Payer Operations Specialist

Our mission: to eliminate every barrier to mental health. 

Spring Health is a comprehensive mental health solution for employers and health plans. Unlike any other solution, we use clinically validated technology called Precision Mental Healthcare to pinpoint and deliver exactly what will work for each person — whether that’s meditation, coaching, therapy, medication, and beyond. 

Today, Spring Health equips over 800 companies, from start-ups to multinational Fortune 500 corporations, as a leading and preferred mental health service. Companies like J.P. Morgan Chase & Co., Microsoft, J.B. Hunt, Bumble, and Instacart use the Spring Health platform to provide mental health services to thousands of their team members globally. We have raised over $370 million from prominent investors including Kinnevik, Tiger Global, Northzone, RRE Ventures, and many more. Thanks to their partnership, our current valuation has reached $2.5 billion.

The Specialist will report to the Senior Program Manager of Payer Operations. This role involves developing an expert-level understanding of our Payer partners’ billing, payment, and cross-functional operations and compliance requirements. The primary responsibilities will be to support new payer launches, expand existing payer customer businesses, and monitor ongoing payer operation processes. To achieve this, the Specialist will collaborate with a wide range of stakeholders to quickly learn and navigate business, legal, analytical, product, and operational requirements. We are seeking a candidate with experience as an analyst in the finance or healthcare sector seeking a transition into a strategic operational role.

What you'll be doing: 

• Data Analytics
• Analyze clinical, operational, and financial data to monitor payer operations' health and performance.
• Identify root causes of clinical, operational, and financial issues and risks.
• Provide visibility into strategic opportunities for payer operations.
• Monitor and report on process performance, quantifying efficiency gains and identifying areas for further improvement.
• Project Management & Implementation
• Identify implementation requirements, risks, and milestones
• Ensure project deliverables remain on track; escalate, and identify potential risks 
• Keep internal and external business stakeholders informed and engaged
• Define clear project deliverables and criteria for success to meet project launch timelines
• Documentation
• Document Payer Operations requirements, workflows, and SOP to ensure clarity, consistency, and regulatory compliance
• Develop and maintain a robust internal knowledge base for Payer Operations and cross-functional partners, proactively updating documentation as needed
• Coordinate with cross functional leaders to review …