaborator who can align people across teams without direct authority
- Highly organized with a track record of managing complex, multi-stakeholder projects from kickoff through launch
- Comfortable in ambiguity - you can proactively identify what needs to happen next without waiting to be told
- A clear communicator who can distill operational complexity for both internal partners and external payer contacts
- Detail-oriented and data-driven, with the 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
Company Overview