[Remote] Program Manager, Payer Operations (Alma)

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